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Deficiency Records for Signature Healthcare of Fayette County
View the most recent health deficiencies and inspection results for Signature Healthcare of Fayette County. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Signature Healthcare of Fayette County. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide or obtain dental services for each resident. | Health | 2025-07-09 | 2025-08-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-07-09 | 2025-08-07 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-07-09 | 2025-08-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-07-09 | 2025-08-07 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-07-09 | 2025-08-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-07-09 | 2025-08-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-09 | 2025-08-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-07-09 | 2025-08-07 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-07-09 | 2025-08-07 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-07-09 | 2025-08-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-07-09 | 2025-08-07 | 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 | 2025-07-09 | 2025-08-07 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2025-07-09 | 2025-08-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-07-09 | 2025-08-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-07-09 | 2025-08-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-07-09 | 2025-08-07 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-07-09 | 2025-08-07 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-07-09 | 2025-08-07 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-07-09 | 2025-08-07 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-07-09 | 2025-08-07 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-07-09 | 2025-08-07 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-07-09 | 2025-08-07 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2025-07-09 | 2025-08-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-07-09 | 2025-08-07 | Y |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-07-09 | 2025-08-07 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-07-09 | 2025-08-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-07-09 | 2025-08-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-07-09 | 2025-08-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-07-09 | 2025-08-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-07-09 | 2025-08-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-07-09 | 2025-08-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-07-09 | 2025-08-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-07-09 | 2025-08-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-07-09 | 2025-08-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-07-09 | 2025-08-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-07-09 | 2025-08-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-07-09 | 2025-08-07 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2025-07-09 | 2025-08-07 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-07-09 | 2025-08-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-07 | 2024-08-14 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-07 | 2024-08-14 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-22 | 2024-01-02 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-12 | 2023-11-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-10-12 | 2022-11-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-12 | 2022-11-04 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-10-12 | 2022-11-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-12 | 2022-11-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-10-12 | 2022-11-04 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-10-12 | 2022-11-04 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-10-12 | 2022-11-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-10-12 | 2022-11-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-10-31 | 2019-12-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-31 | 2019-12-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-31 | 2019-12-06 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-10-31 | 2019-12-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-10-31 | 2019-12-06 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-10-31 | 2019-12-06 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-10-31 | 2019-12-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-31 | 2019-12-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-10-31 | 2019-12-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-31 | 2019-12-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-31 | 2019-12-06 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-10-31 | 2019-12-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-31 | 2019-12-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-31 | 2019-12-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-31 | 2019-12-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-31 | 2019-12-06 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2019-10-31 | 2019-12-06 | N |