A list of the most recent deficiencies for Legacy Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-14 | 2022-09-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-14 | 2022-09-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-14 | 2022-09-28 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-09-24 | 2019-11-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-24 | 2019-11-10 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-09-24 | 2019-11-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-24 | 2019-11-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-24 | 2019-11-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-09-24 | 2019-11-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-24 | 2019-11-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-24 | 2019-11-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-09-24 | 2019-11-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-24 | 2019-11-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-28 | Not Fixed | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-28 | Not Fixed | N |
