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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? |
|---|---|---|---|---|
| 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 |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-31 | Not Fixed | 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 | Not Fixed | 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 | Not Fixed | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-31 | Not Fixed | N |
| Post nurse staffing information every day. | Health | 2024-07-31 | Not Fixed | 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 | Not Fixed | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-31 | Not Fixed | 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 | Not Fixed | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2024-07-29 | Not Fixed | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-07-29 | Not Fixed | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-07-29 | Not Fixed | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-07-29 | Not Fixed | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-29 | Not Fixed | 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 | Not Fixed | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-07-29 | Not Fixed | 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 | Not Fixed | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-29 | Not Fixed | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-29 | Not Fixed | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-29 | Not Fixed | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-29 | Not Fixed | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-29 | Not Fixed | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-07-29 | Not Fixed | N |
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