Legend Healthcare and Rehabilitation - Paris

In the surveyor’s words

From the most serious findings on record at Legend Healthcare and Rehabilitation - Paris, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Nov 20, 2024

  Based on observation, interview, and record review, the facility failed to ensure each resident received adequate supervision and assistance to prevent accidents and injury from hot liquid spills for 1 of 6 resident's (Resident #173) reviewed for accident and supervision. Resident #173 sustained a thermal burn from spilling hot coffee on her leg, served by CNA A without obtaining the temperature of the liquid on 11/12/2024. The noncompliance was identified as past non-compliance (PNC). The Immediate Jeopardy (IJ) began on 11/12/2024 and ended on 11/14/2024. […]

• No harm, potential for more than minimal, widespreadF812Oct 12, 2023

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in (1 of 1) kitchen reviewed for dietary services. 1) The facility failed to label and date all food items. 2) Dietary staff failed to dispose of expired foods items. 3) Dietary Staff failed to store (1) dented can in a separate area. 4) Dietary Staff failed to effectively reseal, label and date frozen food items. These failures could place residents at risk for food contamination and foodborne illness. […]

• No harm, potential for more than minimal, patternF580Feb 5, 2026

  Based on observation, interview, and record review the facility failed to immediately consult with the resident's physician when there was significant change in the resident's physical, mental, or psychosocial status for 2 of 6 residents (Resident # 4 and Resident #30) reviewed for notification of changes. 1.The facility failed to notify the physician for Resident #4's blood sugars above 401 on 01/08/26, 01/16/26, 01/18/26, 01/22/26, and 01/31/26 2.The facility failed to notify the physician for Resident #30's blood sugars above 401 on 01/09/26, 01/17/26, 01/16/26, and 01/22/26. […]

• No harm, potential for more than minimal, patternF759Feb 5, 2026

  Based on observation, interview and record review, the facility failed to ensure that it was free of medication error rate of 5 percent or greater. The facility had a medication error rate of 10%, based on 4 errors out of 40 opportunities, which involved 4 of 7 residents (Resident #74, Resident #46, Resident #40 and Resident #3) reviewed for medication administration. The facility failed to ensure LVN E administered Resident #74 Humalog KwikPen (insulin medication) according to the manufacturer's instructions.The facility failed to ensure LVN F primed Resident #46 Novolog KwikPen (insulin medication) according to the manufacturer's instructions. […]

• No harm, potential for more than minimal, patternF760Feb 5, 2026

  Based on observation, interviews, and record review the facility failed to ensure that residents were free of significant medication errors for 3 of 7 residents review for pharmacy services (Resident #74, Resident #46, and Resident #40. ) 1.The facility failed to ensure LVN E administered Resident #74 Humalog KwikPen (insulin medication) according to the manufacturer's instructions.2.The facility failed to ensure LVN F administered Resident #46 Novolog KwikPen (insulin medication) according to the manufacturer's instructions.3.The facility failed to ensure LVN E administered Resident #V Vancomycin (infection medication) according to the manufacturer's instructions. […]