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Establishment profile

Legacy at College Hill

5005 E 21st St N, Wichita, KS, 67208
Operated by Legacy at College Hill
623311Continuing Care Retirement Communities
EIN 475150709

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OSHA inspections
0
over 10 years
Violations
0
Penalties
$0
Context
No OSHA inspections on record. This does not mean the employer is violation-free — OSHA inspects a small fraction of workplaces annually.

Summary

Legacy at College Hill has no OSHA inspection history on file. Federal records covering wage, environmental, labor relations, and other agencies are noted below where present.

The most recent federal enforcement activity was recorded 10 years ago.

Federal records were found in 1 of 15 sources. Sources without matching records returned empty for this establishment.

Agency coverage

Legacy at College Hill appears in WHD wage enforcement and CMS nursing home enforcement records only. No matching records were found in OSHA workplace safety, MSHA mine safety, EPA environmental compliance, NLRB labor relations, OFLC visa and labor certification (historical), FMCSA motor carrier registration, SAM.gov federal debarment, UVA Corporate Prosecution Registry, CPSC product recalls, or NHTSA vehicle recalls.

OSHA workplace safety

No OSHA inspections, citations, or accidents on file for Legacy at College Hill. Verify directly with Occupational Safety and Health Administration

Safety self-report (OSHA 300A)

Recordable injury rates the employer filed with OSHA’s Injury Tracking Application. DART covers cases with days away, restricted, or transferred; TRIR is the total recordable case rate.

DART rate
2.0
vs industry
−1.0
TRIR
16.0
vs industry
+11.4

Reported for 60 average annual employees at this establishment.

Source: OSHA ITA Form 300A (employer self-reported). Rates are per 100 full-time equivalent workers. Establishments below the ~10-FTE threshold are not required to report.

Industry benchmark

Industry avg TRIR
4.6
BLS SOII 2024
Industry avg DART
3.0
BLS SOII 2024
Self-reported TRIR
16.0
OSHA ITA Form 300A (employer self-reported)

BLS rates reflect industry-wide averages. Self-reported figures come from OSHA’s Injury Tracking Application; absence of self-reported data does not necessarily indicate non-compliance — many establishments fall below the ITA reporting threshold.

OSHA severe injury reports

No severe injury reports (hospitalization, amputation, or loss of an eye) on file under 29 CFR 1904.39 for Legacy at College Hill. Verify directly with Occupational Safety and Health Administration

Activity timeline

Data refreshed
Weekly
First OSHA inspection
Most recent activity
10 years ago

No federal enforcement activity has been recorded against this establishment in 10+ years. Most recent activity: 10 years ago. Data on this page is refreshed weekly.

Wage & Hour Division (WHD)

Cases
1
Back wages owed
$901
Employees affected
5

Department of Labor Wage & Hour Division — minimum-wage, overtime, child-labor, FMLA, and prevailing-wage enforcement.

Wage and hour breakdown by law

Per-statute totals across all closed DOL Wage & Hour cases against this employer. Backwages reflect amounts the agency assessed; civil penalty is the separate fine where applicable. Some acts (Davis-Bacon, SCA, CWHSSA, H-2B, CCPA) don't carry a civil penalty field in DOL's data. 1 statute · 6 violations · $901 in backwages

StatutePeriodCasesViolationsWorkersBackwagesCivil penalty
FLSA — minimum wage & overtimeJan 2016165$901

Source: DOL WHD enforcement database, aggregated per statute. Lifetime totals. A case can cite multiple statutes — so the total here may exceed the case count in the table above.

Wage and hour cases

Closed DOL Wage & Hour Division cases (FLSA, FMLA, H-2B, MSPA, and related statutes). Backwages reflect amounts the agency assessed; civil penalty (CMP) is a separate fine levied on top, where the statute provides for one (FLSA / H-1B / H-2A / MSPA / FMLA / EPPA / FLSA Child Labor; other acts have no CMP column in DOL’s data). The Statutes column lists which laws each case cited. 1 case · 6 violations · $901 in backwages · 5 workers affected

Case periodIndustryStatutesViolationsWorkersBackwagesCivil penalty
Nov 2015 – Jan 2016Continuing Care Retirement CommunitiesFLSA65$901

Source: DOL WHD enforcement database. Cases shown reflect those the agency has closed and made public. A violation count is the agency’s tally of cited violations (one violation can affect many workers); the workers column counts distinct employees the agency found to be affected.

Mine safety (MSHA)

No MSHA mine safety violations on file for Legacy at College Hill. Verify directly with Mine Safety and Health Administration

Labor relations (NLRB)

No NLRB unfair labor practice charges or union representation cases on file for Legacy at College Hill. Verify directly with National Labor Relations Board

Visa & labor certification (OFLC) — historical

No H-1B, H-2A, or H-2B labor condition applications on file (historical data only — DOL ended OFLC publication) for Legacy at College Hill. Verify directly with Office of Foreign Labor Certification

Environmental compliance (EPA)

No EPA inspections or formal enforcement actions on file for Legacy at College Hill. Verify directly with Environmental Protection Agency

CMS nursing-home record

CCN 175078 · Chain: CAMPBELL STREET SERVICES

CMS abuse iconSpecial focus: SFF Candidate
Overall rating
1 of 5 stars
Certified beds
75
Deficiencies (3y)
23
CMS fines
$43,188

Source: CMS Provider Data Catalog (Care Compare) — health-inspection deficiencies, fines, and ratings. Full nursing-home record →

CMS Care Compare deficiencies

Every Health Deficiency citation issued by CMS surveyors during this facility’s annual and complaint-triggered surveys. F-tags reference 42 CFR 483 regulatory requirements (resident rights, staffing, infection control, medication management, etc.). Scope-severity letters grade citations from A (isolated potential harm) through L (widespread immediate jeopardy); immediate-jeopardy citations are the critical signal. 70 citations across 5 surveys · 3 immediate jeopardy · 4 actual-harm · 47 complaint-triggered.

