Signature Healthcare at Jackson Manor Rehab and We

In the surveyor’s words

From the most serious findings on record at Signature Healthcare at Jackson Manor Rehab and We, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF550May 21, 2026

  Based on interview and facility policy review, the facility failed to ensure residents were provided the opportunity and necessary assistance to exercise their right to vote in a primary election, which had the potential to affect all residents with the ability to vote residing in the facility. The findings include: Review of the facility's policy titled, Resident Rights, last reviewed 01/31/2026, revealed all residents had the right to be treated with respect and dignity and have those rights promoted and protected by the facility. Per review of the policy, residents were entitled to exercise their rights and privileges as residents, and as citizens of the United States, to the fullest extent possible. […]

• No harm, potential for more than minimal, patternF656May 21, 2026

  Based on observation, interview, record review and facility policy review, the facility failed to develop and implement a comprehensive care plan that included measurable objectives to meet a resident's medical, nursing, and psychosocial needs as identified in the comprehensive assessment for 5 of 24 sampled residents (Resident (R)1, R6, R7, R37, and R57).The findings include: Review of the facility policy titled, Comprehensive Care Plan last reviewed 01/31/2026, revealed the facility was to develop and implement a comprehensive person-centered care plan for each resident. […]

• No harm, potential for more than minimal, patternF761May 21, 2026

  Based on observation, interview, and facility policy review, the facility failed to ensure medications were stored in a safe and secure manner, with limited access for 1 medication room, and 1 of 1 medication carts. The findings include: Review of the facility's policy titled, Storage of Medication, dated 2007, revealed In order to limit access to prescription medication, only licensed nurses, pharmacy staff, and those lawfully authorized to administer medication (such as medication aides) were allowed access to medication carts. Further review revealed medication rooms, cabinets and medication supplies should remain locked when not in use or attended to by people with authorized access. […]

• No harm, potential for more than minimal, patternF880May 21, 2026

  Based on observation, interview, record review, and review of facility policy, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections, which had the potential to affect all residents having their laundry and linens washed and dried by the facility, and all residents who smoked. The findings include: Review of the facility policy titled, Infection Prevention and Control Program revised 01/30/2026, revealed facility infection control policies and practices are intended to facilitate maintaining a safe, sanitary and comfortable environment. […]

• No harm, potential for more than minimal, isolatedF583May 21, 2026

  Based on observation, interview, and record review, the facility failed to maintain the confidentiality of resident clinical information for 1 of 24 sampled residents, reviewed for privacy, (Resident (R)37). The findings include: Review of the facility's policy titled, Resident Rights, last reviewed 01/31/2026, revealed residents had the right to privacy and confidentiality. Continued review of the policy revealed all residents had the right to be treated with respect and dignity and those rights were to be promoted and protected by the facility. The policy stated, the unauthorized release, access, or disclosure of resident information is prohibited. […]