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Deficiency Records for Legend Oaks Healthcare and Rehabilitation Center G

A list of the most recent deficiencies for Legend Oaks Healthcare and Rehabilitation Center G. 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 Legend Oaks Healthcare and Rehabilitation Center G. 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 appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-06-19 2024-07-16 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-06-19 2024-07-16 Y
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Health 2024-02-22 2024-03-21 Y
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Health 2024-02-22 2024-03-21 Y
Provide and implement an infection prevention and control program. Health 2024-02-22 2024-03-21 Y
Reasonably accommodate the needs and preferences of each resident. Health 2024-01-24 2024-02-23 N
Ensure each resident receives an accurate assessment. Health 2024-01-24 2024-02-23 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 2024-01-24 2024-02-23 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-24 2024-02-23 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-01-24 2024-02-23 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-01-24 2024-02-23 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2024-01-24 2024-02-23 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-01-24 2024-02-23 Y
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 2024-01-24 2024-02-23 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-09-13 2023-10-12 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-09-13 2023-10-12 Y
Reasonably accommodate the needs and preferences of each resident. Health 2022-11-08 2022-12-06 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-11-08 2022-12-06 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-11-08 2022-12-06 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-11-08 2022-12-06 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Health 2022-11-08 2022-12-06 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-11-08 2022-12-06 Y
Provide and implement an infection prevention and control program. Health 2022-11-08 2022-12-06 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 2021-08-18 2021-09-21 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-08-18 2021-09-17 N
Ensure each resident receives an accurate assessment. Health 2021-08-18 2021-09-14 N

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