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Deficiency Records for Signature Healthcare of Monteagle Rehab and Wellness
A list of the most recent deficiencies for Signature Healthcare of Monteagle Rehab and Wellness. 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 Monteagle Rehab and Wellness. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-31 | 2024-08-22 | 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 | 2024-07-31 | 2024-08-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-31 | 2024-08-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-31 | 2024-08-22 | N |
| Post nurse staffing information every day. | Health | 2024-07-31 | 2024-08-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-31 | 2024-08-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-31 | 2024-08-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-31 | 2024-08-22 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2024-07-29 | 2024-08-22 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-07-29 | 2024-08-22 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-07-29 | 2024-08-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-07-29 | 2024-08-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-29 | 2024-08-22 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-07-29 | 2024-08-22 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-07-29 | 2024-08-22 | 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 | 2024-07-29 | 2024-08-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-29 | 2024-08-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-29 | 2024-08-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-29 | 2024-08-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-29 | 2024-08-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-29 | 2024-08-22 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-07-29 | 2024-08-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-03 | 2023-08-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-15 | 2022-01-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-04 | 2021-09-06 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-08-04 | 2021-09-06 | 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 | 2019-05-15 | 2019-06-20 | 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 | 2019-05-15 | 2019-06-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-15 | 2019-06-20 | N |
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