Deficiency Records for Legend Oaks Healthcare and Rehabilitation - Ennis

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Updated as of May 01, 2024

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Deficiency Records for Legend Oaks Healthcare and Rehabilitation - Ennis

A list of the most recent deficiencies for Legend Oaks Healthcare and Rehabilitation - Ennis. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Legend Oaks Healthcare and Rehabilitation - Ennis. 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?
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-11 2024-01-18 N
Provide and implement an infection prevention and control program. Health 2024-01-11 2024-01-18 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-01-11 2024-01-18 N
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Fire Safety 2024-01-10 2024-01-11 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-17 2023-08-03 Y
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2023-06-26 2023-07-17 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-06-26 2023-07-05 N
Provide properly protected cooking facilities. Fire Safety 2023-06-26 2023-06-28 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-06-26 2023-06-27 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 2023-06-26 2023-06-27 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-06-26 2023-06-27 N
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Fire Safety 2023-06-26 2023-06-27 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-12-01 2023-01-13 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-12-01 2023-01-13 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-12-01 2023-01-13 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2022-12-01 2023-01-13 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-12-01 2023-01-13 N
Provide and implement an infection prevention and control program. Health 2022-01-06 2022-02-11 Y
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2021-12-05 2021-12-23 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2021-10-20 2021-11-02 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-10-20 2021-11-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-09-09 2021-10-06 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2021-09-09 2021-10-06 N

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