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Deficiency Records for Legendary Health Care Center
View the most recent health deficiencies and inspection results for Legendary Health Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Legendary Health Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-01-07 | 2026-01-26 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2026-01-07 | 2026-01-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-20 | 2025-07-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-05-20 | 2025-07-04 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2025-05-20 | 2025-07-04 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2025-05-20 | 2025-07-04 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2025-05-20 | 2025-07-04 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2025-05-20 | 2025-07-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-05-20 | 2025-07-04 | 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 | 2025-05-20 | 2025-07-04 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-05-20 | 2025-07-04 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-05-20 | 2025-07-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-05-20 | 2025-07-04 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-05-20 | 2025-07-04 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2025-05-20 | 2025-07-04 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2025-05-20 | 2025-07-04 | 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 | 2025-05-20 | 2025-07-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-20 | 2025-07-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-20 | 2025-07-04 | N |
| Keep all essential equipment working safely. | Health | 2025-05-20 | 2025-07-04 | 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 | 2025-05-20 | 2025-07-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-05-20 | 2025-07-04 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2025-05-20 | 2025-07-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-05-20 | 2025-07-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-20 | 2025-07-04 | N |
| Meet other general requirements. | Fire Safety | 2025-05-20 | 2025-07-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-04 | 2025-03-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-16 | 2023-12-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-11 | 2023-12-14 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-08-11 | 2023-11-16 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-10-12 | 2023-11-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-11 | 2023-11-03 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-08-11 | 2023-11-03 | 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 | 2023-08-11 | 2023-11-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-11 | 2023-09-25 | 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 | 2023-08-11 | 2023-09-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-11 | 2023-09-25 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-11 | 2023-09-25 | 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 | 2023-08-11 | 2023-09-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-11 | 2023-09-25 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-08-11 | 2023-09-25 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2023-08-11 | 2023-09-25 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-08-11 | 2023-09-25 | 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 | 2023-08-11 | 2023-09-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-11 | 2023-09-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-11 | 2023-09-25 | 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 | 2023-08-11 | 2023-09-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-11 | 2023-09-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-08-11 | 2023-09-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-11 | 2023-09-25 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-08-11 | 2023-09-25 | N |
| Meet other general requirements. | Fire Safety | 2023-08-11 | 2023-09-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-11 | 2023-09-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-11 | 2023-09-25 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-08-11 | 2023-09-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-11 | 2023-09-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-11 | 2023-09-25 | 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 | 2023-08-11 | 2023-09-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-11 | 2023-09-25 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-08-11 | 2023-09-25 | 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 | 2023-08-11 | 2023-09-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-11 | 2023-09-25 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-08-11 | 2023-09-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-11 | 2023-09-25 | N |
| Use approved construction type or materials. | Fire Safety | 2023-08-11 | 2023-09-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-03 | 2020-01-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-03 | 2020-01-17 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-12-03 | 2020-01-17 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-12-03 | 2020-01-17 | 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 | 2019-12-03 | 2020-01-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-03 | 2020-01-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-03 | 2020-01-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-12-03 | 2020-01-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-03 | 2020-01-17 | N |