Signature Healthcare of East Louisville

In the surveyor’s words

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

• Immediate jeopardy, isolatedF656Jan 3, 2025

  Based on observation, interview, record review and review of facility's policy, the facility failed to develop and implement the care plan for one of three sampled residents, Residient (R) 1. On 01/22/2024, R1 became a ward of the state and was deemed as wholly disabled. She required assistance with managing both her personal and financial affairs. The facility, however, failed to develop the resident's care plan to include her becoming a ward of the state. On 09/17/2024, the resident exhibited exit-seeking behaviors and was placed on 15 minute checks, however, the facility failed to develop the resident's care plan to include the exit-seeking behaviors. […]

• Immediate jeopardy, isolatedF689Jan 3, 2025

  Based on observation, interview, record review, facility document review, facility policy review and Google Maps review, the facility failed to provide residents with adequate supervision to prevent elopement for one of three sampled residents, Resident (R)1. R1 became a ward of the state on 01/22/2024 and although the resident had a Brief Interview of Mental Status (BIMS) score of 15 (indicating cognitively intact), the resident was legally deemed wholly disabled for managing both personal and financial resources, including the right to vote, and required supervision when leaving the facility. The facility, however, failed to ensure staff were aware the resident could not exit the facility unsupervised. […]

• No harm, potential for more than minimal, widespreadF812Aug 23, 2024

  Based on observation, interview, review of the U.S. Food and Drug Administration (FDA) Food Code, 2022, and review of the facility's policies, it was determined the facility failed to store food in accordance with professional standards for food service safety. During observation on [DATE] of the kitchen walk in refrigerator, multiple produce items were rotting. Additionally, multiple sleeves of bread were found with no label or expiration date. Also, leftover tomatoes were observed in container with no use by date. […]

• No harm, potential for more than minimal, widespreadF880Aug 23, 2024

  Based on observation, interview, and review of standard of practice reference, it was determined 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 for one of six sampled residents, Resident (R) 65. Observation of medication administration revealed Registered Nurse (RN) 7 failed to perform hand hygiene after administering medications for the resident, and prior to preparing medications for another. […]

• No harm, potential for more than minimal, patternF606Aug 23, 2024

  Based on interview, personnel record review, and facility policy review, the facility failed to ensure it had a process in place to ensure contracted employees had the Kentucky Adult Caregiver Misconduct Registry checked as required by KRS 209.032 for 2 of 5 employee files sampled. The findings include: Review of the facility policy Abuse, Neglect, and Misappropriation of Property revised 09/15/2023 revealed the facility included screening to provide protection for the health, welfare, and rights of each resident residing in the facility. Continued review revealed the screening included conducting criminal background checks and a search of the State Nurse Aide Abuse Registry. […]