Deficiency Records for Legend Oaks Healthcare and Rehabilitation Center G
Updated as of March 01, 2024
A list of the most recent deficiencies for Legend Oaks Healthcare and Rehabilitation Center G. 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-24 | 2024-02-23 | Y |
| 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 |
| 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 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 |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-08 | 2022-12-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-08 | 2022-12-06 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-08 | 2022-12-06 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-11-08 | 2022-12-06 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-11-08 | 2022-12-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-08 | 2022-12-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-08 | 2022-12-06 | Y |
| 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 | 2021-08-18 | 2021-09-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-18 | 2021-09-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-18 | 2021-09-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-10-09 | 2019-10-23 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-10-09 | 2019-10-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-09 | 2019-10-23 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2019-10-09 | 2019-10-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-10-09 | Not Fixed | N |
