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Deficiency Records for Legend Oaks Healthcare and Rehabilitation Center -
View the most recent health deficiencies and inspection results for Legend Oaks Healthcare and Rehabilitation Center -. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Legend Oaks Healthcare and Rehabilitation Center -. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Give residents a notice of rights, rules, services and charges. | Health | 2026-04-15 | 2026-05-01 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2026-04-15 | 2026-05-01 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2026-04-15 | 2026-05-01 | N |
| Provide activities to meet all resident's needs. | Health | 2026-04-15 | 2026-05-01 | 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 | 2026-04-15 | 2026-05-01 | N |
| Post nurse staffing information every day. | Health | 2026-04-15 | 2026-05-01 | 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 | 2026-04-15 | 2026-05-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-04-15 | 2026-05-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-04-15 | 2026-04-24 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2026-04-15 | 2026-04-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-01-29 | 2026-02-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-21 | 2026-02-04 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-02-12 | 2025-03-14 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2025-02-12 | 2025-03-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-02-12 | 2025-03-14 | 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 | 2025-02-12 | 2025-03-14 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2025-02-12 | 2025-03-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-12 | 2025-03-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-23 | 2024-08-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-10-23 | 2024-08-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-10-23 | 2024-08-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-10-23 | 2024-08-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-19 | 2024-07-16 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-06-19 | 2024-07-16 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2024-02-22 | 2024-03-21 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2024-02-22 | 2024-03-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-22 | 2024-03-21 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-01-24 | 2024-02-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-24 | 2024-02-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-24 | 2024-02-23 | 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 | 2024-01-24 | 2024-02-23 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-01-24 | 2024-02-23 | 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 | 2024-01-24 | 2024-02-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-24 | 2024-02-23 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-24 | 2024-02-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-24 | 2024-02-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-13 | 2023-10-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-13 | 2023-10-12 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-24 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-02-12 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2026-04-15 | Not Fixed | N |