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Deficiency Records for Legacy Village Rehabilitation
View the most recent health deficiencies and inspection results for Legacy Village Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Legacy Village Rehabilitation. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-12-01 | 2025-12-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-01 | 2025-12-20 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-05-15 | 2025-07-14 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-05-15 | 2025-07-14 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-05-15 | 2025-07-14 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-15 | 2025-07-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-05-15 | 2025-07-14 | Y |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-05-15 | 2025-07-13 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2025-05-15 | 2025-07-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-05-15 | 2025-07-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-15 | 2025-07-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-15 | 2025-07-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-05-15 | 2025-07-13 | 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 | 2025-05-15 | 2025-07-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-05-15 | 2025-07-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-05-15 | 2025-06-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-30 | 2023-10-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-30 | 2023-10-25 | N |
| Ensure gas cylinders are properly stored. | Fire Safety | 2023-08-30 | 2023-10-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-30 | 2023-10-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-30 | 2023-10-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-30 | 2023-10-25 | 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 | 2023-08-30 | 2023-10-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-30 | 2023-10-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-30 | 2023-10-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-30 | 2023-10-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-29 | 2022-02-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-12-29 | 2022-02-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-29 | 2022-02-25 | N |
| 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 | 2021-12-29 | 2022-02-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-12-29 | 2022-02-08 | N |