Deficiency Records for Legacy Beavercreek
Updated as of February 01, 2021
This is not the most recent data for Legacy Beavercreek. For the most recent information, click here.
A list of the most recent deficiencies for Legacy Beavercreek. 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-12-07 | 2021-01-08 | Y |
| 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 | 2020-12-07 | 2021-01-08 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2020-11-05 | 2021-01-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-11-05 | 2021-01-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-18 | 2020-03-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-02-18 | 2020-03-06 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-26 | 2019-11-22 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-07-25 | 2019-10-08 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-07-25 | 2019-10-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-25 | 2019-10-08 | 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 | 2019-07-25 | 2019-10-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-25 | 2019-10-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-25 | 2019-10-08 | N |
| Provide activities to meet all resident's needs. | Health | 2019-07-25 | 2019-10-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-25 | 2019-10-08 | 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 | 2019-07-25 | 2019-10-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-11 | 2019-10-08 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2019-09-11 | 2019-10-08 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2019-01-14 | 2019-02-05 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-01-14 | 2019-02-05 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-01-14 | 2019-02-05 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-14 | 2019-02-05 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-01-14 | 2019-02-05 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-06-14 | 2018-07-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-06-14 | 2018-07-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-06-14 | 2018-07-27 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-06-14 | 2018-07-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-06-14 | 2018-07-27 | 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 | 2018-06-14 | 2018-07-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-06-14 | 2018-07-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-14 | 2018-07-27 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-06-14 | 2018-07-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-06-14 | 2018-07-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-14 | 2018-07-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-14 | 2018-07-27 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-04-27 | 2017-05-26 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-04-27 | 2017-05-26 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-04-27 | 2017-05-26 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-27 | 2017-05-26 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-04-27 | 2017-05-26 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-04-27 | 2017-05-26 | N |
