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Deficiency Records for Legend Oaks Healthcare and Rehabilitation Garland
A list of the most recent deficiencies for Legend Oaks Healthcare and Rehabilitation Garland. 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 Garland. 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? |
---|---|---|---|---|
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-01-19 | 2024-01-20 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-19 | 2024-01-20 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-19 | 2024-01-20 | N |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-01-19 | 2024-01-20 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-19 | 2024-01-20 | 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 | 2024-01-19 | 2024-01-20 | Y |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-01-19 | 2024-01-20 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-19 | 2024-01-20 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-19 | 2024-01-20 | Y |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-01-19 | 2024-01-20 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-19 | 2024-01-20 | Y |
Provide and implement an infection prevention and control program. | Health | 2024-01-19 | 2024-01-20 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-17 | 2024-01-18 | N |
Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. | Health | 2023-10-14 | 2023-11-21 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-14 | 2023-11-21 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-14 | 2023-11-21 | Y |
Ensure that residents are free from significant medication errors. | Health | 2023-10-14 | 2023-11-21 | 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 | 2023-07-20 | 2023-07-21 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-07-20 | 2023-07-21 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-14 | 2023-05-15 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-14 | 2023-05-15 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-31 | 2023-04-03 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-27 | 2023-02-17 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-21 | 2023-01-23 | Y |
Assist a resident in gaining access to vision and hearing services. | Health | 2022-11-09 | 2022-12-15 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-11-09 | 2022-12-15 | 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 | 2022-11-09 | 2022-12-15 | N |
Provide and implement an infection prevention and control program. | Health | 2022-11-09 | 2022-12-15 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-18 | 2022-11-11 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-02 | 2022-06-27 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-15 | 2022-03-15 | Y |
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 | 2022-02-15 | 2022-03-15 | Y |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-09-29 | 2021-10-26 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-09-29 | 2021-10-26 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-09-29 | 2021-10-26 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-29 | 2021-10-26 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-29 | 2021-10-26 | 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 | 2021-09-29 | 2021-10-26 | 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 | 2021-09-29 | 2021-10-26 | N |
Provide and implement an infection prevention and control program. | Health | 2021-09-29 | 2021-10-26 | 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 | 2021-09-29 | 2021-09-29 | N |
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