Deficiency Records for Legend Oaks Healthcare and Rehabilitation Garland

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Updated as of March 01, 2024

A list of the most recent deficiencies for Legend Oaks Healthcare and Rehabilitation Garland. 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 is free from medications that restrain them, unless needed for medical treatment. Health 2023-10-14 2023-11-21 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-10-14 2023-11-21 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-10-14 2023-11-21 Y
Ensure that residents are free from significant medication errors. Health 2023-10-14 2023-11-21 Y
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 2023-07-20 2023-07-21 Y
Provide and implement an infection prevention and control program. Health 2023-07-20 2023-07-21 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-05-14 2023-05-15 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-05-14 2023-05-15 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-03-31 2023-04-03 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-01-27 2023-02-17 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-12-21 2023-01-23 Y
Assist a resident in gaining access to vision and hearing services. Health 2022-11-09 2022-12-15 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2022-11-09 2022-12-15 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 2022-11-09 2022-12-15 N
Provide and implement an infection prevention and control program. Health 2022-11-09 2022-12-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-10-18 2022-11-11 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-06-02 2022-06-27 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-02-15 2022-03-15 Y
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2022-02-15 2022-03-15 Y
Assure that each resident?s assessment is updated at least once every 3 months. Health 2021-09-29 2021-10-26 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2021-09-29 2021-10-26 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-09-29 2021-10-26 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-09-29 2021-10-26 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-09-29 2021-10-26 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 2021-09-29 2021-10-26 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 2021-09-29 2021-10-26 N
Provide and implement an infection prevention and control program. Health 2021-09-29 2021-10-26 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 2021-09-29 2021-09-29 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-09-03 2021-09-29 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-12-10 2020-01-07 N
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. Fire Safety 2019-12-10 2019-12-16 N
Ensure electrical receptacles or cover plates have distinctive color or marking. Fire Safety 2019-12-10 2019-12-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-12-13 2019-12-14 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2019-12-13 2019-12-14 N