Deficiency Records for Legend Oaks Healthcare and Rehabilitation - North
Updated as of January 01, 2023
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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-23 | 2022-07-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-12 | 2021-10-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-19 | 2021-09-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-19 | 2021-09-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-26 | 2021-07-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-04-20 | 2020-05-04 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-31 | 2020-02-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-25 | 2019-05-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-25 | 2019-05-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-25 | 2019-05-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-25 | 2019-05-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-25 | 2019-05-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-04-24 | 2019-05-15 | N |
| 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 requirements for the installation and maintenance of electrical systems. | 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 |
