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Deficiency Records for Legacy Centerville

A list of the most recent deficiencies for Legacy Centerville. 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 Centerville. 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?
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-12-13 2023-12-22 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-12-13 2023-12-22 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-13 2023-12-22 Y
Provide and implement an infection prevention and control program. Health 2023-01-27 2023-02-14 Y
Reasonably accommodate the needs and preferences of each resident. Health 2022-06-16 2022-08-11 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-06-16 2022-08-11 N
Provide and implement an infection prevention and control program. Health 2022-06-16 2022-08-11 N
Establish emergency prep training and testing. Fire Safety 2022-06-13 2022-08-11 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 2022-06-13 2022-08-11 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-06-13 2022-08-11 N
Provide properly protected cooking facilities. Fire Safety 2022-06-13 2022-08-11 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-06-13 2022-08-11 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-06-13 2022-08-11 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-06-13 2022-08-11 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2019-06-20 2019-07-08 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2019-06-20 2019-07-08 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-06-20 2019-07-08 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-06-20 2019-07-08 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2019-06-20 2019-07-08 N
Have properly located and lighted "Exit" signs. Fire Safety 2019-06-17 2019-07-08 N
Have an alternate power supply for its alarm system. Fire Safety 2019-06-17 2019-07-08 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-06-17 2019-07-08 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-06-17 2019-07-08 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2019-06-17 2019-07-08 N
Provide a written emergency evacuation plan. Fire Safety 2019-06-17 2019-07-08 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2018-05-23 2018-07-03 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2018-05-23 2018-07-03 N
Keep residents' personal and medical records private and confidential. Health 2018-05-23 2018-07-03 N
Ensure each resident receives an accurate assessment. Health 2018-05-23 2018-07-03 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-05-23 2018-07-03 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 2018-05-23 2018-07-03 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 2018-05-23 2018-07-03 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2018-05-23 2018-07-03 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 2018-05-23 2018-07-03 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2018-05-23 2018-07-03 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2018-05-23 2018-07-03 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-05-23 2018-07-03 N
Provide and implement an infection prevention and control program. Health 2018-05-23 2018-07-03 N
Have horizontal exits used in accordance with safety requirements. Fire Safety 2018-05-23 2018-07-03 N
Install proper backup exit lighting. Fire Safety 2018-05-23 2018-07-03 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2018-05-23 2018-07-03 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2018-05-23 2018-07-03 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2018-05-23 2018-07-03 N
Have simulated fire drills held at unexpected times. Fire Safety 2018-05-23 2018-07-03 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2018-05-23 2018-07-03 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2018-05-23 2018-07-03 N
Have power receptacles that are properly grounded. Fire Safety 2018-05-23 2018-07-03 N
Ensure proper usage of power strips and extension cords. Fire Safety 2018-05-23 2018-07-03 N

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