Deficiency Records for Signature Healthcare of Whitesburg Gardens
Updated as of June 01, 2021
This is not the most recent data for Signature Healthcare of Whitesburg Gardens. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-08-18 | 2020-09-21 | 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 |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-01 | 2019-04-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-01 | 2019-04-01 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-09-06 | 2018-10-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-09-06 | 2018-10-11 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2018-09-06 | 2018-10-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-09-06 | 2018-10-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-09-06 | 2018-10-11 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-09-06 | 2018-10-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-09-06 | 2018-10-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-30 | 2018-10-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-07-19 | 2017-08-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-07-19 | 2017-08-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-07-19 | 2017-08-23 | N |
| Try to resolve each resident's complaints quickly. | Health | 2017-07-20 | 2017-08-22 | N |
| 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. | Health | 2017-07-20 | 2017-08-22 | N |
| 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. | Health | 2017-07-20 | 2017-08-22 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-07-20 | 2017-08-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-07-20 | 2017-08-22 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-20 | 2017-08-22 | N |
