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🔎 Signature Healthcare Of Carrollton Rehab And Wellnes

Inspection Results


Inspection Overview

Signature Healthcare Of Carrollton Rehab And Wellnes has been cited for a total of 19 deficiencies since we began saving each survey.

In Kentucky, the average facility has **17.54 deficiencies** in our database. This profile shows the longer-term view.

Tip: Surveys happen throughout the year. Always check the official Medicare Care Compare site for the most recent data.



Understanding Deficiency Severity (A-L Scale)

The farther along in the alphabet (A through L) the Scope value is, the more severe the deficiency. **A through F means no actual harm has happened.**

Severity (Harm)Scope (Widespread?)Code Range
No Actual HarmIsolated to PatternA - C
No Actual HarmWidespreadD - F
**Actual Harm**IsolatedG
**Actual Harm**PatternH
**Actual Harm**WidespreadI
**Immediate Jeopardy**IsolatedJ
**Immediate Jeopardy**PatternK
**Immediate Jeopardy**WidespreadL


Detailed Deficiency List (Most Recent First)

Scope/Severity: D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey Date: 2024-12-20
Correction Date: 2025-01-15
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: F

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Survey Date: 2024-12-20
Correction Date: 2025-01-15
Category: Administration Deficiencies
From Complaint: Y

Scope/Severity: D

Provide and implement an infection prevention and control program.

Survey Date: 2024-04-12
Correction Date: 2024-05-26
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: D

Protect each resident from the wrongful use of the resident's belongings or money.

Survey Date: 2024-04-12
Correction Date: 2024-05-26
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: D

Give the resident's representative the ability to exercise the resident's rights.

Survey Date: 2020-03-05
Correction Date: 2020-05-10
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey Date: 2020-03-05
Correction Date: 2020-05-10
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey Date: 2020-03-05
Correction Date: 2020-05-10
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey Date: 2020-03-05
Correction Date: 2020-05-10
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide safe and appropriate respiratory care for a resident when needed.

Survey Date: 2020-03-05
Correction Date: 2020-05-10
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey Date: 2020-03-05
Correction Date: 2020-05-10
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: G

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey Date: 2019-02-08
Correction Date: 2019-03-23
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: G

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey Date: 2019-02-08
Correction Date: 2019-03-23
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey Date: 2019-02-08
Correction Date: 2019-03-23
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: F

Observe each nurse aide's job performance and give regular training.

Survey Date: 2019-02-08
Correction Date: 2019-03-23
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: C

Post nurse staffing information every day.

Survey Date: 2019-02-08
Correction Date: 2019-03-23
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: E

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey Date: 2019-02-08
Correction Date: 2019-03-23
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: E

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.

Survey Date: 2019-02-08
Correction Date: 2019-03-23
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Survey Date: 2019-02-08
Correction Date: 2019-03-23
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: D

Ensure services provided by the nursing facility meet professional standards of quality.

Survey Date: 2017-12-08
Correction Date: 2018-01-12
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

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All deficiency data is sourced directly from the **Centers for Medicare & Medicaid Services (CMS)**.
Data Aggregation and Review provided by **The Nursing Home Site.**