Deficiency Records for Nye Legacy Health and Rehabilitation Center
Updated as of November 01, 2020
This is not the most recent data for Nye Legacy Health and Rehabilitation Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Provide and implement an infection prevention and control program. | Health | 2019-06-19 | 2019-08-19 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-31 | 2019-03-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-31 | 2019-03-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-31 | 2019-03-01 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2019-01-31 | 2019-03-01 | N |
| Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled. | Fire Safety | 2019-01-31 | 2019-03-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-15 | 2019-03-01 | N |
| 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 | 2019-01-15 | 2019-03-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-01-15 | 2019-03-01 | 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 | 2019-01-15 | 2019-03-01 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-01-15 | 2019-03-01 | 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 | 2017-10-31 | 2017-12-17 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2017-10-31 | 2017-12-17 | N |
| Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2017-10-31 | 2017-12-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-10-31 | 2017-12-17 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-02 | 2017-12-17 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2016-08-10 | 2016-08-10 | N |
