Inspection Reports for
Signature Healthcare of Monroe County Rehab and Well
706 NORTH MAGNOLIA STREET, TOMPKINSVILLE, KY, 42167
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
51% better than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Routine
Deficiencies: 1
Date: May 11, 2024
Visit Reason
The inspection was conducted to assess compliance with respiratory care standards for residents receiving oxygen therapy, specifically evaluating the facility's provision of safe and appropriate respiratory care.
Findings
The facility failed to ensure that two residents receiving continuous oxygen therapy consistently received water/humidification services to prevent nasal discomfort and irritation. Observations and interviews revealed humidification bottles were often empty, causing nasal dryness and irritation for residents.
Deficiencies (1)
F 0695: The facility did not ensure residents receiving continuous oxygen therapy had humidification bottles changed as needed, resulting in nasal dryness and irritation. Observations showed humidification bottles were empty despite resident requests for replacement.
Report Facts
Residents reviewed for respiratory services: 4
Residents sampled: 27
Residents affected: 2
Oxygen liters per minute: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse 2 | Registered Nurse | Stated humidification bottles should be changed monthly and PRN; explained nursing staff responsibilities |
| MDS Nurse 1 | MDS Nurse | Explained physician orders and care plan expectations regarding oxygen therapy and humidification |
| Director of Nursing | Director of Nursing | Stated expectations for humidification bottle changes and purpose to prevent nasal irritation |
| Administrator | Administrator | Stated clinical team handled oxygen concerns and did not specify expectations |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Apr 18, 2019
Visit Reason
The inspection was conducted to investigate complaints regarding the facility's infection prevention and control program, specifically related to wound care practices for residents with infections.
Complaint Details
The investigation was complaint-driven, focusing on infection control practices related to wound care for Resident #30 and Resident #76. The complaint was substantiated as the facility failed to follow proper infection control procedures.
Findings
The facility failed to maintain an effective infection prevention and control program, as the wound care nurse was observed taking containers of wound care supplies into infected residents' rooms and then returning them to a shared treatment cart, risking cross-contamination. Interviews revealed conflicting views on the appropriateness of this practice.
Deficiencies (1)
F 0880: The facility failed to provide and implement an infection prevention and control program. The wound care nurse took bottles of wound care supplies into rooms of residents with infections and returned them to a shared treatment cart, contrary to infection control policies.
Report Facts
Residents affected: 2
Date of wound care observation: Apr 17, 2019
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Wound Care Nurse | Observed performing wound care and infection control practices | |
| Infection Control Nurse | Interviewed regarding proper infection control procedures | |
| Director of Nursing | Interviewed regarding wound care technique and infection control |
Inspection Report
Routine
Deficiencies: 5
Date: Mar 8, 2018
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, medication storage, staffing, infection control, and catheter care at Signature Healthcare of Monroe County Rehab and Wellness.
Findings
The facility failed to implement comprehensive person-centered care plans and proper catheter care for two residents, failed to post accurate nurse staffing data daily, stored expired medication and improperly stored biologicals, and failed to maintain an effective infection prevention and control program related to improper handling of soiled linen and catheter care.
Deficiencies (5)
F 0656: The facility failed to implement a complete care plan meeting all resident needs, specifically failing to follow catheter care interventions for two residents.
F 0690: The facility failed to provide appropriate urinary catheter care and prevent urinary tract infections for two residents, including improper hand hygiene and catheter cleaning.
F 0732: The facility failed to post nurse staffing information daily and maintain seven daily staffing schedules over the previous eighteen months.
F 0761: The facility failed to ensure drugs and biologicals were stored properly, including an expired medication and improperly discarded applesauce on medication carts.
F 0880: The facility failed to maintain an infection prevention and control program, including improper handling of soiled linen and catheter care for two residents.
Report Facts
Residents sampled: 22
Residents affected: 2
Staffing schedules missing: 7
BIMS score: 14
Medication expiration date: 201711
Applesauce container size: 3.9
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