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Deficiency Records for Legacy North Royalton
A list of the most recent deficiencies for Legacy North Royalton. 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 North Royalton. 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 | 2024-08-28 | 2024-09-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-28 | 2024-09-10 | Y |
| 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 | 2024-01-31 | 2024-02-13 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2024-01-31 | 2024-02-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-31 | 2024-02-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-31 | 2024-02-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-31 | 2024-02-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-06 | 2023-12-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-31 | 2023-08-01 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-11-16 | 2022-12-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-16 | 2022-12-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-22 | 2022-07-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-16 | 2021-10-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-16 | 2021-10-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-16 | 2021-10-21 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-09-13 | 2021-10-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-13 | 2021-10-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-13 | 2021-10-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-09-13 | 2021-10-21 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-09-13 | 2021-10-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-07 | 2019-07-02 | 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 | 2019-05-14 | 2019-06-26 | N |
| Provide activities to meet all resident's needs. | Health | 2019-05-14 | 2019-06-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-14 | 2019-06-26 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-05-14 | 2019-06-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-14 | 2019-06-26 | 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 | 2019-05-07 | 2019-06-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-05-07 | 2019-06-26 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-05-07 | 2019-06-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-05-07 | 2019-06-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-07 | 2019-06-26 | N |
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