CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Leisure Court Nursing Center
View the most recent health deficiencies and inspection results for Leisure Court Nursing Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Leisure Court Nursing Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-01-23 | 2026-02-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-01-23 | 2026-02-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-01-23 | 2026-02-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-01-27 | 2025-02-27 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2025-01-27 | 2025-02-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-01-27 | 2025-02-27 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-01-27 | 2025-02-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-27 | 2025-02-27 | 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 | 2025-01-27 | 2025-02-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-27 | 2025-02-27 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-01-27 | 2025-02-27 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-01-27 | 2025-02-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-01-27 | 2025-02-27 | 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 | 2025-01-27 | 2025-02-27 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-01-27 | 2025-02-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-01-27 | 2025-02-27 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2025-01-27 | 2025-02-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-01-27 | 2025-02-27 | 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 | 2025-01-27 | 2025-02-27 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2025-01-27 | 2025-02-27 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-01-27 | 2025-02-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-27 | 2025-02-27 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2025-01-27 | 2025-02-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-01-27 | 2025-02-27 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2025-01-27 | 2025-02-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-27 | 2025-02-27 | N |
| Keep all essential equipment working safely. | Health | 2025-01-27 | 2025-02-27 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2025-01-27 | 2025-02-27 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2025-01-27 | 2025-02-19 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-01-27 | 2025-02-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-01-27 | 2025-02-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-27 | 2025-02-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-01-27 | 2025-02-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-01-27 | 2025-02-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-27 | 2025-02-19 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2025-01-27 | 2025-02-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-24 | 2024-02-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-24 | 2023-11-15 | 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 | 2022-04-22 | 2022-05-20 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-04-22 | 2022-05-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-22 | 2022-05-20 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-04-22 | 2022-05-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-22 | 2022-05-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-22 | 2022-05-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-22 | 2022-05-20 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2022-04-22 | 2022-05-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-04-22 | 2022-05-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-22 | 2022-05-09 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-04-22 | 2022-05-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-22 | 2022-05-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-20 | 2020-01-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-12-20 | 2020-01-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-20 | 2020-01-17 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-12-20 | 2020-01-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-20 | 2020-01-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-20 | 2020-01-17 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-12-20 | 2020-01-17 | 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 | 2019-12-20 | 2020-01-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-20 | 2020-01-17 | N |