Inspection Reports for Legacy at Maiden Park

749 Maiden Ln, Rochester, NY 14615, United States, NY, 14615

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Inspection Report Summary

The most recent inspection on June 30, 2025, identified two deficiencies related to resident protections and admission and retention standards, with a plan of correction approved. Earlier inspections showed a pattern of deficiencies mainly involving admission standards, resident services, and some issues with food service, environmental standards, and medication management. Complaint investigations were mostly unsubstantiated, and no fines, immediate jeopardy findings, or license actions were listed in the available reports. Prior reports noted consistent citations in resident services and admission processes, but the facility addressed these with approved correction plans. The trend suggests ongoing attention to admission and resident care areas, with no clear pattern of worsening or improvement.

Deficiencies (last 4 years)

Deficiencies (over 4 years) 4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

22% better than New York average
New York average: 5.1 deficiencies/year

Deficiencies per year

8 6 4 2 0
2022
2023
2024
2025

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 2 Date: Jun 30, 2025

Visit Reason
Complaint survey with 2 violations; plan/notice of correction approved.

Findings
Complaint survey with 2 violations; plan/notice of correction approved.

Deficiencies (2)
487.5 (f) (10-11) — Resident protections
1001.7 (g)(1-3) — Admission and retention standards

Inspection Report

Renewal
Capacity: 60 Deficiencies: 5 Date: Oct 3, 2024

Visit Reason
Relicensure and complaint survey with 5 violations; plan/notice of correction approved.

Findings
Relicensure and complaint survey with 5 violations; plan/notice of correction approved.

Deficiencies (5)
487.4 (a) — Admission standards
487.8 (e) (1) — Food service
487.11 (i) (1) — Environmental standards
1001.7 (k) (2) — Admission and retention standards
1001.10 (l)(1) — Medication management

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 0 Date: Aug 13, 2024

Visit Reason
Complaint survey with no violations; plan/notice of correction not required.

Findings
Complaint survey with no violations; plan/notice of correction not required.

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 0 Date: May 2, 2024

Visit Reason
Complaint survey with no violations; plan/notice of correction not required.

Findings
Complaint survey with no violations; plan/notice of correction not required.

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 0 Date: Dec 21, 2023

Visit Reason
Complaint survey with no violations; plan/notice of correction not required.

Findings
Complaint survey with no violations; plan/notice of correction not required.

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 4 Date: Dec 18, 2023

Visit Reason
Complaint survey with 4 violations; plan/notice of correction approved.

Findings
Complaint survey with 4 violations; plan/notice of correction approved.

Deficiencies (4)
487.4 (a) — Admission standards
487.4 (m) — Admission standards
487.7 (d) (1) (iv) — Resident services
1001.10 (j) (1) — Resident services

Inspection Report

Capacity: 60 Deficiencies: 0 Date: Feb 22, 2023

Visit Reason
Other survey with no violations; plan/notice of correction not required.

Findings
Other survey with no violations; plan/notice of correction not required.

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 4 Date: Sep 28, 2022

Visit Reason
Complaint survey with 4 violations; plan/notice of correction approved.

Findings
Complaint survey with 4 violations; plan/notice of correction approved.

Deficiencies (4)
485.5 (f) — Operating certificates
487.4 (c)(12) — Admission standards
487.7 (f) (11) (iii) — Resident services
1001.10 (j) (1) — Resident services

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Jan 3, 2022

Visit Reason
Other survey with 1 violation; plan/notice of correction approved.

Findings
Other survey with 1 violation; plan/notice of correction approved.

Deficiencies (1)
487.7 (d) (1) (v) — Resident services

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