Signature Healthcare of Carrollton Rehab & Wellnes

In the surveyor’s words

From the most serious findings on record at Signature Healthcare of Carrollton Rehab & Wellnes, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF949Dec 20, 2024

  Based on interview, record review, review of staff training records, and review of the website utilized by the facility for training staff, the facility failed to provide staff training specific to a resident's mental illness diagnoses and behaviors for 1 of 9 sampled residents, Resident (R)1. R1's diagnoses included Borderline Personality Disorder and Schizoaffective Disorder, and the resident exhibited behaviors. However, the facility failed to provide training for staff directly related to R1's mental illness and diagnoses. The findings include: Review of the facility policy titled, Abuse, Neglect and Misappropriation of Property, last revised and reviewed on 09/15/2023, revealed it was the organization's intention to prevent the occurrence of abuse. […]

• No harm, potential for more than minimal, isolatedF600Dec 20, 2024

  Based on interview, record review, and review of the facility policy, the facility failed to ensure residents were free from verbal abuse for 1 of 9 sampled residents, Resident (R)1. On 08/28/2024, the Housekeeper cussed at and called R1 names after the resident was verbally aggressive towards the Housekeeper. The findings include: Review of the facility policy titled, Abuse, Neglect and Misappropriation of Property, last reviewed and revised 09/15/2023, revealed it was the organization's intention to prevent abuse and protect the health, welfare, and rights of each resident residing in the facility. Per review, instances of abuse, irrespective of any mental or physical condition, caused harm, pain, or mental anguish. […]

• No harm, potential for more than minimal, isolatedF602Apr 12, 2024

  Based on interview, record review, review of facility policy, and review of a police Uniform Citation, the facility failed to ensure that one (Resident (R) 265) of 65 sampled residents was free from misappropriation of resident property. Licensed Practical Nurse (LPN) 10 took R265's narcotic pain medication without authorization. The findings include: Review of the facility policy titled Controlled Medications, dated 11/13/2023, revealed the policy was to ensure controlled medications are handled, stored, disposed of, and there is record keeping is in place. Added review revealed at each shift change or when keys are rendered, a physical inventory on all controlled medications is conducted by two staff members. […]

• No harm, potential for more than minimal, isolatedF880Apr 12, 2024

  Based on observation, interview, record review, and facility policy/procedure, the facility failed to maintain an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infections for one (Resident (R) 51) of 49 sampled residents. Staff entered R51's room, which was designated as a contact precaution room, without first donning proper Personal Protective Equipment (PPE). The findings include: Review of the facility's policy, titled Infection Control, with an effective date of 01/23/2024, revealed the intention of the policy was to help prevent and manage the transmission of diseases and infections. […]