Deficiency Records for Signature Healthcare of Fayette County
Updated as of March 01, 2024
A list of the most recent deficiencies for Signature Healthcare of Fayette County. 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? |
|---|---|---|---|---|
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-22 | 2024-01-02 | Y |
| 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 |
| 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 |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | 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 |
| Provide and implement an infection prevention and control program. | Health | 2022-10-12 | 2022-11-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-05 | 2022-11-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-10-05 | 2022-11-04 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-10-05 | 2022-11-04 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-10-05 | 2022-11-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-09 | 2021-10-05 | Y |
| Meet other general requirements that are deficient. | Fire Safety | 2021-08-26 | 2021-10-05 | Y |
| 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 |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-10-31 | 2019-12-06 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| Provide enough food/fluids to maintain a resident's health. | 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 |
| 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 |
| Provide and implement an infection prevention and control program. | Health | 2019-10-31 | 2019-12-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-28 | 2019-12-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-28 | 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 | 2019-10-28 | 2019-12-06 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2019-10-28 | 2019-12-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-28 | 2019-12-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-20 | 2018-11-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-18 | 2018-11-27 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2018-09-18 | 2018-11-27 | N |
