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Deficiency Records for Legacy at Salina
View the most recent health deficiencies and inspection results for Legacy at Salina. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Legacy at Salina. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2025-09-10 | 2026-01-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-09-10 | 2026-01-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-09-10 | 2026-01-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-09-10 | 2026-01-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-09-10 | 2026-01-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-09-10 | 2026-01-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-09-10 | 2026-01-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-09-10 | 2026-01-08 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2025-09-10 | 2026-01-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-09-10 | 2026-01-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-09-10 | 2026-01-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-09-10 | 2026-01-06 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-09-10 | 2026-01-06 | N |
| Use approved construction type or materials. | Fire Safety | 2025-09-10 | 2026-01-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-09-10 | 2026-01-05 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2025-09-10 | 2026-01-05 | N |
| 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. | Health | 2025-09-10 | 2025-10-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-09-10 | 2025-10-20 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2025-09-10 | 2025-10-20 | N |
| 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 | 2025-09-10 | 2025-10-20 | 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 | 2025-09-10 | 2025-10-20 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-09-10 | 2025-10-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-09-10 | 2025-10-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-10 | 2025-10-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-11-18 | 2025-10-17 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-09-10 | 2025-10-10 | N |
| 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. | Health | 2025-09-10 | 2025-10-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-03-04 | 2025-03-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-03-04 | 2025-03-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-16 | 2024-07-10 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-08 | 2024-03-25 | N |
| Use approved construction type or materials. | Fire Safety | 2024-01-08 | 2024-03-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-01-08 | 2024-03-25 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-01-08 | 2024-03-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-08 | 2024-03-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-08 | 2024-03-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-08 | 2024-03-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-08 | 2024-03-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-08 | 2024-03-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-08 | 2024-03-15 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-01-08 | 2024-02-16 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-01-08 | 2024-02-16 | N |
| 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 | 2024-01-08 | 2024-02-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-08 | 2024-02-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-08 | 2024-02-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-08 | 2024-02-16 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-01-08 | 2024-02-16 | N |
| 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 | 2024-01-08 | 2024-02-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-08 | 2024-02-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-08 | 2024-02-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-08 | 2024-02-16 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2024-01-08 | 2024-02-16 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-01-08 | 2024-02-16 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-05-26 | 2022-08-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-26 | 2022-08-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-26 | 2022-08-01 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-05-26 | 2022-08-01 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-05-26 | 2022-08-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-26 | 2022-08-01 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-05-26 | 2022-08-01 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-05-26 | 2022-08-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-26 | 2022-08-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-26 | 2022-08-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-26 | 2022-08-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-26 | 2022-08-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-26 | 2022-08-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-26 | 2022-07-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-26 | 2022-07-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-26 | 2022-07-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-26 | 2022-06-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-26 | 2022-06-15 | 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 | 2022-05-26 | 2022-06-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-05-26 | 2022-06-15 | 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 | 2022-05-26 | 2022-06-15 | N |
| Post nurse staffing information every day. | Health | 2022-05-26 | 2022-06-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-26 | 2022-06-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-26 | 2022-06-15 | 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 | 2022-05-26 | 2022-06-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-26 | 2022-06-15 | N |
| Provide activities to meet all resident's needs. | Health | 2022-05-26 | 2022-06-15 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-05-26 | 2022-06-15 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-05-26 | 2022-06-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-26 | 2022-06-15 | N |