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Legend Oaks Healthcare And Rehabilitation Center -
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Ratings Deep Dive
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| — | Sep 27, 2024 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E |
| — | Sep 27, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| — | Sep 27, 2024 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D |
| — | Sep 27, 2024 | 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. | E |
| — | Sep 27, 2024 | 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. | D |
0.4 RN Hours / Resident / Day
3.5 Total Nurse Hours / Resident / Day
33.3% RN Turnover Rate
5.0 Long-Stay QM Rating
4.0 Short-Stay QM Rating
114.9 Avg Residents Per Day
| Measure | Score | Type |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | — | Long Stay |
| Percentage of long-stay residents who lose too much weight | — | Long Stay |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | — | Long Stay |
| Percentage of long-stay residents with a urinary tract infection | — | Long Stay |
| Percentage of long-stay residents who have depressive symptoms | — | Long Stay |
| Percentage of long-stay residents who were physically restrained | — | Long Stay |
| Percentage of long-stay residents experiencing one or more falls with major injury | — | Long Stay |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | — | Long Stay |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | — | Short Stay |
| Percentage of short-stay residents who newly received an antipsychotic medication | — | Short Stay |
Ownership & Compliance
Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST DEWITT MEDICAL DISTRICT
OPERATIONAL/MANAGERIAL CONTROL HUTCHINS HEALTHCARE INC
OPERATIONAL/MANAGERIAL CONTROL MARTINEZ, FERNANDO
OPERATIONAL/MANAGERIAL CONTROL YAMSANI, PRADEEP
CORPORATE OFFICER ALEXANDER, ALMA
CORPORATE OFFICER BURNAM, SOON
CORPORATE OFFICER KEETCH, CHAD
Recent Penalties
No penalty records found.
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