Inspection Reports for Signature Healthcare at Jefferson Manor Rehab and We
1801 LYNN WAY, KY, 40222
Back to Facility ProfileDeficiencies (last 1 years)
Deficiencies (over 1 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
79% better than Kentucky average
Kentucky average: 4.7 deficiencies/year
Deficiencies per year
4
3
2
1
0
Inspection Report
Abbreviated Survey
Census: 89
Deficiencies: 1
Jul 24, 2025
Visit Reason
A Recertification and Abbreviated survey was conducted from 07/21/2025 to 07/24/2025 to assess compliance with 42 CFR 483 subpart B.
Findings
The facility was found not to be in substantial compliance due to a deficiency related to resident self-administration of medications. Corrective actions were implemented and the facility achieved substantial compliance by 08/19/2025.
Severity Breakdown
SS = D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to follow policy prior to self-administering nebulizer treatments for resident #17. | SS = D |
Report Facts
Survey Census: 89
Sample Size: 18
Date of Compliance: Aug 19, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Assessed resident #17's ability to self-administer ipratropium-albuterol nebulizer and involved in corrective actions |
| Licensed Practical Nurse #6 | Licensed Practical Nurse (LPN) | Interviewed regarding knowledge of residents' self-administration of medications |
| Registered Nurse #7 | Registered Nurse (RN) | Interviewed regarding residents' self-administration of medications |
| Nurse Practitioner | Nurse Practitioner (NP) | Interviewed about resident #17's self-administration of nebulizer treatments |
| Staff Development Coordinator | Staff Development Coordinator (SDC) | Completed education with staff on Residents Rights Policy and Medication Administration Policy |
| Signature Care Consultant | Signature Care Consultant (SCC) | Completed education with Director of Nursing and staff on Residents Rights Policy and Medication Administration Policy |
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