Signature Pointe

In the surveyor’s words

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

• Actual harm, isolatedF686Dec 21, 2023

  Based on observation, record review and interview the facility failed to ensure that a resident receives care, consistent with professional standards of practice, to prevent pressure ulcers and does not develop pressure ulcers unless the individual's clinical condition demonstrates that they were unavoidable; and a resident with pressure ulcers receives necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for one (Resident #24) of five residents reviewed for pressure ulcers. […]

• No harm, potential for more than minimal, widespreadF575Apr 16, 2026

  Based on observation, interview and record review the facility failed to post in a form and manner accessible and understandable to residents and resident representatives a list of names, addresses (mailing and email, and telephone numbers of all pertinent State agencies and advocacy groups, such as the State Survey Agency, the State licensure office, the protection and advocacy network, home and community based service programs, and the Medicaid Fraud Control Unit for 1 of 1 buildings reviewed for postings The facility failed to ensure the number to HHS Long Term Care Regulatory (state survey and certification agency) number for filing grievances, or complaints or suspected violations of state or Federal violations was posted. […]

• No harm, potential for more than minimal, patternF656Apr 16, 2026

  Based on observations, interviews, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights set forth that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for a resident for 4 of 12 residents (Residents #4, #9, #74 and #124) reviewed for care plans. The facility failed to ensure Resident #4, #9 and #124's care plan reflected an intervention which included the bed being in the lowest position and fall mat alongside bed. […]

• No harm, potential for more than minimal, patternF693Apr 16, 2026

  Based on observation, interview and record review, the facility failed to provide appropriate treatment and services to prevent complications of enteral feeding for three of five residents (Resident #8, #74, and #125) reviewed for feeding tube management.1. The facility failed to ensure LVN D checked Resident #8's g-tube placement before flushing and administering medications on 04/15/2026. 2. The facility failed to ensure LVN C checked Resident #74's residual before flushing and medication administration on 04/15/2026.3. The facility failed to ensure LVN A checked Resident #125's g-tube placement before flushing and administering medications on 04/15/2026. […]

• No harm, potential for more than minimal, patternF695Apr 16, 2026

  Based on observation, interview, and record review, the facility failed to ensure that residents, who needed respiratory care, were provided such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for two of twelve (Resident #9, and #74) reviewed for respiratory care. The facility failed to ensure Resident #9 had physician's orders for the use of an oxygen concentrator. The facility failed to ensure Resident #74 had an order for her suction use on 04/14/2026. […]