Deficiency Records for Legacies Nursing and Rehabilitation
Updated as of October 01, 2018
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? |
|---|---|---|---|---|
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-07-11 | 2018-08-11 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-07-11 | 2018-08-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-07-11 | 2018-08-11 | 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 ne | Health | 2018-07-11 | 2018-08-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-07-11 | 2018-08-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-07-11 | 2018-08-11 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2018-07-11 | 2018-08-11 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2017-12-07 | 2017-12-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2017-12-07 | 2017-12-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2017-12-07 | 2017-12-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-07 | 2017-12-27 | Y |
| Keep all essential equipment working safely. | Health | 2017-12-07 | 2017-12-27 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-11-08 | 2017-12-07 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-11-08 | 2017-12-07 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-05-31 | 2017-06-21 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-05-31 | 2017-06-21 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-31 | 2017-06-21 | Y |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2016-12-08 | 2017-01-20 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2016-12-08 | 2017-01-20 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2016-12-08 | 2017-01-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-12-08 | 2017-01-20 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-12-08 | 2017-01-20 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-12-08 | 2017-01-20 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-12-08 | 2017-01-20 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-12-08 | 2017-01-20 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2016-12-08 | 2017-01-20 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-12-08 | 2017-01-20 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-12-08 | 2017-01-20 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-12-08 | 2017-01-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-12-08 | 2017-01-20 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-12-08 | 2017-01-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-12-08 | 2017-01-20 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2016-12-08 | 2017-01-20 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2016-12-08 | 2017-01-20 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-08-31 | 2016-10-01 | 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 | 2016-05-19 | 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 |
| 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 |
