CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Legacy Transitional Care and Rehabilitation
View the most recent health deficiencies and inspection results for Legacy Transitional Care and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Legacy Transitional Care and Rehabilitation. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-04-17 | 2026-05-26 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2026-04-17 | 2026-05-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2026-04-17 | 2026-05-22 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-11-17 | 2025-12-11 | Y |
| 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. | Health | 2025-11-17 | 2025-12-11 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-11-17 | 2025-12-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-11-17 | 2025-12-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-11-17 | 2025-12-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-11-17 | 2025-12-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-11 | 2025-05-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-11 | 2025-05-20 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-04-11 | 2025-05-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-11 | 2025-05-20 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-04-11 | 2025-05-20 | Y |
| 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. | Health | 2025-04-11 | 2025-05-20 | Y |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2025-04-11 | 2025-05-20 | Y |
| Construct fire resistant interior walls. | Fire Safety | 2025-04-11 | 2025-05-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-04-11 | 2025-05-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-04-11 | 2025-05-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-08 | 2024-12-17 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-11-08 | 2024-12-17 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-11-08 | 2024-12-17 | Y |
| 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. | Health | 2024-11-08 | 2024-12-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-11-08 | 2024-12-17 | Y |
| Dispose of garbage and refuse properly. | Health | 2024-11-08 | 2024-12-17 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-08 | 2024-12-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-11-08 | 2024-12-17 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-11-08 | 2024-12-17 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-05-16 | 2024-06-30 | Y |
| 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. | Health | 2024-05-16 | 2024-06-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-05-16 | 2024-06-30 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-05-16 | 2024-06-30 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-16 | 2024-06-30 | Y |
| 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. | Health | 2024-05-16 | 2024-06-30 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-16 | 2024-06-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-16 | 2024-06-30 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-03-11 | 2024-04-30 | Y |
| 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. | Health | 2024-03-11 | 2024-04-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-11 | 2024-04-30 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-11 | 2024-04-30 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-03-11 | 2024-04-30 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-03-11 | 2024-04-30 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-03-11 | 2024-04-30 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-03-11 | 2024-04-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-11 | 2024-04-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-13 | 2023-11-27 | Y |
| 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. | Health | 2023-10-13 | 2023-11-27 | Y |
| 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. | Health | 2023-08-10 | 2023-09-05 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-08-10 | 2023-09-05 | Y |
| 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. | Health | 2023-06-16 | 2023-07-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-16 | 2023-07-19 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-16 | 2023-07-19 | Y |
| Dispose of garbage and refuse properly. | Health | 2023-06-16 | 2023-07-19 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-06-16 | 2023-07-19 | Y |