Legacy Heights Senior Living Community

The facility failed to ensure that two exterior exit doors were equipped with a continuously sounding device that is audible throughout the facility. Specifically, the main entrance electronic alerting device did not emit an audible sound, and the C Hall fire exit door's battery-operated alarm failed to sound when the door was opened. This is a requirement for facilities with residents who exhibit wandering behavior or disorientation.

The facility failed to ensure that two of its two exterior exit doors were equipped with a continuously sounding device that is audible throughout the facility. This is required for residents with cognitive impairment or wandering behavior, such as resident #3, to ensure safety and monitoring.

The facility failed to ensure food was protected from contamination by failing to properly label and date various items, including raw chicken, eggs, cheese, and deli meats. Additionally, uncovered containers of raw poultry were found in the refrigerator, and several items in the dry storage room were unlabeled and undated. Observations also noted dirty ceiling vents in the kitchen and dry storage areas.

The facility failed to ensure food was protected from contamination by failing to label and date various items in the main kitchen, dry storage, and Special Care Unit. Additionally, ceiling vents in the kitchen and dry storage areas were found covered with black and gray particles.

The facility failed to ensure food was protected from contamination by failing to label or date various stored food items, including raw chicken, turkey, and deli meats. Additionally, ceiling vents in the kitchen and dry storage areas were found covered with black and gray particles, posing a sanitation risk.

The facility failed to provide adequate supervision for a resident with a history of falls who required assistance with toileting. Specifically, the resident experienced an unwitnessed fall in the bathroom resulting in a head injury and hospital transport, and was later found on the floor near their room.

The facility failed to provide adequate supervision for a resident who required assistance with toileting and had a history of falling. Specifically, the facility did not follow its own fall management policy regarding the review and revision of care plans following a resident fall.

The facility failed to ensure a resident assessment and care plan were updated within 10 days following a significant change in condition. Specifically, one resident's decline in ambulatory status and increased dependence on staff for care was not properly addressed through a timely reassessment.