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Deficiency Records for Legend Oaks Healthcare and Rehabilitation Center -
A list of the most recent deficiencies for Legend Oaks Healthcare and Rehabilitation Center -. 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 -. 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? |
|---|---|---|---|---|
| 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 | 2024-09-27 | 2024-10-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-09-27 | 2024-10-20 | N |
| 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 | 2024-09-27 | 2024-10-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-09-27 | 2024-10-20 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-09-27 | 2024-10-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-27 | 2024-10-20 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-09-27 | 2024-10-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-27 | 2024-10-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-24 | 2024-10-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-09-24 | 2024-10-20 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2024-09-24 | 2024-10-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-22 | 2024-03-26 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-03-22 | 2024-03-26 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-28 | 2023-08-16 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-07-28 | 2023-08-16 | 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 | 2023-07-28 | 2023-08-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-28 | 2023-08-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-28 | 2023-08-16 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-07-28 | 2023-08-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-28 | 2023-08-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-09 | 2022-07-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-09 | 2022-06-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-09 | 2022-06-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-09 | 2022-06-13 | N |
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