Signature Healthcare of Georgetown

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF584Jul 10, 2025

  Based on observation and interview, the facility failed to provide a safe, clean, comfortable, and homelike environment for 2 out of 4 hallways, 100 Hall and 400 Hall.Observations on 07/07/2025 revealed the drain access covers on the 100 and 400 Hall were loose, creating a possible tripping hazard.The findings include:Observation on 07/07/2025 at 2:05 PM revealed the drain cover at the end of 100 Hall outside room [ROOM NUMBER] was loose and slid side to side.Observation on 07/07/2025 at 3:58 PM revealed plates (covers) on 400 Hall were loose and spun around.In an interview on 07/08/2025 at 9:15 AM, Resident (R) 44 stated it was nice the drain cover was screwed down better now and did not move around when he wheeled over it. […]

• No harm, potential for more than minimal, patternF577Dec 3, 2021

  Based on observation, interview, record review and review of the facility's policy, it was determined the facility failed to ensure residents had the right to examine the results of the facility's most recent survey and Plan of Correction. Observations on 11/30/2021 through 12/02/2021, revealed the survey results were not readily accessible to the resident, family members and legal representatives of the resident. In addition residents voiced that they were unaware they could view the latest survey results and did not know where the results were kept for them to view. […]

• No harm, potential for more than minimal, patternF656Dec 3, 2021

  Based on observation, interview, record review, review of the Centers for Medicare and Medicaid's (CMS) Resident Assessment Instrument (RAI) 3.0 Manual, and review of the facility's policy, it was determined the facility failed to develop and implement a person-centered Comprehensive Care Plan (CCP) for each resident's care needs for six (6) of twenty-two (22) sampled residents (Resident #11, #14, #18, #27, #29, and #38). 1. Resident #29's CCP, initiated on 03/12/2019, revealed the facility failed to develop a care plan related to care measures for a resident with a [CONDITION(S)] upon return to the facility from the hospital. Additionally, the facility failed to develop the CCP related to incontinence care for a dependent resident. 2. […]

• No harm, potential for more than minimal, patternF725Dec 3, 2021

  Based on interview and record review, it was determined the facility failed to ensure sufficient nursing staff to provide nursing services and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident for seven (7) of twenty-two (22) sampled residents (Resident's #2, #6, #20, #23, #27, #29, and #30). Interviews with Resident #6, Resident #20, and Resident #27, on 11/30/2021, revealed they had to wait up to an hour for their call bell to be answered. […]

• No harm, potential for more than minimal, patternF880Dec 3, 2021

  Based on observation, interview, record review, review of the Centers for Disease Control and Prevention (CDC) Healthcare Providers Clean Hands Count for Healthcare Providers guideline, review of the nursing manual Potter and Perry. (n.d.). Fundamentals of Nursing, and review of the facility's policies, it was determined the facility failed to establish and maintain an infection prevention and control program designed to provide a safe and sanitary environment and to help prevent and control the development and transmission of communicable diseases, including COVID-19, and to implement interventions per the Centers for Medicare and Medicaid Services (CMS), the CDC, and the Kentucky Department for Public Health (Health Department) State guidelines for COVID-19 for two (2) of twenty-two (22)… […]