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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Conveniently located in the charming neighborhood of Silver Creek Road, Bullhead City, AZ, Legacy Rehab & Care Center is an outstanding senior living community focusing on rehabilitation and skilled nursing. The community also provides occupational, physical, and speech therapy to help improve seniors’ well-being. With a compassionate and reliable team delivering top-tier care and assistance, seniors can rest assured of meeting their special needs and preferences.
Ensuring that residents age gracefully with its care, the community conducts carefully thought-of activities and events that encourage them to remain active and socially engaged. Here, residents also do not have to worry about meal preparation, as there are various dining options served to cater to dietary needs and preferences. Legacy Rehab & Care Center strives to provide a safe place for seniors to spend their golden years without worries.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 36th out of 72 homes in Arizona. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 25m per day | ▼ 42% State avg: 43m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 12m per day | ▲ 14% State avg: 1h 3m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 23m per day | ■ Avg State avg: 2h 22m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 8m per day | ▼ 14% State avg: 3h 38m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 50% State avg: 6m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 17m per day | ▼ 45% State avg: 31m per day · National avg: 29m per day |
Lower than the Arizona average: 72.7%Legacy Rehab & Care Center is legally operated by The Legacy Rehab & Care Center, and administrated by Kristen Ott.
Key information about the people who lead and staff this community.
In Arizona, the Department of Health Services, Bureau of Long Term Care Licensing performs regular onsite inspections and investigates complaints for all licensed residential and nursing facilities.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Arizona state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | AZ Average | vs. AZ Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 17 | 9 | This facility has 89% more total deficiencies than a typical Arizona nursing home (17 vs. AZ avg 9).↑ 89% worse |
|
Deficiencies per year
Average deficiencies per year since 2021.
| 3.4 | 1.8 | This facility has 89% more deficiencies per year than a typical Arizona nursing home (3.4 vs. AZ avg 1.8).↑ 89% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.7 | 1.8 | This facility has 6% fewer deficiencies per inspection than a typical Arizona nursing home (1.7 vs. AZ avg 1.8).↓ 6% better |
Inspections
| This Facility | AZ Average | vs. AZ Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 10 | 5 | This facility has 100% more total inspections than a typical Arizona nursing home (10 vs. AZ avg 5).↑ 100% worse |
Complaints & Investigations
| This Facility | AZ Average | vs. AZ Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 8 | 6 | This facility has 33% more total complaints than a typical Arizona nursing home (8 vs. AZ avg 6).↑ 33% worse |
|
Complaints per year
Average complaints per year since 2021.
| 1.6 | 1.2 | This facility has 33% more complaints per year than a typical Arizona nursing home (1.6 vs. AZ avg 1.2).↑ 33% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on August 21, 2025, was a complaint survey with no deficiencies cited. Earlier inspections generally showed compliance, though a February 9, 2023, survey cited several deficiencies related to pre-admission screening, environmental conditions, premises safety, and fire safety procedures. Complaint investigations throughout the period were unsubstantiated and did not result in citations. No fines, enforcement actions, or license issues were listed in the available reports. The facility appears to have addressed prior issues, as more recent inspections have not identified deficiencies.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsArizona average 6.3
Last Health inspection on Sep 2025
Arizona average 23.2
Arizona average 3.82
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
5 of 6 citations resulted from standard inspections; and 1 of 6 resulted from complaint investigations.
