Signature Healthcare of Bowling Green

In the surveyor’s words

From the most serious findings on record at Signature Healthcare of Bowling Green, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF582Jun 27, 2024

  Based on interview, and record review, the facility failed to ensure three of three residents (R) reviewed out of a sample size of 42 for Skilled Nursing Facility (SNF) Beneficiary Protection Notification, (R381, R71, and R95) whose Medicare therapy services were terminated, received an estimated cost for services if they chose to pay for the services themselves. This had the potential for residents not to be able to make an informed decision as to whether to continue therapy services. The findings include: The State Survey Agency (SSA) Contractor Surveyor asked the Administrator for the facility's Beneficiary Notice of Medicare Non-Coverage policy; however, such policy was not provided prior to exiting the survey. 1. […]

• No harm, potential for more than minimal, isolatedF583Sep 5, 2025

  Based on interview, record review, and review of facility policy, the facility failed to ensure confidentiality of medical records for one (Resident (R) 83) of 11 residents sampled during medication pass. Facility staff failed to ensure that R83's medical information was secured when unattended, so as to prevent unauthorized access to the record. The findings include:Review of a facility policy, titled Resident Rights, last revised 01/31/2025, revealed residents have the right to privacy and confidentiality. […]

• No harm, potential for more than minimal, isolatedF880Sep 5, 2025

  Based on observation, interview, record review, and facility policy review, it was determined the facility failed to maintain an infection prevention and control program to help prevent the development and transmission of communicable diseases and infections for two (R68 and R83) of eight residents reviewed for infection control. Staff failed to use personal protective equipment (PPE) for R68, who was on contact precautions. In addition, staff failed to perform hand hygiene when indicated, including before and after resident contact/care for R83. The findings include: 1. […]

• No harm, potential for more than minimal, isolatedF641Jun 27, 2024

  Based on interview and record review, the facility failed to ensure two residents of 42 sampled residents' (R) Resident Assessment Instruments ([NAME]) accurately reflected the resident's hospice designation for R88 and ability to communicate for R58. This failure could result in the residents' needs, strengths, and areas of decline not being addressed appropriately for R 88 and R58. The findings include: During an interview with the Director of Nursing (DON) on 06/27/2024 at 10:32 AM, she stated she would check for a specific policy related to accurate Minimum Data Set (MDS) Assessments; however, further stated the facility followed the Centers for Medicare and Medicaid Services (CMS) RAI Manual for MDS instructions. No additional policy was provided. 1. […]

• No harm, potential for more than minimal, isolatedF880Sep 30, 2021

  Based on observations, interview, record review and facility policy review, it was determined the facility failed to maintain an infection prevention and control program to provide a safe, sanitary and comfortable environment to help prevent the development of communicable diseases and infections for one (1) of one-hundred and thirty-one (131) facility residents. Observation on 09/28/2021 at 12:52 PM, revealed Certified Nursing Assistant entered Resident #1's isolation room, without wearing the designated Personal Protective Equipment (PPE). […]