Deficiency Records for Legend Oaks Healthcare and Rehabilitation - Fort
Updated as of January 01, 2021
This is not the most recent data for Legend Oaks Healthcare and Rehabilitation - Fort. For the most recent information, click here.
A list of the most recent deficiencies for Legend Oaks Healthcare and Rehabilitation - Fort. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-13 | 2020-11-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-06-25 | 2020-08-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-26 | 2020-03-23 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-06-13 | 2019-07-15 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-06-13 | 2019-07-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-13 | 2019-07-15 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2018-05-17 | 2018-07-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-05-17 | 2018-07-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-17 | 2018-07-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-05-21 | 2018-06-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-21 | 2018-06-18 | 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 | 2018-05-21 | 2018-06-18 | 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 necessary and PRN use is limited. | Health | 2018-05-21 | 2018-06-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-05-21 | 2018-06-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-21 | 2018-06-18 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-05-21 | 2018-06-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-21 | 2018-06-18 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-03-08 | 2018-04-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-10-21 | Not Fixed | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-10-21 | Not Fixed | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-21 | Not Fixed | N |
