CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Legacy Nursing at St. Christina
View the most recent health deficiencies and inspection results for Legacy Nursing at St. Christina. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Legacy Nursing at St. Christina. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2026-02-24 | 2026-03-27 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2026-02-24 | 2026-03-27 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2026-02-24 | 2026-03-27 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2026-02-24 | 2026-03-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-02-24 | 2026-03-27 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2026-02-24 | 2026-03-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-02-24 | 2026-03-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-02-24 | 2026-03-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-02-24 | 2026-03-27 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2026-02-24 | 2026-03-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-02-24 | 2026-03-27 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-02-24 | 2026-03-27 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2026-02-24 | 2026-03-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-12-10 | 2025-12-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-12-10 | 2025-12-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-09-30 | 2025-10-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-09-30 | 2025-10-01 | 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 | 2025-08-20 | 2025-08-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-08-20 | 2025-08-22 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-07-23 | 2025-07-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-07-23 | 2025-07-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-07-23 | 2025-07-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-06-25 | 2025-07-04 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-06-25 | 2025-07-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-06-25 | 2025-07-04 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-06-25 | 2025-07-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-02-27 | 2025-03-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-27 | 2025-03-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-01-28 | 2025-01-29 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-01-28 | 2025-01-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-28 | 2025-01-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-28 | 2025-01-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-28 | 2025-01-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-01-28 | 2025-01-29 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-01-28 | 2025-01-29 | 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 | 2025-01-28 | 2025-01-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-25 | 2025-01-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-10-25 | 2025-01-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-18 | 2024-03-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-03-18 | 2024-03-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-26 | 2024-03-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-19 | 2024-02-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-19 | 2023-12-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-16 | 2023-12-31 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-11-16 | 2023-12-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-16 | 2023-12-08 | 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 | 2023-11-16 | 2023-12-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-16 | 2023-12-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-16 | 2023-12-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-16 | 2023-12-08 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-11-16 | 2023-12-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-16 | 2023-12-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-16 | 2023-12-08 | N |
| Dispose of garbage and refuse properly. | Health | 2023-11-16 | 2023-12-08 | 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 | 2023-11-16 | 2023-12-08 | 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 | 2023-11-16 | 2023-12-08 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-11-16 | 2023-12-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-16 | 2023-12-08 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-11-16 | 2023-12-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-03 | 2023-10-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-03 | 2023-08-25 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-03 | 2023-08-25 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-16 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-01-28 | Not Fixed | N |