Deficiency Records for Nye Legacy Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Nye Legacy Health and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2023-06-21 | 2023-08-05 | 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 | 2023-06-21 | 2023-08-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-21 | 2023-08-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-06-21 | 2023-08-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-21 | 2023-08-05 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-06-21 | 2023-08-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-21 | 2023-08-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-21 | 2023-08-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-06-21 | 2023-08-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-21 | 2023-08-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-21 | 2023-08-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-21 | 2023-08-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-21 | 2023-08-05 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-06-21 | 2023-08-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-21 | 2023-08-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-21 | 2023-07-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-06-21 | 2023-07-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-21 | 2023-07-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-21 | 2023-07-14 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-07 | 2022-05-01 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-04-07 | 2022-05-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-07 | 2022-05-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-07 | 2022-05-01 | 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 | 2022-04-07 | 2022-05-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-07 | 2022-05-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-04-07 | 2022-05-01 | 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 | 2022-04-05 | 2022-05-01 | 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 | 2022-04-05 | 2022-05-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-05 | 2022-05-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-05 | 2022-05-01 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2022-04-05 | 2022-05-01 | 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 | 2020-08-31 | 2020-10-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-09-02 | 2020-10-17 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2020-09-02 | 2020-10-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-02 | 2020-10-17 | N |
