
Report
TheVardellReport
Legends Care Rehabilitation and Nursing Center
Skilled nursing facility and nursing facility
2311 Nave Road SE
Massillon, OH 44646

TheVardellReport
Skilled nursing facility and nursing facility
2311 Nave Road SE
Massillon, OH 44646
Life by Vardell Presents
The deeper story, beautifully organized. Available records, historical context, and questions worth asking.
This report is free. Vardell does not certify, grade or endorse; it shows what the record documents.
The Essentials
Across 15 inspections from October 2019 to May 2026, state surveyors documented 71 findings at Legends Care Rehabilitation and Nursing Center; 71 have a recorded correction; CMS lists 3 enforcement actions in the window.
* Partial year, through October 1, 2026.
| Year | Inspections | Findings | Of which, actual harm (level G or above) |
|---|---|---|---|
| 2019 | 1 | 11 | 0 |
| 2020 | 0 | 0 | 0 |
| 2021 | 0 | 0 | 0 |
| 2022 | 1 | 9 | 1 |
| 2023 | 3 | 5 | 0 |
| 2024 | 4 | 25 | 1 |
| 2025 | 3 | 9 | 2 |
| 2026 | 3 | 12 | 0 |
Chronology
Every inspection in the record window, newest first. A finding is a deficiency an inspector cited. CMS publishes what a complaint investigation cited, not what the complaint alleged.
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
3 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
7 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
3 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
5 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
4 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
4 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
11 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
6 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
3 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
9 findings
Enforcement Action
Civil money penalty, $91,005 imposed May 14, 2024. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of October 21, 2022, the nearest before the penalty date.
Enforcement Action
Denial of payment imposed May 14, 2024. Status: Closed, July 17, 2024. CMS does not tie a penalty to a survey; listed with the standard health inspection of October 21, 2022, the nearest before the penalty date.
Enforcement Action
Civil money penalty, $236,533 imposed March 20, 2025. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of October 21, 2022, the nearest before the penalty date.
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
11 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Severity levels follow the CMS scope and severity grid. A–C: potential for minimal harm. D–F: no actual harm, potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy.
Context
A repeated citation can merit attention, but context and corrective action must be reviewed before drawing a conclusion.
Inspectors cited F684 in October 2019, October 2022, June 2024, July 2024 and March 2026. This citation covers whether residents receive the treatment their orders, preferences and goals call for. The most serious of these was recorded at level G (actual harm). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F580 in October 2022, November 2023, March 2025 and January 2026. This citation covers whether the resident, their doctor and a family member are told promptly about an injury, a decline or another significant change. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F609 in April 2024, May 2024, May 2025 and March 2026. This citation covers whether suspected abuse, neglect or theft is reported to the authorities on time, with the results of the home’s investigation. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F610 in April 2024, May 2024, March 2025 and March 2026. This citation covers how the home responds to and investigates an allegation of abuse, neglect or mistreatment. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F689 in October 2022, May 2024 and January 2026. This citation covers whether residents are protected from accident hazards and supervised closely enough to prevent accidents, including falls. The most serious of these was recorded at level G (actual harm). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F759 in July 2024, June 2025 and January 2026. This citation covers whether medication errors stayed under 5 percent when inspectors watched medications being given. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F842 in October 2022, April 2024 and May 2024. This citation covers whether resident records are complete, accurate and kept confidential. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F880 in October 2019, November 2023 and July 2024. This citation covers hand hygiene, isolation practice and the home’s infection-prevention program. None rose above level F (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F585 in December 2023 and May 2024. This citation covers residents’ right to voice grievances without reprisal, and the home’s process for resolving them. None rose above level F (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F600 in May 2024 and March 2025. This citation covers whether residents are protected from abuse and neglect by anyone. The most serious of these was recorded at level K (immediate jeopardy). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F657 in October 2022 and May 2026. This citation covers whether care plans are written on time and revised by a team that includes the resident’s caregivers. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F676 in October 2019 and June 2025. The agency describes it this way: Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F677 in October 2019 and July 2024. This citation covers help with bathing, dressing, eating and toileting for residents who cannot manage alone. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F697 in October 2019 and April 2024. The agency describes it this way: Provide safe, appropriate pain management for a resident who requires such services. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F812 in June 2024 and January 2026. This citation covers how food is stored, prepared and served. None rose above level F (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
For Your Next Visit
Bring these to the tour. Each one comes from something in the record; the reason is under the question.
