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Deficiency Records for Legacy Post Acute Care
View the most recent health deficiencies and inspection results for Legacy Post Acute Care. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Legacy Post Acute Care. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-04-03 | 2026-04-24 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2025-12-04 | 2026-01-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-01-09 | 2025-02-06 | 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 | 2025-01-09 | 2025-02-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-01-09 | 2025-02-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-01-09 | 2025-02-06 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-01-09 | 2025-02-06 | N |
| 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 | 2025-01-09 | 2025-02-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-09 | 2025-01-31 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2025-01-09 | 2025-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-09 | 2025-01-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-01-09 | 2025-01-27 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-10-14 | 2022-11-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-14 | 2022-11-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-14 | 2022-11-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-14 | 2022-11-29 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-10-14 | 2022-11-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-14 | 2022-11-29 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-10-14 | 2022-11-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-14 | 2022-11-29 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-14 | 2022-11-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-10-14 | 2022-11-29 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-10-14 | 2022-11-29 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-10-14 | 2022-11-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-14 | 2022-11-14 | 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 | 2022-10-14 | 2022-11-14 | 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 | 2022-10-14 | 2022-11-14 | 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 | 2022-10-14 | 2022-11-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-14 | 2022-11-14 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-08-16 | 2019-10-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-08-16 | 2019-10-13 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-08-16 | 2019-10-13 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-08-16 | 2019-10-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-16 | 2019-09-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-16 | 2019-09-16 | 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 | 2019-08-16 | 2019-09-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-16 | 2019-09-16 | N |