A list of the most recent deficiencies for Legacy Square. 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? |
|---|---|---|---|---|
| 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 | 2023-09-05 | 2023-10-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-05 | 2023-10-20 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-09-05 | 2023-10-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-05 | 2023-10-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-05 | 2023-10-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-30 | 2022-08-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-30 | 2022-08-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-29 | 2022-06-30 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-03-18 | 2021-04-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-03-18 | 2021-04-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-03-18 | 2021-04-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-18 | 2021-04-30 | N |
