A list of the most recent deficiencies for Legacy Barberton. 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? |
---|---|---|---|---|
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-10 | 2023-03-28 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-10 | 2023-03-28 | N |
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 | 2023-03-10 | 2023-03-28 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-10 | 2023-03-28 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-10 | 2023-03-28 | 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 | 2023-03-07 | 2023-03-28 | N |
Construct fire resistant interior walls. | Fire Safety | 2023-03-07 | 2023-03-28 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-07 | 2023-03-28 | N |
Meet other general requirements that are deficient. | Fire Safety | 2023-03-07 | 2023-03-28 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-07 | 2023-03-28 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-07 | 2023-03-28 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-07 | 2023-03-28 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-07 | 2023-03-28 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-07 | 2023-03-28 | N |
Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-01-05 | 2023-01-16 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-02 | 2021-12-16 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-07 | 2019-12-18 | N |
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 | 2019-11-07 | 2019-12-18 | 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 | 2019-11-12 | 2019-12-18 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-11-12 | 2019-12-18 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-12 | 2019-12-18 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-12 | 2019-12-18 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-12 | 2019-12-18 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-11-12 | 2019-12-18 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-12 | 2019-12-18 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2019-11-12 | 2019-12-05 | N |
Establish methods for sharing information. | Fire Safety | 2019-11-12 | 2019-12-05 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-09-27 | 2018-10-23 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-27 | 2018-10-23 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-09-27 | 2018-10-23 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-09-27 | 2018-10-23 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-27 | 2018-10-23 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-09-27 | 2018-10-23 | 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 | 2018-09-24 | 2018-10-23 | N |