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Deficiency Records for Signature Healthcare of Terre Haute

A list of the most recent deficiencies for Signature Healthcare of Terre Haute. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Signature Healthcare of Terre Haute. 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 2024-04-05 2024-05-03 Y
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2024-04-05 2024-05-03 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-04-05 2024-05-03 Y
Install corridor and hallway doors that block smoke. Fire Safety 2024-01-17 2024-02-02 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-01-17 2024-02-02 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-01-17 2024-02-02 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-01-17 2024-02-02 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 2023-12-19 2024-01-08 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-12-19 2024-01-08 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 2023-12-19 2024-01-08 N
Provide enough food/fluids to maintain a resident's health. Health 2023-12-19 2024-01-08 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-12-19 2024-01-08 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2023-12-19 2024-01-08 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 2023-12-19 2024-01-08 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-12-19 2024-01-08 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-12-19 2024-01-08 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-12-19 2024-01-08 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-19 2024-01-08 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-19 2023-11-07 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-08-03 2023-08-26 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-08-03 2023-08-26 Y
Provide and implement an infection prevention and control program. Health 2023-08-03 2023-08-26 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-06-09 2023-05-02 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-05-01 2023-05-02 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-02-28 2023-03-20 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-02-28 2023-03-20 Y
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2022-12-28 2023-01-18 Y
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-10-14 2022-10-17 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-10-14 2022-10-17 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-10-14 2022-10-17 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-10-14 2022-10-17 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-10-14 2022-10-17 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-10-14 2022-10-17 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-10-14 2022-10-17 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-09-16 2022-10-11 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2022-09-16 2022-10-11 N
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 2022-09-16 2022-10-11 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-09-16 2022-10-11 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 2022-09-16 2022-10-11 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 2022-09-16 2022-10-11 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 2022-09-16 2022-10-11 N
Provide enough food/fluids to maintain a resident's health. Health 2022-09-16 2022-10-11 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2022-09-16 2022-10-11 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 2022-09-16 2022-10-11 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 2022-09-16 2022-10-11 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 2022-09-16 2022-10-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-09-16 2022-10-11 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-09-16 2022-10-11 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2022-09-16 2022-10-11 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-09-16 2022-10-11 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2022-09-16 2022-10-11 Y
Ensure staff are vaccinated for COVID-19 Health 2022-04-07 2022-04-27 Y
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2021-11-30 2021-12-20 Y
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2021-11-30 2021-12-20 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-11-30 2021-12-20 Y
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Health 2021-10-01 2021-10-28 Y
Ensure medication error rates are not 5 percent or greater. Health 2021-10-01 2021-10-28 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-10-01 2021-10-28 Y
Provide and implement an infection prevention and control program. Health 2021-10-01 2021-10-28 Y
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Fire Safety 2021-08-10 2021-09-05 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2021-07-28 2021-09-03 N
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Health 2021-07-28 2021-09-03 N
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 2021-07-28 2021-09-03 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-07-28 2021-09-03 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 2021-07-28 2021-09-03 N
Ensure each resident receives an accurate assessment. Health 2021-07-28 2021-09-03 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-07-28 2021-09-03 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-07-28 2021-09-03 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 2021-07-28 2021-09-03 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-07-28 2021-09-03 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-07-28 2021-09-03 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 2021-07-28 2021-09-03 N
Provide enough food/fluids to maintain a resident's health. Health 2021-07-28 2021-09-03 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2021-07-28 2021-09-03 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-07-28 2021-09-03 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 2021-07-28 2021-09-03 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-07-28 2021-09-03 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2021-07-28 2021-09-03 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2021-08-10 2021-09-03 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2021-08-10 2021-09-03 N
Develop a communication plan. Fire Safety 2021-08-10 2021-09-03 N
Establish emergency prep training and testing. Fire Safety 2021-08-10 2021-09-03 N
Have properly located and lighted "Exit" signs. Fire Safety 2021-08-10 2021-09-03 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 2021-08-10 2021-09-03 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2021-08-10 2021-09-03 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-08-10 2021-09-03 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-08-10 2021-09-03 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-08-10 2021-09-03 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-08-10 2021-09-03 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-08-10 2021-09-03 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-08-10 2021-09-03 N

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