Deficiency Records for Signature Healthcare of Norfolk
Updated as of November 01, 2018
This is not the most recent data for Signature Healthcare of Norfolk. For the most recent information, click here.
A list of the most recent deficiencies for Signature Healthcare of Norfolk. 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? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-03 | 2018-09-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-08-03 | 2018-09-19 | 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 | 2018-08-30 | 2018-08-31 | Y |
| 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 | 2018-07-13 | 2018-08-31 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-07-13 | 2018-08-08 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-07-13 | 2018-08-08 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-07-13 | 2018-08-08 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-07-13 | 2018-08-08 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-07-13 | 2018-08-08 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-07-13 | 2018-08-08 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-07-13 | 2018-08-08 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-07-13 | 2018-08-08 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-07-13 | 2018-08-08 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-07-13 | 2018-08-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-07-13 | 2018-08-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-07-13 | 2018-08-08 | 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 | 2018-07-13 | 2018-08-08 | 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 | 2018-07-13 | 2018-08-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-07-13 | 2018-08-08 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2018-07-13 | 2018-08-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-13 | 2018-08-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-13 | 2018-08-08 | Y |
| 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 | 2017-02-03 | 2017-03-03 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-03 | 2017-03-03 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-03 | 2017-03-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-02-03 | 2017-03-03 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2017-02-03 | 2017-03-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-02-03 | 2017-03-03 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-02-03 | 2017-01-04 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2016-01-14 | 2016-02-14 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-01-14 | 2016-02-14 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-01-14 | 2016-02-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-01-14 | 2016-02-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-01-14 | 2016-02-14 | Y |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2016-01-14 | 2016-02-14 | Y |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2016-01-14 | 2016-02-14 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-01-14 | 2016-02-14 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-01-14 | 2016-02-14 | Y |
| Make sure that doctors visit residents regularly, as required. | Health | 2016-01-14 | 2016-02-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-01-14 | 2016-01-14 | N |