How do nurses make sure a doctor’s orders are carried out, and how are families told when something is missed?
Quality of Care: cited in five inspections, most seriously at level G.
How quickly will we hear about a fall, an injury or a change in condition, and from whom?
Telling Families About Changes: cited in four inspections, most seriously at level D.
How are staff trained to report suspected abuse or neglect, and who reports it to the state?
Reporting Suspected Abuse: cited in four inspections, most seriously at level D.
When an allegation is made, who investigates it, and how are residents protected in the meantime?
Investigating Alleged Violations: cited in four inspections, most seriously at level D.
What changed in fall prevention and supervision after the last citation, and how do you check that it is still working?
Accident Hazards and Supervision: cited in three inspections, most seriously at level G.
How are medication passes checked, and what happens when an error is found?
Medication Error Rate: cited in three inspections, most seriously at level D.
How can a family request a resident’s records, and how are they kept accurate?
Medical Records: cited in three inspections, most seriously at level D.
Who leads infection control here, and how often are hand-hygiene and isolation practices audited?
Infection Control: cited in three inspections, most seriously at level F.
How do we file a grievance, who answers it, and how quickly?
Grievances: cited in two inspections, most seriously at level F.
What happened after the abuse or neglect citation, and what changed in training or supervision?
Protection From Abuse and Neglect: cited in two inspections, most seriously at level K.
How often are care plans revised, and who takes part in the review?
Care Plan Timing and Review: cited in two inspections, most seriously at level D.
What changed after F676 was cited, and how do you check it now?
Citation F676: cited in two inspections, most seriously at level D.
How long do residents usually wait for help with bathing, dressing or the bathroom, and how is that tracked?
Help With Daily Living: cited in two inspections, most seriously at level D.
What changed after F697 was cited, and how do you check it now?
Citation F697: cited in two inspections, most seriously at level D.
May we see the kitchen, and what do your own sanitation checks look like week to week?
Kitchen and Food Safety: cited in two inspections, most seriously at level F.
How many nurses and aides are on each shift, including nights and weekends, for the unit we are considering?
Insufficient nursing staff was cited in May 2024.
What led to the 2025 fine, and has it been paid?
A $236,533 civil money penalty was imposed March 20, 2025. CMS publishes the fine, not whether it has been paid. The record holds three enforcement actions in the window.
The Evidence
Inspection results and penalties are published by the Centers for Medicare & Medicaid Services from surveys conducted by the Ohio state survey agency.
Ohio state survey agency
Inspection Oct 18, 2019 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Ohio state survey agency
Inspection Oct 21, 2022 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Ohio state survey agency
Inspection Oct 11, 2023 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Ohio state survey agency
Inspection Nov 13, 2023 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Ohio state survey agency
Inspection Dec 9, 2023 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Ohio state survey agency
Inspection Apr 2, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Ohio state survey agency
Inspection May 14, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Ohio state survey agency
Inspection Jun 18, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Ohio state survey agency
Inspection Jul 16, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Ohio state survey agency
Inspection Mar 20, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Ohio state survey agency
Inspection May 6, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Ohio state survey agency
Inspection Jun 5, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Ohio state survey agency
Inspection Jan 22, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Ohio state survey agency
Inspection Mar 10, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Ohio state survey agency
Inspection May 4, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Centers for Medicare & Medicaid Services
Published Oct 1, 2026 · Retrieved Nov 1, 2026
Centers for Medicare & Medicaid Services · 366085
Published Oct 1, 2026 · Retrieved Nov 1, 2026
Record windowOctober 18, 2019 – October 1, 2026
Historical coverage varies by agency and location. Missing records do not mean that no complaint or violation occurred.
Data architecture: Cierto supplies the source-backed machine-readable bundle. Life by Vardell independently creates the narrative, design, and consumer report.