Deficiency Records for Legacy Nursing and Rehabilitation of Pollock
Updated as of March 01, 2024
A list of the most recent deficiencies for Legacy Nursing and Rehabilitation of Pollock. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-19 | 2023-07-20 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-07-19 | 2023-07-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-17 | 2023-06-30 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-05-17 | 2023-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-17 | 2023-06-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-10 | 2022-07-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-10 | 2022-07-22 | 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 | 2022-06-08 | 2022-07-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-06-08 | 2022-07-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-08 | 2022-07-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-08 | 2022-07-08 | 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 | 2022-06-08 | 2022-07-08 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-06-08 | 2022-07-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-04-01 | 2021-05-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-25 | 2021-04-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-01 | 2021-04-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-01 | 2021-04-06 | N |
