Inspection Reports for
Signature Healthcare at Jackson Manor Reha and Welln
96 HIGHWAY 3444, ANNVILLE, KY, 40402
Back to Facility ProfileDeficiencies (last 1 years)
Deficiencies (over 1 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
6% worse than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
90% occupied
Based on a April 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Renewal
Census: 46
Capacity: 51
Deficiencies: 5
Date: Apr 28, 2025
Visit Reason
A Recertification Survey was initiated on 04/28/2025 and concluded on 05/02/2025 to assess compliance with long term care facility requirements. Additionally, a Life Safety Recertification Survey was conducted on 04/30/2025.
Findings
The facility was found not to be in compliance with 42 CFR 483.5 - 483.75 Subpart B, with deficiencies cited at the highest Scope and Severity of a 'D'. Life Safety Code deficiencies were also identified but the facility achieved substantial compliance with Life Safety Code on 05/21/2025 after a Plan of Correction and onsite revisit on 06/11/2025.
Deficiencies (5)
Failure to ensure Minimum Data Set (MDS) assessments were transmitted to CMS within 14 days after completion for three sampled residents.
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.
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.
Report Facts
Total census: 46
Facility capacity: 51
Residents sampled for MDS assessment review: 15
Residents affected by hazardous doorstop deficiency: 47
Rooms affected by power strip deficiency: 4
Inspection Report
Abbreviated Survey
Census: 46
Deficiencies: 0
Date: Feb 12, 2025
Visit Reason
An Abbreviated Survey was conducted by representatives of the Office of Inspector General to investigate the facility.
Findings
The facility was found to be in regulatory compliance with no deficient practices cited.
Inspection Report
Abbreviated Survey
Census: 43
Deficiencies: 0
Date: Jan 13, 2025
Visit Reason
An Abbreviated Survey was conducted to investigate KY00040784, KY00041741, KY00043644, and KY00044494, initiated on 2025-01-08 and concluded on 2025-01-13.
Findings
The Office of Inspector General found the facility to be in regulatory compliance for the investigated cases KY00040784, KY00041741, KY00043644, and KY00044494.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| H. Rita Jones | RN | Representative of the Office of Inspector General who conducted the survey |
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