The Legacy Rehab & Care Center
2812 Silver Creek Road, Bullhead City, AZ 86442 · Mohave County · 120 certified beds · avg 79 residents/day · certified since Jan 8, 1985
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (4)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 15, 2026 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Sep 9, 2025 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · from a complaint |
| Feb 9, 2023 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Feb 9, 2023 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | E |
| 2025 | 1 | 0 | D |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Arizona avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.80 | 3.97 | 3.95 | top 42% in Arizona; top 48% in the U.S. |
| Registered Nurse hours | 0.43 | 0.69 | 0.69 | bottom 22% in Arizona; bottom 27% in the U.S. |
| Weekend total nurse staffing | 3.42 | 3.50 | 3.50 | top 37% in Arizona; top 46% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.19 | 0.49 | 0.48 | bottom 7% in Arizona; bottom 11% in the U.S. |
| Total nursing staff turnover (%) | 41.7 | 45.2 | 45.8 | top 34% in Arizona; top 41% in the U.S. |
| RN turnover (%) | 42.9 | 43.6 | 42.9 | top 47% in Arizona; bottom 49% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.53, RN 0.40, weekend 3.18. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Collins, Jessica | Individual | Direct Ownership Interest | NOT APPLICABLE | 02/28/2017 |
| Collins, Jillian | Individual | Direct Ownership Interest | NOT APPLICABLE | 02/28/2017 |
| Collins, Joshua | Individual | Direct Ownership Interest | NOT APPLICABLE | 02/28/2017 |
| Creative Care INC | Organization | Direct Ownership Interest | NOT APPLICABLE | 05/03/2013 |
| Lingenfelter, Fred | Individual | Direct Ownership Interest | NOT APPLICABLE | 01/01/2014 |
| Overson, Sara | Individual | Direct Ownership Interest | NOT APPLICABLE | 01/01/2014 |
| Terry, Sandra | Individual | Direct Ownership Interest | NOT APPLICABLE | 01/01/2014 |
| Collins, Jessica | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/20/2017 |
| Collins, Jessica | Individual | Corporate Director | NOT APPLICABLE | 02/20/2017 |
| Collins, Jessica | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/20/2017 |
| Collins, Jessica | Individual | ADP of the SNF | NOT APPLICABLE | 02/28/2017 |
| Collins, Jillian | Individual | ADP of the SNF | NOT APPLICABLE | 02/28/2017 |
| Collins, Joshua | Individual | ADP of the SNF | NOT APPLICABLE | 02/28/2017 |
| Creative Care INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/21/2025 |
| Creative Care INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/21/2025 |
| Ernest L Harman MD Zia Way LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2008 |
| Ernest L Harman MD Zia Way LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/14/2025 |
| Harman, Ernest | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2008 |
| Harman, Ernest | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2008 |
| Lingenfelter, Fred | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2014 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
No other Medicare-certified nursing homes within 20 miles in the current records.
All facilities in Bullhead City →
Facility data as of CMS processing date 2026-08-01. CCN 035097.