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Deficiency Records for Legacy Nursing and Rehabilitation of Pollock
A list of the most recent deficiencies for Legacy Nursing and Rehabilitation of Pollock. 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 Nursing and Rehabilitation of Pollock. 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 services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-24 | 2024-08-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-24 | 2024-08-26 | N |
| 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 | 2024-07-24 | 2024-08-26 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-07-24 | 2024-08-26 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-07-24 | 2024-08-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-24 | 2024-08-26 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-07-25 | 2024-08-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-25 | 2024-08-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-15 | 2024-06-26 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-05-15 | 2024-06-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-08 | 2024-03-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-19 | 2023-07-20 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-07-19 | 2023-07-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-17 | 2023-06-30 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-05-17 | 2023-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-17 | 2023-06-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-10 | 2022-07-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-10 | 2022-07-22 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-06-08 | 2022-07-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-06-08 | 2022-07-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-08 | 2022-07-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-08 | 2022-07-08 | 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 | 2022-06-08 | 2022-07-08 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-06-08 | 2022-07-08 | N |
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