Signature Healthcare at Jefferson Place Rehab & We

In the surveyor’s words

From the most serious findings on record at Signature Healthcare at Jefferson Place Rehab & We, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 18, 2025

  Based on observation, interview, and review of the facility policy, it was determined the facility failed to serve food under sanitary conditions. Dietary Aide (DA)2 failed to perform hand hygiene after touching various items, and prior to serving food. In addition, DA2 failed to wear a finger cot over a wound to prevent possible contamination while handling food. The findings include: Review of the facility policy Food Preparation dated 09/2017, revealed all staff will practice proper handwashing techniques and glove use. […]

• No harm, potential for more than minimal, widespreadF812Sep 18, 2021

  Based on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to store, prepare, and distribute food under sanitary conditions and in accordance with professional standards for food safety. Initial tour of the facility revealed opened and undated containers of salad dressing in the walk-in refrigerator. The findings include: Review of the facility's policy, Labeling and Dating Policy, dated 2017, revealed proper labeling and dating ensured all foods were stored, rotated, and utilized in a first in, first out manner. This helped minimize waste and ensured items past their due date were discarded. […]

• No harm, potential for more than minimal, patternF880Sep 18, 2021

  Based on observation, interview, record and policy review, it was determined the facility failed to maintain an infection prevention and control program that ensured a safe, sanitary, and comfortable environment for the prevention of communicable diseases and infections. Observations during the survey revealed direct care staff, housekeeping staff, compassionate care staff, and one (1) resident did not consistently utilize masks and/or eye protection, as currently required when working in, or traveling through resident care areas. […]

• No harm, potential for more than minimal, isolatedF558Sep 18, 2021

  Based on observation, interview, record review and review of facility policy, it was determined the facility failed to ensure reasonable accommodations for one (1) of seventy-four (74) sampled residents (Resident) #79, on two (2) occasions. Observations of Resident #79 during survey revealed the call light button out of reach of the resident. The findings include: The facility did not provide a policy for accommodation of residents' needs. Review of Resident #79's medical records revealed the facility admitted the resident on 10/27/2020 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of Resident #79's Quarterly Minimum Data Set (MDS) dated [DATE] revealed the facility assessed the resident as absent of the spoken word and somewhat had the ability to understand others. […]