Deficiency Records for Legacy Nursing and Rehabilitation of Morgan City
Updated as of March 01, 2024
A list of the most recent deficiencies for Legacy Nursing and Rehabilitation of Morgan City. 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? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-04 | 2023-12-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-10-05 | 2023-11-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-05 | 2023-11-14 | N |
| 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 | 2023-10-05 | 2023-11-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-05 | 2023-11-14 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-10-05 | 2023-11-14 | N |
| Post nurse staffing information every day. | Health | 2023-10-05 | 2023-11-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-05 | 2023-11-14 | 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 | 2023-10-05 | 2023-11-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-05 | 2023-11-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-05 | 2023-11-14 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-10-05 | 2023-11-14 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-10-05 | 2023-11-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-05 | 2023-11-14 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-10-05 | 2023-11-14 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2023-10-05 | 2023-11-14 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-10-05 | 2023-11-14 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-10-05 | 2023-11-14 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-10-05 | 2023-11-14 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-10-05 | 2023-11-14 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-10-05 | 2023-11-14 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-10-05 | 2023-11-14 | N |
| Establish methods for sharing information. | Fire Safety | 2023-10-05 | 2023-11-14 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-10-05 | 2023-11-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-10-05 | 2023-11-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-04 | 2023-11-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-04 | 2023-11-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-04 | 2023-11-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-10-04 | 2023-11-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-04 | 2023-11-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-02 | 2023-09-01 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-03-09 | 2023-03-31 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-17 | 2022-12-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-17 | 2022-12-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-17 | 2022-12-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-17 | 2022-12-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-11-17 | 2022-11-18 | 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 | 2022-11-17 | 2022-11-18 | 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 | 2021-12-09 | 2022-01-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-09 | 2022-01-07 | 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 | 2021-12-09 | 2021-12-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-09 | 2021-12-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-07 | 2021-10-22 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2021-10-07 | 2021-10-22 | Y |
