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🔎 Signature Healthcare At Summerfield Rehab And Wellne

Inspection Results


Inspection Overview

Signature Healthcare At Summerfield Rehab And Wellne has been cited for a total of 49 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: K

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey Date: 2024-09-20
Correction Date: 2024-10-15
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: G

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

Survey Date: 2024-09-20
Correction Date: 2024-10-15
Category: Quality of Life and Care Deficiencies
From Complaint: Y

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: 2024-09-20
Correction Date: 2024-10-15
Category: Pharmacy Service Deficiencies
From Complaint: Y

Scope/Severity: E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2024-09-20
Correction Date: 2024-10-15
Category: Nutrition and Dietary Deficiencies
From Complaint: Y

Scope/Severity: E

Provide and implement an infection prevention and control program.

Survey Date: 2024-09-20
Correction Date: 2024-10-15
Category: Infection Control Deficiencies
From Complaint: Y

Scope/Severity: D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey Date: 2024-01-28
Correction Date: 2024-02-28
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey Date: 2024-01-28
Correction Date: 2024-02-28
Category: Resident Rights 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: 2024-01-28
Correction Date: 2024-02-28
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: G

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey Date: 2024-01-28
Correction Date: 2024-02-28
Category: Quality of Life and Care 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: 2024-01-28
Correction Date: 2024-02-28
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide enough food/fluids to maintain a resident's health.

Survey Date: 2024-01-28
Correction Date: 2024-02-28
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

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

Survey Date: 2024-01-28
Correction Date: 2024-02-28
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide safe, appropriate pain management for a resident who requires such services.

Survey Date: 2024-01-28
Correction Date: 2024-02-28
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

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

Survey Date: 2024-01-28
Correction Date: 2024-02-28
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: 2024-01-28
Correction Date: 2024-02-28
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

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.

Survey Date: 2024-01-28
Correction Date: 2024-02-28
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: D

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey Date: 2024-01-28
Correction Date: 2024-02-28
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2024-01-28
Correction Date: 2024-02-28
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: F

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Survey Date: 2024-01-28
Correction Date: 2024-02-28
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: J

Provide and implement an infection prevention and control program.

Survey Date: 2024-01-28
Correction Date: 2024-02-28
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey Date: 2024-01-28
Correction Date: 2024-02-28
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: E

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.

Survey Date: 2024-01-28
Correction Date: 2024-02-28
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: E

Have a plan that describes the process for conducting QAPI and QAA activities.

Survey Date: 2021-07-28
Correction Date: 2021-10-21
Category: Administration Deficiencies
From Complaint: Y

Scope/Severity: E

Provide and implement an infection prevention and control program.

Survey Date: 2021-07-28
Correction Date: 2021-10-21
Category: Infection Control Deficiencies
From Complaint: Y

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: 2021-03-22
Correction Date: 2021-05-11
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: D

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

Survey Date: 2021-03-22
Correction Date: 2021-05-11
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: D

Plan the resident's discharge to meet the resident's goals and needs.

Survey Date: 2021-03-22
Correction Date: 2021-05-11
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey Date: 2021-03-22
Correction Date: 2021-05-11
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: D

Provide enough food/fluids to maintain a resident's health.

Survey Date: 2021-03-22
Correction Date: 2021-05-11
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: D

Honor the resident's right to manage his or her financial affairs.

Survey Date: 2019-10-05
Correction Date: 2019-11-23
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Survey Date: 2019-10-05
Correction Date: 2019-11-22
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: 2019-10-05
Correction Date: 2019-11-22
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey Date: 2019-10-05
Correction Date: 2019-11-22
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

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: 2019-10-05
Correction Date: 2019-11-22
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2019-10-05
Correction Date: 2019-11-22
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey Date: 2018-07-19
Correction Date: 2018-08-15
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

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

Survey Date: 2018-07-19
Correction Date: 2018-08-15
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2018-07-19
Correction Date: 2018-08-15
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: F

Keep all essential equipment working safely.

Survey Date: 2018-07-19
Correction Date: 2018-08-15
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: D

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

Survey Date: 2017-06-08
Correction Date: 2017-08-01
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: E

Reasonably accommodate the needs and preferences of each resident.

Survey Date: 2017-06-08
Correction Date: 2017-08-01
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Allow residents the right to participate in the planning or revision of care and treatment.

Survey Date: 2017-06-08
Correction Date: 2017-08-01
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Provide care by qualified persons according to each resident's written plan of care.

Survey Date: 2017-06-08
Correction Date: 2017-08-01
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves.

Survey Date: 2017-06-08
Correction Date: 2017-08-01
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

Survey Date: 2017-06-08
Correction Date: 2017-08-01
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

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

Survey Date: 2017-06-08
Correction Date: 2017-08-01
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: F

Store, cook, and serve food in a safe and clean way.

Survey Date: 2017-06-08
Correction Date: 2017-08-01
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: E

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

Survey Date: 2017-06-08
Correction Date: 2017-08-01
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: E

Have a program that investigates, controls and keeps infection from spreading.

Survey Date: 2017-06-08
Correction Date: 2017-08-01
Category: Environmental 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.**