100% better than Arizona averageArizona average: 0.1
100% better than Arizona averageArizona average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
18% worse than Arizona average
0% compared with Arizona average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,182 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 34 | 3 | 37 | 12,235 | 92 | 100% | 9.5 |
| Licensed Practical Nurse | 16 | 3 | 19 | 6,470 | 92 | 100% | 8.8 |
| Medication Aide/Technician | 6 | 0 | 6 | 2,300 | 92 | 100% | 10.1 |
| Physical Therapy Aide | 4 | 0 | 4 | 1,100 | 68 | 74% | 8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 1,098 | 66 | 72% | 8.5 |
| Nurse Aide in Training | 4 | 0 | 4 | 909 | 78 | 85% | 9.9 |
| RN Director of Nursing | 2 | 0 | 2 | 870 | 65 | 71% | 8.9 |
| Speech Language Pathologist | 5 | 0 | 5 | 662 | 65 | 71% | 7.7 |
| Registered Nurse | 5 | 0 | 5 | 642 | 72 | 78% | 6.9 |
| Dental Services Staff | 1 | 0 | 1 | 566 | 63 | 68% | 9 |
| Dietitian | 1 | 0 | 1 | 529 | 65 | 71% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 494 | 63 | 68% | 7.8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 379 | 65 | 71% | 5.8 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 359 | 54 | 59% | 6.6 |
| Administrator | 2 | 0 | 2 | 220 | 54 | 59% | 4.1 |
| Physical Therapy Assistant | 2 | 0 | 2 | 114 | 51 | 55% | 2.1 |
| Qualified Social Worker | 1 | 0 | 1 | 76 | 14 | 15% | 5.5 |
| Medical Director | 0 | 1 | 1 | 2 | 1 | 1% | 1.5 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.9
30% worse than Arizona averageArizona average: 7.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.0
24% worse than Arizona averageArizona average: 16.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
8.4%
25% better than Arizona averageArizona average: 11.2%
Percent of long-stay residents whose ability to move independently worsened
24.9%
57% worse than Arizona averageArizona average: 15.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.6%
28% worse than Arizona averageArizona average: 20.8%
Percent of long-stay residents experiencing one or more falls with major injury
6.7%
218% worse than Arizona averageArizona average: 2.1%
Percent of long-stay high risk residents with pressure ulcers
2.7%
47% better than Arizona averageArizona average: 5.1%
Percent of long-stay residents with a urinary tract infection
2.3%
72% worse than Arizona averageArizona average: 1.3%
Percent of long-stay residents who lose too much weight
6.6%
20% worse than Arizona averageArizona average: 5.4%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Arizona averageArizona average: 4.5%
Percent of long-stay residents who received an antipsychotic medication
18.6%
81% worse than Arizona averageArizona average: 10.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Arizona averageArizona average: 97.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Arizona averageArizona average: 94.6%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
9% better than Arizona averageArizona average: 91.5%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
30% better than Arizona averageArizona average: 1.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.3%
13% better than Arizona averageArizona average: 87.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
29.7%
21% worse than Arizona averageArizona average: 24.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
23.5%
120% worse than Arizona averageArizona average: 10.7%
Percentage of SNF residents who experience falls with major injury during their stay.
1.3%
70% worse than Arizona averageArizona average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
35.2%
34% worse than Arizona averageArizona average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
61.5%
22% better than Arizona averageArizona average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
38% of new residents, usually for short-term rehab.
50% of new residents, often for short stays.
12% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
65Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Legacy Rehab & Care Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #71 / 80Payroll — State benchmarkedThis home is ranked 71st out of 80 homes in Arizona. Shows total annual staff payroll benchmarked to the Arizona average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total Residents: 120
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Kristen is the Administrator for The Legacy Rehab & Care Center. She has been a licensed Nursing Home Administrator since 2011 and has worked with the organization in various roles since 2006. Kristen is dedicated to providing quality care and is passionate about serving Bullhead’s rural community.
3.6 miles from city center
Estimated distance in miles from Bullhead City's city center to Legacy Rehab & Care Center's address, calculated via Google Maps.
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Legacy Rehab & Care Center is located in Bullhead City, Arizona.
Here are the financial assistance programs available to residents in Arizona.
Legacy Rehab & Care Center is in the Bullhead City neighborhood of Bullhead City.
The legal owner and operator of Legacy Rehab & Care Center is The Legacy Rehab & Care Center.
According to AZ state health department records, Legacy Rehab & Care Center's license number is NCI-2664.
According to AZ state health department records, Legacy Rehab & Care Center's license expires on August 31, 2026.
Legacy Rehab & Care Center's occupancy is 38%.
Kristen Ott is the administrator of Legacy Rehab & Care Center.
Legacy Rehab & Care Center has 120 beds.
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