Deficiency Records for Signature Pointe
Updated as of October 01, 2020
This is not the most recent data for Signature Pointe. For the most recent information, click here.
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 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 |
| Provide and implement an infection prevention and control program. | Health | 2019-06-28 | 2019-06-29 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-08-30 | 2018-09-30 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-08-30 | 2018-09-30 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-08-30 | 2018-09-30 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-08-30 | 2018-09-30 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-08-30 | 2018-09-30 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-08-30 | 2018-09-30 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-08-30 | 2018-09-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-08-30 | 2018-09-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-08-30 | 2018-09-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-08-30 | 2018-09-30 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-08-30 | 2018-09-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-08-30 | 2018-09-30 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-08-30 | 2018-09-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-08-30 | 2018-09-30 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-08-30 | 2018-09-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-30 | 2018-09-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-08-30 | 2018-09-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-08-30 | 2018-09-30 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-08-30 | 2018-09-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-08-30 | 2018-09-30 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-08-30 | 2018-09-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-30 | 2018-09-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-30 | 2018-09-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-08-30 | 2018-09-30 | 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 | 2018-08-29 | 2018-09-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-29 | 2018-09-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-08-29 | 2018-09-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-08-29 | 2018-09-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-02-23 | 2018-03-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2017-12-21 | 2017-12-25 | Y |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2017-07-19 | 2017-08-25 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2017-07-19 | 2017-08-18 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-07-19 | 2017-08-18 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2017-07-19 | 2017-08-18 | N |
| Try to resolve each resident's complaints quickly. | Health | 2017-07-19 | 2017-08-18 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-07-19 | 2017-08-18 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-07-19 | 2017-08-18 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-07-19 | 2017-08-18 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-07-19 | 2017-08-18 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-19 | 2017-08-18 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-19 | 2017-08-18 | N |
| Dispose of garbage and refuse properly. | Health | 2017-07-19 | 2017-08-18 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-07-19 | 2017-08-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-19 | 2017-08-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-07-19 | 2017-08-10 | N |
| Construct fire resistant interior walls. | Fire Safety | 2017-07-19 | 2017-08-10 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-07-19 | 2017-08-04 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-06 | 2017-07-05 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-06-06 | 2017-07-05 | Y |
| Post nurse staffing information/data on a daily basis. | Health | 2017-06-06 | 2017-07-05 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-06 | 2017-07-05 | Y |
