Deficiency Records for Signature Healthcare at Jefferson Manor Rehab and We
Updated as of April 01, 2024
A list of the most recent deficiencies for Signature Healthcare at Jefferson Manor Rehab and We. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-15 | 2019-04-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-15 | 2019-04-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-02-15 | 2019-04-02 | 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 | 2019-02-15 | 2019-04-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-15 | 2019-04-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-15 | 2019-04-02 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-02-15 | 2019-04-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-14 | 2019-04-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-14 | 2019-03-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-12-14 | 2018-03-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-14 | 2018-03-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2017-12-14 | 2018-03-12 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2017-12-14 | 2018-03-12 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-12-14 | 2018-02-02 | 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 | 2017-12-14 | 2018-01-04 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2017-12-14 | 2018-01-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2017-12-14 | 2018-01-04 | N |
| Ensure that laboratories employing quantities of flammable, combustible, or hazardous materials have fire resistant walls and automatic sprinkler system. | Fire Safety | 2017-12-13 | 2018-01-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-12-13 | 2018-01-04 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-10-20 | 2016-11-16 | N |
| Keep all essential equipment working safely. | Health | 2016-10-20 | 2016-11-16 | N |
