Legend Oaks Healthcare and Rehabilitation Center -

Gladewater, TX 2023--2024 Assisted Living / Long-Term Care
CMS Actual Harm Documentation Failure Immediate Jeopardy Infection Control Medication Error Nutrition Care Resident Neglect Wound Care
Penalty
$124,559

Outcome

Legend Oaks Healthcare and Rehabilitation Center - in Gladewater, TX was fined $124,559 by CMS across 6 separate penalties following 35 deficiency citations identified during federal surveys.

Details

Legend Oaks Healthcare and Rehabilitation Center - (Gladewater, TX) — $124,559 in CMS Fines

Outcome: Legend Oaks Healthcare and Rehabilitation Center - in Gladewater, TX was fined $124,559 by CMS across 6 separate penalties following 35 deficiency citations identified during federal surveys.

Deficiency areas cited:


  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • Reasonably accommodate the needs and preferences of each resident.

  • Provide safe and appropriate respiratory care for a resident when needed.

  • 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.

  • Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

  • Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

  • Provide and implement an infection prevention and control program.

How Crucible Prevents This

Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.

Source: CMS Nursing Home Penalties Dataset — Legend Oaks Healthcare and Rehabilitation Center -

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