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Deficiency Records for Legend Oaks Healthcare and Rehabilitation - North
A list of the most recent deficiencies for Legend Oaks Healthcare and Rehabilitation - North. 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 - North. 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 and implement an infection prevention and control program. | Health | 2024-01-06 | 2024-01-07 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-13 | 2023-12-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-13 | 2023-12-14 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-10-16 | 2022-11-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-16 | 2022-11-28 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-10-16 | 2022-11-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-16 | 2022-11-28 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-10-16 | 2022-11-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-16 | 2022-11-28 | Y |
| Assess the resident when there is a significant change in condition | Health | 2022-10-16 | 2022-11-28 | 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 | 2022-10-16 | 2022-11-28 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-10-16 | 2022-11-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-16 | 2022-11-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-23 | 2022-07-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-12 | 2021-10-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-19 | 2021-09-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-19 | 2021-09-03 | N |
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