Deficiency Records for Signature Healthcare of Whitesburg Gardens
Updated as of March 01, 2024
A list of the most recent deficiencies for Signature Healthcare of Whitesburg Gardens. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-02-26 | 2023-03-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-26 | 2023-03-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-26 | 2023-03-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-26 | 2023-03-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-26 | 2023-03-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-26 | 2023-03-23 | Y |
| 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. | Health | 2023-02-26 | 2023-03-23 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-02-26 | 2023-03-23 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-02-26 | 2023-03-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-26 | 2023-03-23 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-02-26 | 2023-03-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-26 | 2023-03-23 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-22 | 2023-03-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-02-22 | 2023-03-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-22 | 2023-03-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-25 | 2021-07-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-25 | 2021-07-29 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-06-25 | 2021-07-29 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-06-25 | 2021-07-29 | N |
| Provide or obtain dental services for each resident. | Health | 2021-06-25 | 2021-07-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-25 | 2021-07-29 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-06-25 | 2021-07-29 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-06-30 | 2021-07-09 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-06-30 | 2021-07-09 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-10-09 | 2019-11-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-10-09 | 2019-11-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-09 | 2019-11-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-09 | 2019-11-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-10-09 | 2019-11-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-09 | 2019-11-11 | N |
| 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. | Health | 2019-10-03 | 2019-11-04 | N |
