Signature Healthcare at North Hardin Rehab & Welln

In the surveyor’s words

From the most serious findings on record at Signature Healthcare at North Hardin Rehab & Welln, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 29, 2025

  Based on observation, interview, and facility policy review, the facility failed to ensure its dish machine and range hood grates were free of dust accumulation, which had the potential to affect 111 of 111 residents receiving meals from the kitchen. The findings include: Review of the facility policy titled, Equipment, revised 09/2017, revealed, All food service equipment will be clean, sanitary, and in proper working order. Further review revealed all non-food contact equipment will be clean and free of debris. Observations during the initial tour of the kitchen on 05/26/2025 at 9:07 AM, revealed the top of the dish machine was covered with dust. In addition, observation further revealed dust on two range hood grates, located over a six-burner stove and a convection oven/steamer/fryer. […]

• No harm, potential for more than minimal, widespreadF803May 3, 2024

  Based on observation, interview, and review of the Diet Guide Sheet, it was determined the facility failed to ensure menu items were served in the recommended portion sizes which were approved to meet the nutritional needs of the residents. Staff failed to follow the portion sizes on the menu guide which was approved by a Registered Dietician. Observation on 05/02/2024 during the noon meal revealed, pureed meal tray portions were small and the server was using a blue-handled scoop. The server stated the scoop was 2 ounces. […]

• No harm, potential for more than minimal, widespreadF812May 3, 2024

  Based on observation, interview and review of facility policy, it was determined the facility failed to store food in accordance with professional standards for food service safety related to food items opened, not dated, and/or labeled. This had the potential to affect 115 of 120 residents. Observation during the initial kitchen tour on [DATE] at 9:40 AM, revealed assorted food items/containers not labeled, dated, or expired in both walk-in cooler #1 and walk-in cooler #2. The findings include: Review of the facility policy Food Storage, Dry Goods, revised ,d+[DATE], revealed all dry goods would be appropriately stored in accordance with the FDA food code. […]

• No harm, potential for more than minimal, isolatedF732Jul 10, 2026

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure the daily nurse staffing posting was current for 1 of 4 days reviewed for staffing postings. On 07/07/2026, the facility's required daily nurse staffing posting located near the front entrance displayed the prior date of 07/06/2026.The findings include:Review of the facility policy titled, Posting of Nurse Staffing, last reviewed 01/30/2026, revealed the facility was required to post daily nurse staffing information at the beginning of each shift. Per review, the posting was required to include the facility's name, current date, resident census, and the total number and actual hours worked by licensed and unlicensed nursing staff directly responsible for resident care per shift. […]

• No harm, potential for more than minimal, isolatedF583May 29, 2025

  Based on observation, interview, and facility policy review, the facility failed to ensure the personal privacy and confidentiality of residents' personal health information (PHI) for 1 of 57 sampled residents (Resident (R)112). The findings include: Review of the facility policy titled, Safeguard: Safeguarding and Storing Protected Health Information, reviewed 01/31/2025, revealed all stakeholders (facility staff) were responsible for the security of the residents' active medical records at the nursing stations or other designated areas within the facility. […]