LEGEND OAKS HEALTHCARE AND REHABILITATION - NORTH
Owned by: For profit - Limited Liability company
Safety Pulse
AI-GENERATED FAMILY INSIGHTS
**Red Flag: Potential for Abuse/Neglect:** Multiple failures related to abuse prevention, reporting, and proper care implementation raise serious concerns about resident well-being and safety oversight.
**Red Flag: Substandard Care Practices:** Lack of adherence to care orders, resident preferences, and goals indicates a systemic issue in providing personalized and appropriate treatment.
**Environmental Concerns & Transparency Issues:** Failure to maintain a pest-free environment coupled with restricted access to resident records point to potential quality of life compromises and lack of transparency.
Note: This summary is generated from recently documented safety inspections and citations.
Regional Context
169% more violations than city average
Source: 3-year federal inspection history (CMS.gov)
Quick Stats
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Violation History
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide and implement an infection prevention and control program.
Provide and implement an infection prevention and control program.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Make sure that a working call system is available in each resident's bathroom and bathing area.
Make sure that a working call system is available in each resident's bathroom and bathing area.
Provide and implement an infection prevention and control program.
Provide and implement an infection prevention and control program.
Reasonably accommodate the needs and preferences of each resident.
Reasonably accommodate the needs and preferences of each resident.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide and implement an infection prevention and control program.
Provide and implement an infection prevention and control program.
Provide safe and appropriate respiratory care for a resident when needed.
Provide safe and appropriate respiratory care for a resident when needed.
Provide and implement an infection prevention and control program.
Provide and implement an infection prevention and control program.
Keep residents' personal and medical records private and confidential.
Keep residents' personal and medical records private and confidential.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Assess the resident when there is a significant change in condition
Assess the resident when there is a significant change in condition
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
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.
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.
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.
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Regional Safety Benchmarking
169% more citations than local average
"Comparative analysis is essential for identifying systemic neglect. Our benchmarks are updated monthly using raw CMS files."
Full Evidence Dossier
Documented history of neglect citations, staffing failures, and ownership risk profiles. Perfect for families, legal preparation, or professional due diligence.
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