Deficiency Records for Legacy Village Rehabilitation
Updated as of September 01, 2016
This is not the most recent data for Legacy Village Rehabilitation. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-03-31 | 2016-04-27 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-03-31 | 2016-04-27 | N |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2016-03-31 | 2016-04-27 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-03-29 | 2016-04-27 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-03-29 | 2016-04-27 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-03-29 | 2016-04-27 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-03-29 | 2016-04-27 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-03-29 | 2016-04-27 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-03-29 | 2016-04-27 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-03-29 | 2016-04-27 | N |
| Try to resolve each resident's complaints quickly. | Health | 2015-06-15 | 2015-07-20 | Y |
| Provide food in a way that meets a resident's needs. | Health | 2015-06-15 | 2015-07-20 | Y |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-03-04 | 2015-04-23 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-03-04 | 2015-04-23 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-03-04 | 2015-04-23 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-03-04 | 2015-04-23 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-03-04 | 2015-04-23 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-03-04 | 2015-04-23 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2015-03-04 | 2015-04-23 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2015-03-04 | 2015-04-23 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-03-04 | 2015-04-23 | Y |
| Give or get x-rays and other tests in a timely manner to meet the needs of residents. | Health | 2015-03-04 | 2015-04-23 | Y |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2014-02-27 | 2014-04-23 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-02-27 | 2014-04-23 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2014-02-27 | 2014-04-23 | N |
| Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers. | Health | 2014-02-27 | 2014-04-23 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-02-27 | 2014-04-23 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-02-26 | 2014-04-23 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-02-26 | 2014-04-23 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2014-02-26 | 2014-04-23 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2014-02-26 | 2014-04-23 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-02-26 | 2014-04-23 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2014-02-26 | 2014-04-23 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-02-26 | 2014-04-23 | N |
