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Deficiency Records for Legacy Health and Rehabilitation

A list of the most recent deficiencies for Legacy Health and Rehabilitation. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Legacy Health 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?
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-28 2024-03-13 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-01-28 2024-03-13 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-08-14 2022-09-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-08-14 2022-09-28 N
Ensure each resident receives an accurate assessment. Health 2022-08-14 2022-09-28 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2019-09-24 2019-11-10 N
Provide properly protected cooking facilities. Fire Safety 2019-09-24 2019-11-10 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2019-09-24 2019-11-10 N
Install an approved automatic sprinkler system. Fire Safety 2019-09-24 2019-11-10 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-09-24 2019-11-10 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-09-24 2019-11-10 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-09-24 2019-11-10 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-09-24 2019-11-10 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2019-09-24 2019-11-10 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-09-24 2019-11-10 N

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