Signature Healthcare of Spencer County

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF838Jan 23, 2026

  The facility failed to develop a facility assessment that adequately addresses informed staffing decisions to ensure that there are sufficient number of staff with the appropriate competencies and skill sets necessary to care for its' residents needs as identified through residents assessments and plans of care. Interview on 01/23/2026 at 10:40 AM with CEO he stated the facility assessment had total number per week for nurses and nurse aides required depending on census, but did not address specific numbers required on a daily basis to determine residents care needs. Based on interview, review of facility policy, and review of the Signature Healthcare of [NAME] County Facility Assessment, it was determined the Facility Assessment failed to address all required components. […]

• No harm, potential for more than minimal, widespreadF812Aug 2, 2024

  Based on observation, interview, and review of the facility's policy, it was determined the facility failed to prepare, distribute, and serve food in a sanitary manner and in accordance with professional standards for food service safety. Dietary staff failed to wash hands and wear gloves prior to cooking resident foods and checking food temperatures on the steam table during the lunch meal on 07/30/2024. A cook, who was crying, was observed to stand at the tray line for approximately five minutes with no face covering and a contract staff member, who was not wearing a hair net, walked through the kitchen three times by the food cart which was being filled with resident food trays. […]

• No harm, potential for more than minimal, widespreadF880Aug 2, 2024

  Based on observation, interview, and facility policy review, it was determined the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. The facility failed to follow the Legionella Water Management Plan. Additionally, laundry staff were observed on 08/01/2024 to fold linen which touched the laundry room floor and the laundry worker's body. […]

• No harm, potential for more than minimal, widespreadF922Aug 2, 2024

  Based on observation, interview and review of facility policy, the facility failed to ensure that safe drinking water was available when there was a loss of normal water supply for all residents. The census was 89 residents. The findings include: Review of the Dietary Services Agreement dated [DATE], revealed the contracted company was responsible for following state guidelines, for maintaining an adequate supply of emergency water. Review of the contracted company policy titled Guidelines for Water, not dated, revealed the contract company was to establish a contract with a local vendor to supply bottled water. The inventory guide revealed for non-potable water the amount was to be one gallon per person per day. […]

• No harm, potential for more than minimal, patternF689Aug 2, 2024

  Based on observation, interview, and review of the facility's policy, it was determined the facility failed to ensure the resident environment remained free of accident hazards. On 07/30/2024, chemical products were noted underneath the sink of two bathrooms located near the back nurse's station. Additionally, the doors to both bathrooms were noted to be open with eight residents sitting in wheelchairs near the bathrooms and other residents walking near the bathrooms. The findings include: The facility did not produce an Accident/Supervision Policy upon request from the Administrator on 08/02/2024 10:54 AM . […]