A list of the most recent deficiencies for The Legacy Rehab and Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-02-09 | 2023-02-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-02-09 | 2023-02-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-12-02 | 2022-01-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-02 | 2022-01-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-02 | 2022-01-03 | N |
| Meet other general requirements. | Fire Safety | 2021-12-03 | 2022-01-03 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-12-03 | 2022-01-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-12-03 | 2022-01-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-03 | 2022-01-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-03 | 2022-01-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-12-03 | 2022-01-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-02 | 2019-09-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-02 | 2019-09-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-02 | 2019-09-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-02 | 2019-08-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-02 | 2019-08-16 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-08-02 | 2019-08-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-02 | 2019-08-16 | N |
| Post nurse staffing information every day. | Health | 2019-08-02 | 2019-08-16 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-08-02 | 2019-08-16 | N |
| 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. | Health | 2019-08-02 | 2019-08-16 | N |
