Federal inspection record · CMS data as of October 1, 2026
The Legacy Rehab & Care Center
2812 Silver Creek Road, Bullhead City, AZ · (928) 763-1404
- CMS high-performer trophy
- Certified beds
- 120
- Residents per day
- 81
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 8, 1985
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Arizona.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Arizona homes
The Legacy Rehab & Care Center carries 4 inspection points. That is fewer than 97% of Arizona's 139 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Arizona: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9.5 pts
- 4★ 9.5–23 pts
- 3★ 23–38 pts
- 2★ 38–59 pts
- 1★ over 59 pts
Bars show every rated home in Arizona by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
4 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care1D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights1D
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Environmental1E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Resident Assessment and Care Planning1D
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Inspection history
2026-05-15
1 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2025-01-17
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (1 deficiency)
2023-02-09
2 health deficiencies · 2 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 24 min of nursing staff time a day, 28 min of it from a registered nurse.
This home
3 h 24 min
Arizona average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 40% of nursing staff and 43% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 1.1 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse | 1.9 | 1.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.2 pts better | 100.0% | 96.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.3 pts better | 100.0% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.9 pts worse | 5.2% | 2.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.1 pts better | 2.6% | 3.7% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.1 pts better | 3.3% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication12.7 pts better | 8.7% | 21.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication14.1 pts worse | 24.7% | 10.6% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.9 pts worse | 20.6% | 11.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.2 pts better | 7.4% | 10.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2 pts worse | 2.7% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts worse | 1.6% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.1 pts better | 16.2% | 20.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.6 pts worse | 5.9% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.4 pts better | 99.0% | 92.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit9.7 pts worse | 19.7% | 10.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better | 0.2% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.5 pts better | 97.4% | 87.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.1 pts worse | 27.6% | 23.5% | 23.4% |
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Who owns and runs it
30 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Collins, Jessica | Direct Ownership Interest · Individual | 0% | 3 facilities |
| Collins, Jessica | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Collins, Jessica | Corporate Director · Individual | 0% | 3 facilities |
| Collins, Jessica | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Collins, Jessica | Adp Of The SNF · Individual | 0% | 3 facilities |
| Collins, Jillian | Direct Ownership Interest · Individual | 0% | 3 facilities |
| Collins, Jillian | Adp Of The SNF · Individual | 0% | 3 facilities |
| Collins, Joshua | Direct Ownership Interest · Individual | 0% | 3 facilities |
| Collins, Joshua | Adp Of The SNF · Individual | 0% | 3 facilities |
| Creative Care Inc | Direct Ownership Interest · Organization | 0% | 3 facilities |
| Creative Care Inc | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Creative Care Inc | Adp Of The SNF · Organization | 0% | 3 facilities |
| Ernest L Harman Md Zia Way LLC | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Ernest L Harman Md Zia Way LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Harman, Ernest | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Harman, Ernest | Adp Of The SNF · Individual | 0% | 3 facilities |
| Lingenfelter, Fred | Direct Ownership Interest · Individual | 0% | 3 facilities |
| Lingenfelter, Fred | Adp Of The SNF · Individual | 0% | 3 facilities |
| Napier, Pierre | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Napier, Pierre | Corporate Officer · Individual | 0% | 3 facilities |
| Napier, Pierre | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Napier, Pierre | Adp Of The SNF · Individual | 0% | 3 facilities |
| Ott, Kristen | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Ott, Kristen | Corporate Officer · Individual | 0% | 3 facilities |
| Ott, Kristen | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Ott, Kristen | Adp Of The SNF · Individual | 0% | 3 facilities |
| Overson, Sara | Direct Ownership Interest · Individual | 0% | 3 facilities |
| Overson, Sara | Adp Of The SNF · Individual | 0% | 3 facilities |
| Terry, Sandra | Direct Ownership Interest · Individual | 0% | 3 facilities |
| Terry, Sandra | Adp Of The SNF · Individual | 0% | 3 facilities |
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Fire safety
3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke2E
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Miscellaneous1E
- E
Have simulated fire drills held at unexpected times.
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