Inspection Reports for
Signature Healthcare at Jefferson Manor Rehab and We

1801 LYNN WAY, LOUISVILLE, KY, 40222

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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/year

Deficiencies per year

4 3 2 1 0
2025

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
NameTitleContext
Director of NursingDirector of Nursing (DON)Assessed resident #17's ability to self-administer ipratropium-albuterol nebulizer and involved in corrective actions
Licensed Practical Nurse #6Licensed Practical Nurse (LPN)Interviewed regarding knowledge of residents' self-administration of medications
Registered Nurse #7Registered Nurse (RN)Interviewed regarding residents' self-administration of medications
Nurse PractitionerNurse Practitioner (NP)Interviewed about resident #17's self-administration of nebulizer treatments
Staff Development CoordinatorStaff Development Coordinator (SDC)Completed education with staff on Residents Rights Policy and Medication Administration Policy
Signature Care ConsultantSignature Care Consultant (SCC)Completed education with Director of Nursing and staff on Residents Rights Policy and Medication Administration Policy

Report

Jul 25, 2025

Report

Jun 6, 2024

Report

Feb 15, 2019

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