Deficiency Records for Legacy at Herington
Updated as of December 01, 2017
This is not the most recent data for Legacy at Herington. For the most recent information, click here.
A list of the most recent deficiencies for Legacy at Herington. 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? |
|---|---|---|---|---|
| Give residents a notice of rights, rules, services and charges. | Health | 2017-03-28 | 2017-04-27 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-03-28 | 2017-04-27 | N |
| Provide housekeeping and maintenance services. | Health | 2017-03-28 | 2017-04-27 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-03-28 | 2017-04-27 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-28 | 2017-04-27 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-03-28 | 2017-04-27 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-28 | 2017-04-27 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-03-28 | 2017-04-27 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-03-28 | 2017-04-27 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-28 | 2017-04-27 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-11-02 | 2017-02-23 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-11-02 | 2017-02-23 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-11-02 | 2017-02-23 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-11-02 | 2017-02-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-11-02 | 2017-02-23 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-11-02 | 2017-02-23 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-11-02 | 2017-02-23 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-11-02 | 2017-02-23 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-01-25 | 2017-01-30 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-11-02 | 2016-11-03 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-02 | 2016-11-03 | Y |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2016-11-02 | 2016-11-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-12-29 | 2015-12-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-10-29 | 2015-12-12 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2015-06-12 | 2015-07-10 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-06-12 | 2015-07-10 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-06-12 | 2015-07-10 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-06-12 | 2015-07-10 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-06-12 | 2015-07-10 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-06-12 | 2015-07-10 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-06-12 | 2015-07-10 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-06-12 | 2015-07-10 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2015-06-12 | 2015-07-10 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2015-06-12 | 2015-07-10 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-06-12 | 2015-07-10 | N |
| Provide housekeeping and maintenance services. | Health | 2014-12-01 | 2014-12-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-12-01 | 2014-12-30 | Y |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2014-12-01 | 2014-12-30 | Y |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2014-12-01 | 2014-12-30 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-02-20 | 2014-03-21 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2014-02-20 | 2014-03-21 | N |
| Provide housekeeping and maintenance services. | Health | 2014-02-20 | 2014-03-21 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-02-20 | 2014-03-21 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-02-20 | 2014-03-21 | N |
| Provide or obtain dental services for each resident. | Health | 2014-02-20 | 2014-03-21 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-02-20 | 2014-03-21 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-02-20 | 2014-03-21 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2014-02-20 | 2014-03-21 | N |
