Signature Healthcare of South Louisville

In the surveyor’s words

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

• Immediate jeopardy, isolatedF656Oct 7, 2022

  Based on observation, interview, record review, and review of the facility's policy it was determined the facility failed to develop and/or implement a person-centered Comprehensive Care Plan (CCP) to ensure residents maintained the highest practicable physical, mental and psychosocial well-being as required for two (2) of eighteen (18) sampled residents (Resident #2 and Resident #10). 1. The facility admitted Resident #2 on [DATE], for rehabilitation services. The resident had medication ordered for management of his/her hypertension. However, there was no documentation the facility developed the Comprehensive Care Plan for management of Resident #2's diagnosed cardiovascular disease to include monitoring of his/her high or low blood pressure. […]

• Immediate jeopardy, isolatedF684Oct 7, 2022

  Based on observation, interview, record review, and facility policy review, it was determined the facility failed to promptly assess and provide the necessary care and services for one (1) of eighteen (18) sampled residents (Resident #2). Review of Resident #2's closed clinical record revealed the facility failed to assess the resident when his/her blood pressure medication was withheld on [DATE]. Certified Medication Technician (CMT) #1 held the resident's dose of Hydralazine, 25 milligrams (mg) on [DATE]. However, the CMT failed to document the low blood pressure and failed to inform the licensed nurse to ensure the resident was assessed within thirty (30) minutes; and, failed to conduct any necessary follow up. At 5:03 PM, staff found Resident #2 unresponsive in his/her room. […]

• Immediate jeopardy, isolatedF692Oct 7, 2022

  Based on observation, interview, record review and facility policy review, it was determined the facility failed to provide the necessary hydration care and services to ensure residents' assessed hydration needs were met for one (1) of eighteen (18) sampled residents (Resident #10). Interview with the Nurse Practitioner (NP) on 08/30/2022 at 9:24 AM, revealed Resident #10's son had been concerned about the resident's behavior and how he/she looked on 08/29/2022. She stated she assessed Resident #10; however, she had not reviewed the resident's oral intake. The NP stated she would only have reviewed the resident's input and output if nursing staff had brought it to her attention. Per the NP, Resident #10 was sent out to the ED on 08/29/2022, because of his/her altered mental state. […]

• Immediate jeopardy, isolatedF835Oct 7, 2022

  Based on interview, record review, review of the facility's policy, and it's Administrator job description, it was determined the facility failed to ensure it was administered in a manner that enabled it to use its resources to attain and maintain the highest practicable physical, mental, and psychosocial well-being of each resident for two (2) of eighteen (18) sampled residents (Resident #2 and Resident #10). The facility failed to utilize its resources to provide quality care and services to meet the needs of its residents. The facility was cited Immediate Jeopardy in the areas of 42 CFR 483.21 Comprehensive Resident Centered Care Plans (F656); 42 CFR 483.25 Quality of Care (F684 and F692); and 42 CFR 483.70 Administration (F835). […]

• No harm, potential for more than minimal, widespreadF812Feb 26, 2026

  Based on observation, interview and record review the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety. Observations revealed dented canned food items in the storage area, available for use. Additionally, observation revealed staff failed to practice hand hygiene during plating of meals. The findings include:1. Review of a policy from the dietary services company contractor titled, Receiving, revised 02/2023, revealed, Safe food handling procedures for time and temperature control will be practiced in the transportation, delivery, and subsequent storage of all food items. The policy revealed the Procedures included, 1. The Dining Services Director or designee receives all items and checks each against the order; 2. […]