CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Legend Oaks Healthcare and Rehabilitation-Kyle
View the most recent health deficiencies and inspection results for Legend Oaks Healthcare and Rehabilitation-Kyle. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Legend Oaks Healthcare and Rehabilitation-Kyle. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2026-01-29 | 2026-02-19 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2026-01-29 | 2026-02-19 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-12-12 | 2025-12-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-12-12 | 2025-12-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-12-12 | 2025-12-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-12 | 2025-12-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-12 | 2025-12-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-05 | 2025-03-10 | 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 | 2024-09-05 | 2025-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-20 | 2024-11-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-11-20 | 2024-11-21 | Y |
| Provide or obtain dental services for each resident. | Health | 2024-09-05 | 2024-10-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-05 | 2024-09-06 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-09-05 | 2024-09-06 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-09-05 | 2024-09-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-05 | 2024-09-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-05 | 2024-09-06 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-09-05 | 2024-09-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-21 | 2024-01-26 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-08-10 | 2023-08-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-10 | 2023-08-22 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-08-10 | 2023-08-22 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-06-30 | 2023-07-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-30 | 2023-07-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-06-30 | 2023-07-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-30 | 2023-07-28 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-06-30 | 2023-07-28 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-06-30 | 2023-07-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-30 | 2023-07-28 | N |
| Dispose of garbage and refuse properly. | Health | 2023-06-30 | 2023-07-28 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-06-30 | 2023-06-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-30 | 2023-06-29 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-06-13 | 2023-06-22 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-06-13 | 2023-06-22 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-06-13 | 2023-06-22 | Y |