A list of the most recent deficiencies for The Legacy Midtown Park. 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 smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-19 | 2023-08-08 | 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 | 2023-07-20 | 2023-07-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-20 | 2023-07-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-07-19 | 2023-07-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-20 | 2022-06-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-09 | 2022-06-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-09 | 2022-06-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-06-09 | 2022-06-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-16 | 2022-06-17 | N |
