CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Legend Oaks Healthcare and Rehabilitation - New Br
View the most recent health deficiencies and inspection results for Legend Oaks Healthcare and Rehabilitation - New Br. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Legend Oaks Healthcare and Rehabilitation - New Br. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-09-10 | 2025-09-15 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-09-10 | 2025-09-15 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2025-03-28 | 2025-04-03 | N |
| Provide training in compliance and ethics. | Health | 2025-03-28 | 2025-04-03 | N |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2025-03-28 | 2025-04-03 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2025-03-28 | 2025-04-03 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2025-03-28 | 2025-04-03 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2025-03-28 | 2025-04-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-03-28 | 2025-04-03 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2025-03-28 | 2025-04-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-03-28 | 2025-04-02 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-03-28 | 2025-04-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-28 | 2025-03-31 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2025-03-28 | 2025-03-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-28 | 2025-03-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-03-28 | 2025-03-31 | 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 | 2025-03-28 | 2025-03-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-03-28 | 2025-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-28 | 2025-03-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-02-06 | 2025-02-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-02-06 | 2025-02-07 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-02-06 | 2025-02-07 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-02-06 | 2025-02-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-03 | 2024-08-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-03 | 2024-08-04 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-20 | 2024-03-20 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-27 | 2024-03-04 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-01-27 | 2024-02-29 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-01-27 | 2024-02-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-29 | 2024-02-27 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-27 | 2024-02-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-27 | 2024-02-16 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-27 | 2024-01-29 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-11-18 | 2022-12-31 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2022-11-18 | 2022-12-31 | N |
| 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 | 2022-11-18 | 2022-12-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-18 | 2022-12-12 | 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 | 2022-11-18 | 2022-12-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-18 | 2022-12-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-18 | 2022-11-19 | 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 | 2026-04-29 | Not Fixed | Y |