Legend Oaks Healthcare and Rehabilitation Center G

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Rule F0686. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 26, 2026.

Give residents a notice of rights, rules, services and charges.

Rule F0572. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 1, 2026.

Ensure residents have reasonable access to and privacy in their use of communication methods.

Rule F0576. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 1, 2026.

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.

Rule F0585. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 1, 2026.

Provide activities to meet all resident’s needs.

Rule F0679. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 1, 2026.

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Rule F0690. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 1, 2026.

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Rule F0755. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 24, 2026.

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.

Rule F0761. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 1, 2026.

Provide and implement an infection prevention and control program.

Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 1, 2026.

Allow residents to easily view the nursing home’s survey results and communicate with advocate agencies.

Rule F0577. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Apr 16, 2026.

Post nurse staffing information every day.

Rule F0732. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: May 1, 2026.

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 18, 2026.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 4, 2026.

Reasonably accommodate the needs and preferences of each resident.

Rule F0558. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 14, 2025.

Provide safe and appropriate respiratory care for a resident when needed.

Rule F0695. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 14, 2025.

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.

Rule F0761. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 14, 2025.

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Rule F0802. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 14, 2025.

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Rule F0807. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 14, 2025.

Provide and implement an infection prevention and control program.

Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 14, 2025.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Rule F0600. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Aug 30, 2024.

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Rule F0607. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Aug 30, 2024.

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Rule F0609. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Aug 30, 2024.

Respond appropriately to all alleged violations.

Rule F0610. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Aug 30, 2024.

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Rule F0925. G: actual harm. From a complaint. Correction date, as CMS recorded it: Jul 16, 2024.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 16, 2024.

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Rule F0603. H: actual harm. From a complaint. Correction date, as CMS recorded it: Mar 21, 2024.

Honor the resident’s right to receive visitors of his or her choosing, at the time of his or her choosing.

Rule F0563. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 21, 2024.

Provide and implement an infection prevention and control program.

Rule F0880. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 21, 2024.

Reasonably accommodate the needs and preferences of each resident.

Rule F0558. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 23, 2024.

Ensure each resident receives an accurate assessment.

Rule F0641. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 23, 2024.

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Rule F0657. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 23, 2024.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 23, 2024.

Provide safe and appropriate respiratory care for a resident when needed.

Rule F0695. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 23, 2024.

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Rule F0757. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 23, 2024.

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.

Rule F0758. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 23, 2024.

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Rule F0607. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 23, 2024.

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.

Rule F0761. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 23, 2024.