CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Legends Care Rehabilitation and Nursing Center
View the most recent health deficiencies and inspection results for Legends Care Rehabilitation and Nursing Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Legends Care Rehabilitation and Nursing Center. Stay informed about quality of care issues.
| 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 | 2026-01-22 | 2026-04-02 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2026-01-22 | 2026-04-02 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2026-01-22 | 2026-04-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-22 | 2026-04-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-01-22 | 2026-04-02 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-01-22 | 2026-04-02 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2026-01-22 | 2026-04-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-10 | 2026-04-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-03-10 | 2026-04-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-03-10 | 2026-04-02 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-05 | 2025-07-11 | 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 | 2025-06-05 | 2025-07-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-06-05 | 2025-07-11 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-06-05 | 2025-07-11 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-06-05 | 2025-07-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-06-05 | 2025-07-11 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2025-06-05 | 2025-07-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-06-05 | 2025-07-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-06-05 | 2025-07-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-06-05 | 2025-07-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-06 | 2025-05-12 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-03-20 | 2025-04-04 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2025-03-20 | 2025-04-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-03-20 | 2025-04-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-03-20 | 2025-04-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-03-20 | 2025-04-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-18 | 2024-07-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-14 | 2024-07-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-18 | 2024-07-17 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-06-18 | 2024-07-17 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-18 | 2024-07-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-14 | 2024-07-17 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-05-14 | 2024-07-17 | Y |
| 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 | 2024-05-14 | 2024-07-17 | 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 | 2024-05-14 | 2024-07-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-14 | 2024-07-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-14 | 2024-07-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-14 | 2024-07-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-14 | 2024-07-17 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-05-14 | 2024-07-17 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-05-14 | 2024-07-17 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-07-16 | 2024-07-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-16 | 2024-07-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-16 | 2024-07-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-16 | 2024-07-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-02 | 2024-04-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-02 | 2024-04-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-04-02 | 2024-04-18 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-04-02 | 2024-04-18 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2024-04-02 | 2024-04-18 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-04-02 | 2024-04-18 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-12-09 | 2023-12-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-13 | 2023-11-30 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-13 | 2023-11-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-13 | 2023-11-30 | 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 | 2023-10-11 | 2023-11-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-03 | 2023-08-15 | Y |
| 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 | 2022-10-21 | 2022-11-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-21 | 2022-11-23 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-10-21 | 2022-11-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-21 | 2022-11-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-21 | 2022-11-23 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-10-21 | 2022-11-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-21 | 2022-11-23 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-10-21 | 2022-11-23 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-10-21 | 2022-11-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-21 | 2022-11-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-21 | 2022-11-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-10-21 | 2022-11-23 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-10-21 | 2022-11-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-21 | 2022-11-23 | 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 | 2019-10-18 | 2019-11-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-10-18 | 2019-11-01 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-10-18 | 2019-11-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-10-18 | 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 | 2019-10-18 | 2019-11-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-18 | 2019-11-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-18 | 2019-11-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-18 | 2019-11-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-18 | 2019-11-01 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-10-18 | 2019-11-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-10-18 | 2019-11-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-18 | 2019-11-01 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2019-10-18 | 2019-11-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-18 | 2019-11-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-18 | 2019-11-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-18 | 2019-11-01 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-10-18 | 2019-11-01 | N |