Deficiency Records for Legend Oaks Healthcare and Rehabilitation Center -
Updated as of March 01, 2024
A list of the most recent deficiencies for Legend Oaks Healthcare and Rehabilitation Center -. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-28 | 2023-08-16 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-07-28 | 2023-08-16 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-07-28 | 2023-08-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-28 | 2023-08-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-28 | 2023-08-16 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-07-28 | 2023-08-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-28 | 2023-08-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-09 | 2022-07-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-09 | 2022-06-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-09 | 2022-06-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-09 | 2022-06-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-06 | 2021-11-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-06 | 2021-10-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-06 | 2021-10-07 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-10-06 | 2021-10-07 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-06 | 2021-10-07 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-10-06 | 2021-10-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-06 | 2021-10-07 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-09 | 2021-08-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-10 | 2021-04-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-10 | 2021-04-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-10 | 2021-04-02 | N |
