Inspection Reports for Signature Healthcare at Jackson Manor Reha and Welln
96 HIGHWAY 3444, KY, 40402
Back to Facility ProfileInspection Report Summary
The most recent inspection on April 28, 2025, identified several deficiencies related to Minimum Data Set (MDS) assessment accuracy and timeliness, as well as Life Safety Code issues involving fire barriers, door maintenance, and electrical equipment. Earlier inspections in January and February 2025 found the facility to be in compliance with no deficiencies cited. The main themes of deficiencies in the latest report involved documentation accuracy and safety code compliance. There were no complaint investigations noted in the available reports, and no fines or enforcement actions were listed. The facility showed compliance in earlier surveys but had some issues in the most recent inspection that were addressed through a plan of correction and follow-up visits.
Deficiencies (last 1 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Census
Based on a April 2025 inspection.
Census over time
| Description | Severity |
|---|---|
| Failure to ensure Minimum Data Set (MDS) assessments were transmitted to CMS within 14 days after completion for three sampled residents. | D |
| Failure to ensure accuracy of Minimum Data Set (MDS) assessments for three sampled residents, including incorrect coding of fall history, antipsychotic medication use, and discharge status. | D |
| Failure to provide separation of hazardous areas by fire barriers, including a permanently mounted doorstop preventing door closure in the Dietary Manager office. | — |
| Failure to maintain doors protecting corridors in accordance with NFPA 101 Life Safety Code, including doors failing to latch and close properly. | — |
| Failure to maintain power strips and extension cords in accordance with NFPA 101 standards, including use of unapproved power strips and extension cords in multiple rooms. | — |
| Name | Title | Context |
|---|---|---|
| H. Rita Jones | RN | Representative of the Office of Inspector General who conducted the survey |
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