A list of the most recent deficiencies for Legacy Village Rehabilitation. 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? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-28 | 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 | 2023-08-28 | 2023-10-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-28 | 2023-10-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-28 | 2023-10-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-28 | 2023-10-25 | N |
| Ensure gas cylinders are properly stored. | Fire Safety | 2023-08-28 | 2023-10-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-28 | 2023-10-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-28 | 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 | 2021-12-27 | 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 | 2021-12-27 | 2022-02-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-27 | 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 |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-08-14 | 2019-10-14 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-08-14 | 2019-10-14 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2019-08-14 | 2019-10-14 | 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 | 2019-08-14 | 2019-10-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-14 | 2019-10-13 | N |
| Ensure gas cylinders are properly stored. | Fire Safety | 2019-08-14 | 2019-10-13 | N |
