Deficiency Records for Signature Healthcare of Fentress County
Updated as of March 01, 2024
A list of the most recent deficiencies for Signature Healthcare of Fentress 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? |
|---|---|---|---|---|
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-04-03 | 2023-05-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-15 | 2022-07-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-15 | 2022-07-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-06-15 | 2022-07-12 | 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 | 2022-06-15 | 2022-07-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-15 | 2022-07-12 | N |
| Respond appropriately to all alleged violations. | Health | 2022-06-15 | 2022-07-12 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-06-15 | 2022-07-12 | 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 | 2022-06-15 | 2022-07-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-15 | 2022-07-12 | N |
| Post nurse staffing information every day. | Health | 2022-06-15 | 2022-07-12 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-06-15 | 2022-07-12 | 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 | 2022-06-15 | 2022-07-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-15 | 2022-07-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-15 | 2022-07-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-13 | 2022-07-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-06-13 | 2022-07-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-13 | 2022-07-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-13 | 2022-07-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-30 | 2021-11-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-24 | 2021-07-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-06-24 | 2021-07-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-15 | 2019-06-14 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-05-15 | 2019-06-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-05-15 | 2019-06-14 | 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 | 2019-05-13 | 2019-06-03 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-05-13 | 2019-05-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-13 | 2018-07-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-13 | 2018-07-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-11 | 2018-07-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-06-11 | 2018-07-02 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2018-06-11 | 2018-06-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-06-11 | 2018-06-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-06-11 | 2018-06-12 | N |
