CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Emerald Nursing and Rehab Legacy Pointe LLC
View the most recent health deficiencies and inspection results for Emerald Nursing and Rehab Legacy Pointe LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Emerald Nursing and Rehab Legacy Pointe LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2025-11-20 | 2026-01-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-18 | 2025-11-28 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-07-22 | 2025-09-15 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2025-07-22 | 2025-09-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-07-22 | 2025-09-15 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-07-22 | 2025-08-22 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-07-22 | 2025-08-22 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-07-22 | 2025-08-22 | Y |
| Provide activities to meet all resident's needs. | Health | 2025-07-22 | 2025-08-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-07-22 | 2025-08-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-07-22 | 2025-08-22 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-07-22 | 2025-08-22 | 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 | 2025-07-22 | 2025-08-22 | N |
| Provide or obtain dental services for each resident. | Health | 2025-07-22 | 2025-08-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-22 | 2025-08-22 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-07-22 | 2025-08-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-07-22 | 2025-08-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-07-22 | 2025-08-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-19 | 2024-12-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-11-19 | 2024-12-10 | Y |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-05-23 | 2024-06-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-23 | 2024-06-19 | Y |
| 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 | 2024-05-23 | 2024-06-19 | Y |
| 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 | 2024-05-23 | 2024-06-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-23 | 2024-06-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-03 | 2024-01-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-30 | 2024-01-17 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-30 | 2024-01-03 | 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 | 2023-11-30 | 2024-01-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-30 | 2024-01-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-30 | 2024-01-03 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-11-30 | 2024-01-03 | Y |
| 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 | 2023-11-30 | 2024-01-03 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-30 | 2024-01-03 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-30 | 2024-01-03 | Y |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-11-30 | 2024-01-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-30 | 2024-01-03 | Y |