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Deficiency Records for The Legacy at Willow Bend
A list of the most recent deficiencies for The Legacy at Willow Bend. 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 The Legacy at Willow Bend. 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 | 2024-09-19 | 2024-10-19 | 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 | 2024-09-19 | 2024-10-19 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-09-19 | 2024-10-19 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-19 | 2024-10-19 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-19 | 2024-10-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-09-19 | 2024-10-19 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-14 | 2023-10-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-14 | 2023-10-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-14 | 2023-10-14 | 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 | 2023-09-14 | 2023-10-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-14 | 2023-10-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-14 | 2023-10-14 | Y |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-09-14 | 2023-10-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-14 | 2023-03-31 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-08-11 | 2022-09-16 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2022-08-11 | 2022-09-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-11 | 2022-09-16 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-08-11 | 2022-09-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-11 | 2022-09-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-11 | 2022-09-16 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-08-11 | 2022-09-16 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-02-17 | 2022-03-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-17 | 2022-03-17 | Y |
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