A list of the most recent deficiencies for Legacy Hillsboro. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-15 | 2023-11-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-26 | 2023-06-09 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-15 | 2023-01-11 | N |
| Keep all essential equipment working safely. | Health | 2022-12-15 | 2023-01-11 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-12-12 | 2023-01-11 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-12-12 | 2023-01-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-12 | 2023-01-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-12 | 2023-01-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-12-12 | 2023-01-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-12 | 2023-01-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-25 | 2022-09-23 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-03-28 | 2022-04-15 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-12-27 | 2022-01-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-26 | 2019-11-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-26 | 2019-11-01 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-09-26 | 2019-11-01 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2019-09-26 | 2019-11-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-26 | 2019-11-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-09-26 | 2019-11-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-26 | 2019-11-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-09 | 2018-09-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-08-09 | 2018-09-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-08-09 | 2018-09-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-09 | 2018-09-30 | N |
