Signature Healthcare of Memphis

In the surveyor’s words

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

• Actual harm, isolatedF684Apr 17, 2023

  Based on policy review, medical record review, and interview, the facility failed to ensure the resident's physician was notified of a significant change in a resident who complained of left leg pain and swelling from her leg getting tangled in a Hoyer lift pad for 1 of 4 (Resident #15) sampled residents. The facility's failure to notify the resident's physician resulted actual harm when the resident waited for approximately 20 hours and 15 minutes before being transferred to the hospital for treatment of a fractured hip. The facility had a census of 125. The findings include: 1. […]

• No harm, potential for more than minimal, isolatedF689May 13, 2026

  Based on policy review, medical record review, observation, and interview, the facility failed to ensure the environment was free from accident hazards when portable oxygen cylinders were unsecured in 2 of 107 (Residents #7 and #99) sampled residents' rooms. The findings include: 1. Review of the facility policy titled, Oxygen Storage, dated 1/31/2025, revealed .The facility acknowledges the special hazards associated with storage and use of compressed oxygen cylinders.has established procedures for the safe storage, use and transfer of oxygen in the facility.E-tanks [Emergency tanks] will be stored in an approved O2 [Oxygen] tank holding device or in an approved storage rack at all times. 2. […]

• No harm, potential for more than minimal, isolatedF609Nov 21, 2025

  Based on facility policy review, medical record review, and interview, the facility failed to report an injury of unknown origin for 1 of 2 (Resident #2) sampled residents reviewed for abuse. The findings include: 1. Review of facility policy titled, Abuse, Neglect, and Misappropriation., dated 9/15/2023, revealed .It is the organization's intention to prevent the occurrence of.injuries of unknown origin.and to assure that all alleged violations of federal and State laws which involve.injuries of unknown origin.are investigated and reported immediately to agencies in accordance with Federal and State law.Injury of Unknown Source.This means an injury that meets both of the following conditions.the source of the injury was not observed by any person, or the source of the injury could not be… […]

• No harm, potential for more than minimal, isolatedF583Apr 17, 2023

  Based on policy review, medical record review, observation, and interview, the facility failed to maintain privacy and confidentiality of resident medical records for 1 of 17 (Resident #4) sampled residents. The finding include: Review of the facility policy titled, Resident Rights, revised 8/16/2018, revealed, .All residents have the right to be treated with respect and dignity. These rights will be promoted and protected by the facility .Federal and state laws guarantee certain basic rights to all residents of this facility. […]

• No harm, potential for more than minimal, isolatedF661Apr 17, 2023

  Based on policy review, medical record review, and interview, the facility failed to ensure the completion of a Discharge Summary with a recapitulation of the resident's stay for 1 of 3 sampled residents (Resident #10) reviewed for discharge. The findings include: Review of the facility's policy titled Discharge Summary, dated 11/1/2022, revealed, .A discharge summary will prepared which will include .A recapitulation of the resident's stay that includes .diagnoses, course of illness/treatment or therapy and pertinent lab, radiology, and consultation results . […]