Deficiency Records for Legend Oaks Healthcare and Rehabilitation Center -
Updated as of April 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-02 | 2023-03-23 | N |
| Provide activities to meet all resident's needs. | Health | 2023-03-02 | 2023-03-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-02 | 2023-03-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-28 | 2023-03-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-12-09 | 2021-12-13 | N |
| Respond appropriately to all alleged violations. | Health | 2021-09-29 | 2021-10-22 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-09-29 | 2021-10-22 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-06 | 2021-07-23 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-09-08 | 2020-10-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-09-11 | 2020-10-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-09-11 | 2020-10-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-09-11 | 2020-10-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-09-11 | 2020-10-08 | 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 | 2020-09-11 | 2020-10-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-11 | 2020-10-08 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-09-08 | 2020-09-10 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2020-09-08 | 2020-09-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-09-08 | 2020-09-10 | N |
