A list of the most recent deficiencies for Signature Pointe. 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? |
---|---|---|---|---|
Provide and implement an infection prevention and control program. | Health | 2023-06-28 | 2023-07-19 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-05 | 2022-12-07 | 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 | 2022-12-05 | 2022-12-06 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-12 | 2022-10-15 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-10-13 | 2022-10-14 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-13 | 2022-10-14 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-13 | 2022-10-14 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-12 | 2022-10-13 | 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 | 2022-10-12 | 2022-10-13 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-12 | 2022-10-13 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-07 | 2022-03-22 | Y |
Provide properly protected cooking facilities. | Fire Safety | 2021-08-12 | 2021-09-24 | N |
Provide and implement an infection prevention and control program. | Health | 2021-08-11 | 2021-09-09 | N |
Have an alternate power supply for its alarm system. | Fire Safety | 2021-08-12 | 2021-09-07 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-12 | 2021-08-13 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-12 | 2021-08-13 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-11 | 2021-08-12 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-11 | 2021-08-12 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-15 | 2019-09-26 | N |
Provide and implement an infection prevention and control program. | Health | 2019-08-15 | 2019-09-26 | N |
Have an alternate power supply for its alarm system. | Fire Safety | 2019-08-20 | 2019-09-20 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-20 | 2019-09-20 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-08-20 | 2019-09-20 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-20 | 2019-09-20 | N |
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-08-15 | 2019-09-12 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-15 | 2019-09-11 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-15 | 2019-08-23 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-15 | 2019-08-22 | 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 | 2019-08-15 | 2019-08-22 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-08-15 | 2019-08-19 | N |