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The Legacy Rehab & Care Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 120
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 03/17/2011

Date of last standard health inspection: 03/17/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in AZ: 4
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in AZ: 0 - 12

Inspection, 01/08/2012

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. 01/08/2012 02/05/2002 2 Some
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 01/08/2012 02/05/2002 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/08/2012 02/05/2002 2 Few
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 01/08/2012 02/05/2002 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/08/2012 02/05/2002 2 Few
Have a program that investigates, controls and keeps infection from spreading. 01/08/2012 02/05/2002 2 Many
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from mistreatment, neglect and misappropriation of personal property. 01/08/2012 02/05/2002 3 Some
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 01/08/2012 02/05/2002 3 Some
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 01/08/2012 02/05/2002 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 01/08/2012 02/05/2002 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 01/08/2012 02/05/2002 2 Few
Ensure that residents are safe from serious medication errors. 01/08/2012 02/05/2002 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 01/08/2012 02/05/2002 2 Some
Ensure services provided by the nursing facility meet professional standards of quality. 01/08/2012 02/05/2002 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/08/2012 02/05/2002 3 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/08/2012 02/05/2002 3 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 01/08/2012 02/05/2002 2 Few
Give each resident enough fluids to keep them healthy and prevent dehydration. 01/08/2012 02/05/2002 3 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/08/2012 02/05/2002 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 01/08/2012 02/05/2002 3 Few
Try to resolve each resident's complaints quickly. 01/08/2012 02/05/2002 2 Some
Reasonably accommodate the needs and preferences of each resident. 01/08/2012 02/05/2002 2 Some

Inspection, 00/01/2005

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Quickly tell the resident's doctor the results of laboratory tests. 00/01/2005 02/00/2006 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/01/2005 02/00/2006 2 Few
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 00/01/2005 02/00/2006 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/01/2005 02/00/2006 2 Few
Have a program that investigates, controls and keeps infection from spreading. 00/01/2005 02/00/2006 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 00/01/2005 02/00/2006 2 Few
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 00/01/2005 02/00/2006 2 Few
1) Hire only people with no legal history of abusing 00/01/2005 02/00/2006 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Develop and implement policies for 1) screening and training employees; and the 2) prevention 00/01/2005 02/00/2006 investigation identification
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 00/01/2005 02/00/2006 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/01/2005 02/00/2006 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 00/01/2005 02/00/2006 2 Some
Ensure services provided by the nursing facility meet professional standards of quality. 00/01/2005 02/00/2006 2 Some
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 00/01/2005 02/00/2006 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/01/2005 02/00/2006 3 Some
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 00/01/2005 02/00/2006 2 Some
Assist those residents who need help with eating/drinking 00/01/2005 02/00/2006 Few grooming and personal and oral hygiene.
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/01/2005 02/00/2006 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give notice to the resident before a room or roommate change. 00/01/2005 02/00/2006 2 Few

Inspection, 01/07/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 01/07/2003 01/03/2004 1 Some
Post nurse staffing information/data on a daily basis. 01/07/2003 01/03/2004 1 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/07/2003 01/03/2004 2 Few
Have a program that investigates, controls and keeps infection from spreading. 01/07/2003 01/03/2004 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/07/2003 01/03/2004 2 Few
Have a program that investigates 01/07/2003 01/03/2004 Some controls and keeps infection from spreading.
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 01/07/2003 01/03/2004 2 Few
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 01/07/2003 01/03/2004 2 Few
Keep each resident free from physical restraints 01/07/2003 01/03/2004 Few unless needed for medical treatment.
1) Hire only people with no legal history of abusing 01/07/2003 01/03/2004 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 01/07/2003 01/03/2004 2 Some
Store 01/07/2003 01/03/2004 and serve food in a safe and clean way. cook
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 01/07/2003 01/03/2004 2 Some
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 01/07/2003 01/03/2004 and that incontinent patients receive proper servi unless medically necessary
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 01/07/2003 01/03/2004 2 Few
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 01/07/2003 01/03/2004 1 Some
Allow residents to easily view the results of the nursing home's most recent inspection. 01/07/2003 01/03/2004 1 Some
Immediately tell the resident 01/07/2003 01/03/2004 and a family member of situations (injury/decline/ the resident's doctor
Properly hold 01/07/2003 01/03/2004 and manage each resident's personal money which is secure
Allow residents to easily view the results of the nursing home's most recent inspection. 01/07/2003 01/03/2004 1 Some

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in AZ Golden Living Center, Asheville
RN Staff Only1 N/A N/A 3 out of 5 stars
Total Number of Residents 86 79 88
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 15 hours 10 minutes 1 hour 31 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 14 hours 17 minutes 40 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 14 hours 24 minutes 51 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 15 hours 56 minutes 3 hours 16 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 03/23/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 03/23/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in AZ: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in AZ: 0 - 0

Inspection, 02/02/2012

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/02/2012 00/05/2002 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/02/2012 00/05/2002 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/02/2012 00/05/2002 2 Many

Inspection, 02/03/2003

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. 02/03/2003 00/08/2004 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 02/03/2003 00/08/2004 2 Few
Properly installed electrical wiring and equipment. 02/03/2003 00/08/2004 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/03/2003 00/08/2004 2 Many
 

2812 Silver Creek Road
Bullhead City, AZ 86442

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