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Deficiency Records for Legacy Health and Rehab
View the most recent health deficiencies and inspection results for Legacy Health and Rehab. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Legacy Health and Rehab. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-25 | 2025-08-09 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2025-06-25 | 2025-08-09 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-06-25 | 2025-08-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-06-25 | 2025-08-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-06-25 | 2025-08-08 | N |
| Dispose of garbage and refuse properly. | Health | 2025-06-25 | 2025-08-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-06-25 | 2025-08-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-06-25 | 2025-08-01 | 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 | 2025-06-25 | 2025-08-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-06-25 | 2025-08-01 | 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 | 2025-06-25 | 2025-08-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-06-25 | 2025-08-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-25 | 2025-08-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-06-25 | 2025-08-01 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2025-06-25 | 2025-08-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-06-25 | 2025-08-01 | 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 | 2025-06-25 | 2025-07-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-10 | 2024-05-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-10 | 2024-05-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-04-10 | 2024-05-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-04-10 | 2024-05-25 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-04-10 | 2024-05-25 | 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 | 2024-04-10 | 2024-05-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-10 | 2024-05-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-10 | 2024-05-15 | 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 | 2024-04-10 | 2024-05-15 | N |
| Post nurse staffing information every day. | Health | 2024-04-10 | 2024-05-15 | N |
| 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 | 2024-04-10 | 2024-05-15 | 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 | 2024-04-10 | 2024-05-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-10 | 2024-05-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-10 | 2024-05-15 | 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 | 2024-04-10 | 2024-05-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-10 | 2024-05-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-19 | 2023-10-25 | Y |
| 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 | 2021-10-27 | 2021-12-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-27 | 2021-12-03 | 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 | 2021-10-27 | 2021-12-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-10-27 | 2021-12-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-10-27 | 2021-12-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-10-27 | 2021-12-03 | N |