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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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