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Deficiency Records for Legacy Perrysburg
A list of the most recent deficiencies for Legacy Perrysburg. 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 Perrysburg. 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 residents are free from significant medication errors. | Health | 2024-06-27 | 2024-07-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-02 | 2024-04-12 | Y |
| 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 | 2024-04-02 | 2024-04-12 | 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 | 2024-04-02 | 2024-04-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-08 | 2024-02-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-08 | 2024-02-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-05 | 2023-12-15 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-06-08 | 2023-06-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-05 | 2023-01-13 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-12-05 | 2023-01-13 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-12-05 | 2023-01-13 | 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 | 2022-12-05 | 2023-01-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-05 | 2023-01-13 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-12-05 | 2023-01-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-05 | 2023-01-13 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-12-05 | 2023-01-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-05 | 2023-01-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-12-05 | 2023-01-13 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-05 | 2023-01-13 | 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 | 2022-12-05 | 2023-01-13 | 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 | 2022-12-05 | 2023-01-13 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-12-05 | 2023-01-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-05 | 2023-01-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-12-05 | 2023-01-13 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-12-05 | 2023-01-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-12-05 | 2023-01-13 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-01-04 | 2023-01-13 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-11-28 | 2023-01-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-28 | 2023-01-13 | 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 | 2022-11-28 | 2023-01-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-28 | 2023-01-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-28 | 2023-01-13 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-11-28 | 2023-01-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-28 | 2023-01-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-11-28 | 2023-01-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-05 | 2022-07-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-08 | 2022-07-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-14 | 2022-03-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-18 | 2021-12-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-09 | 2020-02-28 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-01-09 | 2020-02-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-01-09 | 2020-02-28 | N |
| Respond appropriately to all alleged violations. | Health | 2020-01-09 | 2020-02-28 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2020-01-09 | 2020-02-28 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-01-09 | 2020-02-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-09 | 2020-02-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-09 | 2020-02-28 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2020-01-09 | 2020-02-28 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-01-09 | 2020-02-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-01-09 | 2020-02-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-01-09 | 2020-02-28 | 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 | 2020-01-09 | 2020-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-09 | 2020-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-09 | 2020-02-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-07 | 2020-02-28 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2020-01-07 | 2020-02-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-07 | 2020-02-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-01-07 | 2020-02-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-07 | 2020-02-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-01-07 | 2020-02-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-06 | 2019-01-04 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-12-06 | 2019-01-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-06 | 2019-01-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-06 | 2019-01-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-06 | 2019-01-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-12-06 | 2019-01-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-12-06 | 2019-01-04 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2018-12-06 | 2019-01-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-06 | 2019-01-04 | N |
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