Deficiency Records for Legacies Nursing and Rehabilitation
Updated as of September 01, 2016
This is not the most recent data for Legacies Nursing and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Legacies Nursing and Rehabilitation. 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 each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-05-19 | 2016-06-17 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-05-19 | 2016-06-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-05-19 | 2016-06-10 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-03-29 | 2016-04-25 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-03-29 | 2016-04-25 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-03-29 | 2016-04-25 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-03-29 | 2016-04-25 | Y |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-03-29 | 2016-04-25 | Y |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2015-11-11 | 2015-12-11 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-11-11 | 2015-12-11 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-11-11 | 2015-12-11 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2015-11-11 | 2015-12-11 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2015-11-11 | 2015-12-11 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2015-11-11 | 2015-12-11 | N |
| Provide special eating equipment and utensils for each resident who needs them. | Health | 2015-11-11 | 2015-12-11 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-11-11 | 2015-12-11 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-11-11 | 2015-12-11 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-11-11 | 2015-12-11 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2015-11-11 | 2015-12-11 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-11-10 | 2015-12-11 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-11-10 | 2015-12-11 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-11-10 | 2015-12-11 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-11-11 | 2015-12-11 | Y |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2015-07-29 | 2015-08-14 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2014-10-16 | 2014-11-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2014-10-16 | 2014-11-30 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2014-10-16 | 2014-11-30 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2014-10-16 | 2014-11-30 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2014-10-16 | 2014-11-30 | N |
| Properly protected cooking facilities. | Fire Safety | 2014-10-14 | 2014-11-30 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2014-10-14 | 2014-11-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-10-16 | 2014-11-30 | Y |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2013-08-14 | 2013-11-07 | N |
| Dead end corridors. | Fire Safety | 2013-08-14 | 2013-11-07 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2013-08-14 | 2013-11-07 | N |
| Properly protected cooking facilities. | Fire Safety | 2013-08-14 | 2013-11-07 | N |
