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Deficiency Records for Legacy Square
View the most recent health deficiencies and inspection results for Legacy Square. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Legacy Square. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-01-15 | 2026-03-01 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2026-01-15 | 2026-03-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-01-15 | 2026-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-01-15 | 2026-03-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-01-15 | 2026-03-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-01-15 | 2026-03-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-10-23 | 2025-12-07 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-10-23 | 2025-12-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-10-23 | 2025-12-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-10-23 | 2025-12-07 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-09-04 | 2024-10-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-09-04 | 2024-10-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-04 | 2024-10-19 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-06 | 2023-10-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-06 | 2023-10-20 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-09-06 | 2023-10-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-06 | 2023-10-20 | 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 | 2023-09-06 | 2023-10-20 | N |