Signature Healthcare of Putnam County

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF725May 18, 2023

  Based on facility documentation, observation, and interview, the facility failed to have sufficient staffing for 1 of 4 (500) halls. The findings include: Review of the undated facility documentation revealed the 500 hall had 11 assisted diners (residents who required assistance with meals). Review of the facility schedule dated 5/15/2023, revealed 2 Certified Nurse Aides (CNA) and 1 CNA scheduled from 12:00 PM to 6:00 PM. Observations on the 500 hall on 5/15/2023 at 12:08 PM, revealed the tray cart arrived to 500 hall. Observations at the 500 hall nurse's station on 5/15/2023 at 12:24 PM, revealed Resident #114 was seated in a wheel chair in front of the nurse's station. […]

• No harm, potential for more than minimal, widespreadF802May 18, 2023

  Based on facility document review, observation, and interview, the facility failed to serve food in a timely manner to 9 of 123 (Resident #9, #14, #15, #16, #39, #92, and #113) residents who ate food prepared by the facility. The findings include: Review of the undated meal times sheet revealed the serving times for meals for the dining rooms and the halls revealed breakfast was served to the main dining room (DR) at 7:00 AM, 100 hall 1st meal tray cart at 7:15 AM, hall 300/400 at 7:30 AM, hall 200 meal tray cart at 7:45 AM, 500 hall DR and hall at 8:00 AM, hall 100 2nd meal tray cart at 8:15 AM, and hall 200 2nd meal tray cart at 8:30 AM. […]

• No harm, potential for more than minimal, widespreadF804May 18, 2023

  Based on facility policy review, observation, and interview, the facility failed to maintain appropriate temperatures (temps) for food served on a test tray dated 5/15/2023. The facility also failed to maintain appropriate temps for food on the steam table requiring re-heating and a delay in food service. The findings include: Review of the facility policy titled, Food: Preparation Policy 016, undated revealed .the Dining Service Director/Cook(s) will be responsible for food preparation techniques which minimize the amount of time that food items are exposed to techniques which minimize the amount of time that food items are exposed to temperatures greater that 41 degrees Fahrenheit (F) and/or less than 135 degrees F or per state regulation .all foods will be held at appropriate… […]

• No harm, potential for more than minimal, widespreadF812May 18, 2023

  Based on facility policy review, facility maintenance documentation, observation, and interview, the facility failed to provide proper storage dating of foods. The facility also failed to provide proper sanitation of equipment after use and maintenance of equipment in the kitchen. The facility further failed to provide appropriately dated foods and sanitized equipment in 1 of 3 (500 hall) nutrition rooms. The findings include: Review of the facility policy titled, Food Storage: Cold Foods Policy 019 revealed .all time/temperature control for .foods, frozen and refrigerated will be appropriately stored .foods will be stored wrapped or in covered containers, labeled and dated and arranged in a manner to prevent cross contamination . […]

• No harm, potential for more than minimal, patternF550May 18, 2023

  Based on facility policy review, observation, and interview, the facility failed to serve silverware for 1 of 2 carts on the 500 hall during a meal. The findings include: Review of the facility policy titled, Resident Rights reviewed 4/17/2023 revealed .When providing care and services, the stakeholders will respect the resident's individuality and value their input by providing them a dignified existence, through self-determination and communication with access to persons and services inside and outside the facility . Observations on the 500 hall on 5/15/2023 at 5:38 PM, revealed the first tray cart on the floor had 18 trays. Two of the trays on the cart had silverware, and the other 16 trays did not. […]