Inspection Results » Legacy at Town Creek

Health Inspection on June 8, 2018 ^[1]

1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Ensure that paid feeding assistants have the training they need. (Corrected 2018-06-22)
   • Provide and implement an infection prevention and control program. (Corrected 2018-06-15)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-06-11)
   • Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. (Corrected 2018-06-22)

2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2018-08-13)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-06-11)
   • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (Corrected 2018-07-13)
   • 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 ne (Corrected 2018-06-29)

3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Provide care by qualified persons according to each resident's written plan of care. (Corrected 2018-06-12)

4. Widespread: No actual harm with potential for minimal harm

   • Ensure each resident receives an accurate assessment. (Corrected 2018-06-11)
   • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. (Corrected 2018-06-15)
   • Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. (Corrected 2018-06-15)