Deficiency Records for Legend Oaks Healthcare and Rehabilitation - North
Updated as of March 01, 2019
This is not the most recent data for Legend Oaks Healthcare and Rehabilitation - North. For the most recent information, click here.
A list of the most recent deficiencies for Legend Oaks Healthcare and Rehabilitation - North. 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2018-03-15 | 2018-04-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-03-15 | 2018-04-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-03-15 | 2018-04-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-03-15 | 2018-04-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-07 | 2018-04-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-03-07 | 2018-04-06 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2018-03-07 | 2018-04-06 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-03-07 | 2018-04-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-07 | 2018-03-31 | N |
| 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 | 2018-03-07 | 2018-03-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-03-15 | 2018-03-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-03-07 | 2018-03-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-03-07 | 2018-03-16 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-02-15 | 2018-03-02 | Y |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-08-03 | 2017-09-13 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-08-03 | 2017-08-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-08-03 | 2017-08-04 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-03 | 2017-08-04 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-04-27 | 2017-05-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-04-27 | 2017-05-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-04-27 | 2017-05-09 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-04-27 | 2017-05-01 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-04-27 | 2017-05-01 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-03-31 | 2017-04-01 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility | Health | 2017-02-08 | 2017-03-08 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2016-11-01 | 2016-12-08 | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2016-11-01 | 2016-12-08 | Y |
| Properly working alarms on sprinkler valves. | Fire Safety | 2016-04-28 | 2016-06-11 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-04-28 | 2016-05-27 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-04-28 | 2016-05-19 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2016-04-28 | 2016-05-06 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-04-28 | 2016-04-29 | N |