Survey dateF-TagSeverityDescriptionTypeCorrected
May 20250925F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies
Complaint
May 20250584E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies
Complaint
May 20250689D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint
Feb 20250880F
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint
Feb 20250921F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Complaint
Feb 20250812E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Complaint
Feb 20250883E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies
Complaint
Feb 20250625D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies
Complaint
Feb 20250657D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Complaint
Feb 20250689D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint
Feb 20250698D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies
Complaint
Feb 20250699D
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies
Complaint
Feb 20250756D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Complaint
Feb 20250757D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
Complaint
Feb 20250758D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies
Complaint
Feb 20250761D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies
Complaint
Feb 20250849D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration Deficiencies
Complaint
Jul 20240686G (harm)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Complaint
Jul 20240657D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Complaint
Jul 20240684D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint
Jul 20240690D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Complaint
Jul 20240755D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Complaint
Jul 20240880D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint
May 20230600L (IJ)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint
May 20230610L (IJ)
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint
May 20230609K (IJ)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint
May 20230689G (harm)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint
May 20230584F
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies
Complaint
May 20230725F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies
Complaint
May 20230727F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies
Complaint
May 20230812F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Complaint
May 20230835F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies
Complaint
May 20230868F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies
Complaint
May 20230880F
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint
May 20230919F
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies
Complaint
May 20230700E
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies
Complaint
May 20230741E
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Quality of Life and Care Deficiencies
Complaint
May 20230756E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Complaint
May 20230758E
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies
Complaint
May 20230550D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Complaint
May 20230644D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
Complaint
May 20230646D
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Resident Assessment and Care Planning Deficiencies
Complaint
May 20230656D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Complaint
May 20230676D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies
Complaint
May 20230690D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Standard
May 20230712D
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services Deficiencies
Complaint
May 20230730D
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies
Complaint
May 20230755D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Complaint
Oct 20210686G (harm)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Standard
Oct 20210692G (harm)
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Standard
Oct 20210727F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies
Standard
Oct 20210801F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies
Standard
Oct 20210812F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard
Oct 20210838F
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Administration Deficiencies
Standard
Oct 20210867F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies
Standard
Oct 20210868F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies
Standard
Oct 20210550D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Standard
Oct 20210574D
The resident has the right to receive notices in a format and a language he or she understands.
Resident Rights Deficiencies
Standard
Oct 20210623D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
Standard
Oct 20210625D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies
Standard
Oct 20210656D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Standard
Oct 20210657D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Standard
Oct 20210677D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Standard
Oct 20210690D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Standard
Oct 20210695D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Standard
Oct 20210756D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Standard
Oct 20210757D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
Standard
Oct 20210758D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies
Standard
Oct 20210761D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies
Standard
Oct 20210880D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard

Source: CMS Care Compare Health Deficiencies dataset. Standard survey citations come from routine annual inspections; complaint citations come from CMS investigations of resident or family complaints; infection control citations come from focused infection-prevention surveys. F-tag definitions are at cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits.

Federal criminal prosecution record

No federal criminal prosecutions, plea agreements, or deferred-prosecution agreements on file for Legacy at College Hill. Verify directly with UVA Corporate Prosecution Registry

In the news

Part of a larger organization

Legacy at College Hill is one of 1 establishments rolled up under the parent organization Legacy at College Hill.

Federal enforcement records on this page represent activity at this specific establishment only. The full enforcement footprint of Legacy at College Hill across all 1 of its tracked locations is viewable on the parent profile.

Other employers in this industry and state

Other employers in continuing care retirement communities within KS, ordered by federal enforcement volume:

Related searches

About this data

This profile aggregates federal enforcement records on Legacy at College Hill from every major federal compliance and enforcement source plus the UVA Corporate Prosecution Registry. OSHA workplace safety inspections, WHD wage cases, MSHA mine safety, EPA environmental enforcement, NLRB labor relations, OFLC visa/labor certification, FMCSA motor carrier registration, SAM.gov debarments, CMS nursing-home records, BLS industry safety benchmarks, OSHA ITA self-reported injury rates, SEC enforcement and financial disclosures, CPSC and NHTSA recalls.

Establishments are matched across agencies using normalized employer name, state, and ZIP code. This establishment resolves to the parent rollup Legacy at College Hill.

OSHA citations typically appear 3–8 months after the inspection, so very recent enforcement actions may not yet be reflected. Profiles may be incomplete if the establishment operates under multiple legal names or files under variations our entity-matching rules don’t yet cover. To report a missing record or correction, email corrections@fastdol.com.

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Frequently asked

What is Legacy at College Hill's OSHA violation history?
Legacy at College Hill has no OSHA inspections on record.
How does Legacy at College Hill's safety record compare to its industry?
Legacy at College Hill operates in the continuing care retirement communities industry. The industry average Total Recordable Incident Rate (TRIR) is 4.6. Legacy at College Hill's self-reported DART rate is 2 compared to an industry average of 3.