Inspection Reports for Signature Healthcare at Jefferson Manor Rehab and We
1801 LYNN WAY, LOUISVILLE, KY, 40222
Back to Facility ProfileInspection Report Summary
The most recent inspection on July 24, 2025, identified a deficiency related to resident self-administration of medications. Earlier inspections were not provided for comparison, so broader patterns are not clear from the available information. The main issue involved the facility not following policy before a resident self-administered nebulizer treatments. No complaint investigations or enforcement actions were listed in the available reports. The facility implemented corrective actions and achieved substantial compliance by August 19, 2025.
Deficiencies (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/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Abbreviated Survey
Census: 89
Deficiencies: 1
Date: 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.
Deficiencies (1)
Facility failed to follow policy prior to self-administering nebulizer treatments for resident #17.
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 |
Loading inspection reports...
