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Deficiency Records for Legend Oaks Healthcare and Rehabilitation - West S
View the most recent health deficiencies and inspection results for Legend Oaks Healthcare and Rehabilitation - West S. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Legend Oaks Healthcare and Rehabilitation - West S. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2026-04-23 | 2026-05-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-04-23 | 2026-05-14 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2026-01-29 | 2026-02-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-01-29 | 2026-02-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-01-29 | 2026-02-18 | 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 | 2026-01-29 | 2026-02-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-01-29 | 2026-02-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2026-01-29 | 2026-02-18 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-01-29 | 2026-02-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2026-01-29 | 2026-02-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-09 | 2025-12-10 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-10-31 | 2024-11-22 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-10-31 | 2024-11-22 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-10-31 | 2024-11-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-12 | 2024-04-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-12 | 2024-04-15 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-09-15 | 2023-10-12 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-09-15 | 2023-10-12 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-09-15 | 2023-10-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-15 | 2023-10-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-15 | 2023-10-12 | N |