Signature Healthcare of Fentress County

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jan 7, 2026

  Based on facility policy review, observations, and interviews, the facility failed to ensure the kitchen equipment was maintained in a sanitary working condition.The findings include: Review of the facility's Nutritional Services policy titled, Equipment, dated 9/2017, revealed .All food service equipment will be clean, sanitary, and in proper working order .All equipment will be routinely cleaned and maintained in accordance with manufacturer's directions and training materials .All food contact equipment will be cleaned and sanitized after every use .All non-food contact equipment will be clean and free of debris . […]

• No harm, potential for more than minimal, patternF812Jun 15, 2022

  Based on facility policy review, observation, and interview the facility failed to clean 1 of 2 ice machines, cover drinks in the walk-in refrigerator, separate staff food from the kitchen food in the reach-in refrigerator, label and date food in the reach-in refrigerator, have a thermometer in the reach-in refrigerator, and failed to serve food within the temperature safety zone for 1 of 10 trays. The findings include: Review of the facility's policy titled, Ice, revised 9/2017, revealed, .Ice Machines will be cleaned monthly and as needed . Review of the facility's policy titled, Food Storage Cold foods, revised 4/2018, revealed, .An accurate thermometer will be kept in each refrigerator and freezer .All foods will be stored wrapped or in covered containers, labeled and dated . […]

• No harm, potential for more than minimal, patternF880Jun 15, 2022

  Based on facility policy review, medical record review, observation, and interview, the facility failed to post a Transmission Based Precaution (TBP) sign on 4 of 6 TBP rooms (room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], and room [ROOM NUMBER]) and failed to apply Personal Protective Equipment (PPE) prior to entering a TBP room, failed to properly label and store bedpans and urinals in shared bathrooms for 6 of 39 residents. The findings include: Review of the facility's policy titled, Isolation-Categories of Transmission-Based Precautions, dated October 2018, revealed, .Transmission-Based Precautions are initiated when a resident develops signs and symptoms of a transmissible infection; arrives for admission with symptoms of an infection; or has a laboratory confirmed… […]

• No harm, potential for more than minimal, isolatedF641Jan 7, 2026

  Based on review of the Centers for Medicare and Medicaid (CMS) Resident Assessment Instrument (RAI) Version 3.0 Manual, medical record review, and interview, the facility failed to accurately complete a Minimum Data Set (MDS) assessment for weight loss and weight gain for 1 resident (Resident #7) of 19 residents reviewed.The findings include: Review of the MDS 3.0 RAI Manual Version 19.1, dated 10/2024, revealed instructions, .For a New Admission-Ask the resident, family, or significant other about weight loss over the past 30 and 180 days .If the admission weight is less than the previous weight, calculate the percentage of weight loss .Complete the same process to determine and calculate weight loss comparing the admission weight to the weight 30 and 180 days ago . […]

• No harm, potential for more than minimal, isolatedF686Jan 7, 2026

  Based on facility policy review, medical record review, and interview, the facility failed to provide resident-centered interventions to prevent pressure injury development for one 1 resident (Resident #10) of 3 residents reviewed with pressure injuries.The findings include: Review of the facility policy titled, Skin Integrity, dated 1/31/2025, revealed .a resident receives care, consistent with standards of practice, to prevent avoidable skin integrity issues .the facility utilizes either a pressure reducing, pressure relieving, or pressure redistributing mattress on each resident bed . […]