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Deficiency Records for Legacy Nursing and Rehabilitation
View the most recent health deficiencies and inspection results for Legacy Nursing and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Legacy Nursing and Rehabilitation. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-15 | 2026-02-09 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2026-02-05 | 2026-02-06 | Y |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2026-02-05 | 2026-02-06 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-12-04 | 2025-12-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-12-04 | 2025-12-05 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-06-11 | 2025-07-10 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-05-08 | 2025-06-18 | N |
| 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 | 2025-05-14 | 2025-06-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-05-08 | 2025-06-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-08 | 2025-06-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-05-08 | 2025-06-06 | 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 | 2025-05-08 | 2025-06-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-05-08 | 2025-06-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-05-08 | 2025-06-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-08 | 2025-06-06 | 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 | 2025-05-08 | 2025-06-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-05-08 | 2025-06-06 | 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 | 2025-05-08 | 2025-06-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-08 | 2025-06-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-05-08 | 2025-06-06 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-05-08 | 2025-06-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-29 | 2024-05-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-29 | 2024-05-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-03-29 | 2024-04-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-29 | 2024-04-30 | N |
| 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 | 2024-03-29 | 2024-04-24 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-03-29 | 2024-04-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-29 | 2024-04-22 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-03-29 | 2024-04-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-07 | 2024-01-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-27 | 2023-03-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-27 | 2023-03-03 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-01-27 | 2023-03-03 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-01-27 | 2023-03-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-01-27 | 2023-03-03 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-01-27 | 2023-03-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-27 | 2023-03-03 | N |
| Dispose of garbage and refuse properly. | Health | 2023-01-27 | 2023-03-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-27 | 2023-03-03 | N |