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Facility profile · CCN 676392

Legend Oaks Healthcare And Rehabilitation - New Br

35 federal citations on record .

Record summary

Federal record · Q1 2026
35
Total citations
30
Last 3 years
0
Actual harm+
0
Federal penalties
$0
Total fines
3
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

35 on record
SurveyF-TagViolationSeveritySource
Sep 10, 2025F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DComplaint
Sep 10, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Mar 28, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Mar 28, 2025F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.DStandard
Mar 28, 2025F946Provide training in compliance and ethics.DStandard
Mar 28, 2025F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.DStandard
Mar 28, 2025F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.DStandard
Mar 28, 2025F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DStandard
Mar 28, 2025F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.DStandard
Mar 28, 2025F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.DStandard
Mar 28, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Mar 28, 2025F761Ensure 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.DStandard
Mar 28, 2025F700Try 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.DStandard
Mar 28, 2025F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Mar 28, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Mar 28, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Mar 28, 2025F641Ensure each resident receives an accurate assessment.DStandard
Feb 6, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Feb 6, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Feb 6, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Feb 6, 2025F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Aug 3, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Aug 3, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Feb 29, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jan 27, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jan 27, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Jan 27, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Jan 27, 2024F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Jan 27, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Jan 20, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Nov 18, 2022F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.EStandard
Nov 18, 2022F880Provide and implement an infection prevention and control program.EStandard
Nov 18, 2022F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Nov 18, 2022F685Assist a resident in gaining access to vision and hearing services.DStandard
Nov 18, 2022F578Honor 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.DStandard
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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