Signature Healthcare of Greeneville

In the surveyor’s words

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

• Actual harm, isolatedF600Jun 6, 2024

  Based on facility policy review, medical record review, facility investigation documentation review, police report review, observation, and interview, the facility failed to protect the residents' right to be free from physical abuse from another resident for 10 residents (Residents #23, #11, #14, #8, #1, #5, #26, #27, #25, and #36) of 37 residents reviewed for abuse. The facility's failure to protect the residents' right to be free from abuse resulted in actual HARM for Resident #23, #11, and #14. On [DATE], Resident #23 sustained a bruise and laceration to the forehead when Resident #13 threw a plastic bowl and hit Resident #23 on the right side of the forehead. On [DATE], Resident #11 sustained a scratch on the left lower jaw when Resident #12 hit Resident #11 on her left lower jaw. […]

• No harm, potential for more than minimal, isolatedF693Mar 18, 2026

  Based on facility policy review, medical record review, observation, and interviews, the facility failed to administer a continuous enteral feeding (liquid nutrition provided by a tube inserted into the abdomen) as ordered by the physician for 1 resident (Resident #61) of 1 resident reviewed for continuous enteral feedings.The findings include:Review of the facility's policy titled, Gastrostomy Feeding [enteral feeding] Guidelines, dated 2/7/2023, revealed .Verify the correct formula .Review of the facility's policy titled, Physicians Orders, dated 1/30/2026, revealed .It is the standard of this facility that physician orders are followed .Licensed Nurses .are expected to follow physician's orders .Review of the medical record revealed Resident #61 was admitted to the facility on [DATE]… […]

• No harm, potential for more than minimal, isolatedF880Mar 18, 2026

  Based on facility policy review, observations, and interviews, the facility failed to offer hand hygiene assistance to 4 residents (Residents #120, #122, #111, and #11) prior to meals of 4 residents observed during meal service on 1 of 5 units observed for meal tray distribution. The findings include: Review of the facility's policy titled, Assistance with Meals, revised 5/5/2025, revealed .Facility staff will assist residents with setup and meal preparations as needed to include offering resident to wash their hands prior to meal with washcloth, hand sanitizer or provided toilette . […]

• No harm, potential for more than minimal, isolatedF602Jun 6, 2024

  Based on facility policy review, medical record review, facility investigation review, personnel file review, and interview, the facility failed to protect a resident's rights to be free from misappropriation and/or exploitation when money totaling $600.00 was taken from 1 resident (Resident #34) of 8 sampled residents reviewed for misappropriation. The findings include: Review of the facility policy titled, Abuse, Neglect and Misappropriation of Property, revised on 10/17/2022, revealed .It is the organizations intention to prevent the occurrence of abuse, neglect and misappropriation of property .and to assure that all alleged violations of federal or state laws .are investigated and reported immediately . […]

• No harm, potential for more than minimal, isolatedF609Jun 6, 2024

  Based on facility policy review, medical record review, review of facility investigation documentation, police report review, and interviews the facility failed to report allegations of abuse to the State Agency for 6 residents (Resident #1, #8, #5, #6, #7, and #36) and failed to report an allegation of misappropriation of property for 1 resident (Resident #34) of 37 residents reviewed for abuse. The findings include: Review of the facility policy titled, Abuse, Neglect and Misappropriation of Property, revised on 10/17/2022, revealed .It is the organizations intention to prevent the occurrence of abuse .and to assure that all alleged violations of federal or State laws which involved abuse .are investigated, and reported immediately to the Facility Administrator, the State Survey Agency,… […]