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Deficiency Records for Signature Healthcare at North Hardin Rehab and Welln

A list of the most recent deficiencies for Signature Healthcare at North Hardin Rehab and Welln. 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 at North Hardin Rehab and Welln. 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?
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-05-03 2024-05-27 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2024-05-03 2024-05-27 Y
Provide properly protected cooking facilities. Fire Safety 2024-05-01 2024-05-27 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-05-01 2024-05-27 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-05-01 2024-05-27 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-06-07 2019-07-12 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 2019-06-07 2019-07-12 N
Assess the resident when there is a significant change in condition Health 2019-06-07 2019-07-12 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2019-06-07 2019-07-12 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2019-06-07 2019-07-12 N
Ensure each resident receives an accurate assessment. Health 2019-06-07 2019-07-12 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2019-06-07 2019-07-12 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-06-07 2019-07-12 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 2019-06-07 2019-07-12 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-06-07 2019-07-12 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-06-07 2019-07-12 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 2019-06-07 2019-07-12 N
Provide enough food/fluids to maintain a resident's health. Health 2019-06-07 2019-07-12 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2019-06-07 2019-07-12 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-06-07 2019-07-12 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 2019-06-07 2019-07-12 N
Provide and implement an infection prevention and control program. Health 2019-06-07 2019-07-12 N
Have exits that are accessible at all times. Fire Safety 2019-06-04 2019-07-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-06-04 2019-07-12 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-06-04 2019-07-12 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-09-13 2018-10-15 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2018-09-13 2018-10-15 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2018-09-13 2018-10-15 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 2018-09-13 2018-10-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-09-13 2018-10-15 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2018-09-13 2018-10-15 N

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