Inspection Reports for
Signature Healthcare of Spencer County
625 TAYLORSVILLE RD, TAYLORSVILLE, KY, 40071
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
6.3 deficiencies/year
Deficiencies are regulatory findings recorded during state inspections.
34% worse than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Aug 2, 2024
Visit Reason
The inspection was conducted following a complaint alleging abuse and failure to meet resident communication needs, as well as concerns about the facility environment, food safety, and sanitation practices.
Complaint Details
The complaint investigation was triggered by allegations from a resident and family members that the resident was abused and denied access to a call light, with communication barriers due to hearing impairment. The facility investigated, moved the resident to a different hall, educated staff on communication methods, and addressed the resident's needs. The resident and family reported improved communication after interventions.
Findings
The facility failed to treat a resident with respect and dignity, resulting in communication barriers and alleged abuse. Additionally, the facility did not maintain a safe, clean, and homelike environment due to persistent urine odors in a shared bathroom. Food was served at unsafe temperatures and dietary staff failed to follow proper sanitation and food handling procedures.
Deficiencies (4)
F 0550: The facility failed to treat a resident with respect and dignity, resulting in communication barriers and alleged abuse for one of 34 sampled residents.
F 0584: The facility failed to provide a safe, clean, comfortable, and homelike environment for three of 34 sampled residents due to persistent strong urine odor in a shared bathroom.
F 0804: The facility failed to provide food at palatable and safe temperatures for three of 34 sampled residents; scrambled eggs were served at 90.7 degrees Fahrenheit.
F 0812: The facility failed to prepare, distribute, and serve food in a sanitary manner; dietary staff did not wash hands or wear gloves and a contract staff member entered the kitchen without a hair net.
Report Facts
Residents sampled: 34
Residents affected: 1
Residents affected: 3
Residents affected: 3
Residents affected: Many
Scrambled eggs temperature: 90.7
Oatmeal temperature: 129.3
Muffin temperature: 104.8
Milk temperature: 37.9
Coffee temperature: 146
Orange juice temperature: 37
Inspection Report
Routine
Census: 89
Deficiencies: 7
Date: Aug 2, 2024
Visit Reason
Routine inspection of Signature Healthcare of Spencer County to assess compliance with health and safety regulations including resident environment, food service, infection control, water supply, and pest control.
Findings
The facility was found to have multiple deficiencies including persistent urine odor in shared bathrooms, unsafe storage of chemicals, improper food temperature and sanitation practices, failure to follow infection control policies including Legionella water management, improper laundry handling, inadequate pest control, and unsafe emergency water storage.
Deficiencies (7)
F 0584: The facility failed to provide a safe, clean, comfortable, and homelike environment for three residents due to persistent strong urine odor in a shared bathroom.
F 0689: The facility failed to ensure the resident environment was free from accident hazards by storing chemical products under sinks in public bathrooms accessible to residents.
F 0804: The facility failed to provide food at palatable temperatures for three residents; scrambled eggs were served at 90.7°F, below safe temperature standards.
F 0812: Dietary staff failed to wash hands and wear gloves during food preparation and temperature checks; a contract staff member entered the kitchen without proper hair covering.
F 0880: The facility failed to maintain an infection prevention program, including failure to monitor Legionella risk in ice machines, improper laundry handling, and allowing a contractor to enter the kitchen without proper infection control.
F 0922: The facility failed to ensure safe drinking water availability with emergency water stored in an unsecured, non-temperature controlled outdoor building on a dirt floor.
F 0925: The facility failed to maintain effective pest control; multiple gnats were observed in resident rooms and bathrooms despite spraying, attributed to residents leaving food uncovered.
Report Facts
Residents present: 89
Sampled residents: 34
Food temperature: 90.7
Food temperature: 129.3
Food temperature: 104.8
Food temperature: 37.9
Food temperature: 146
Food temperature: 37
Residents affected: 3
Residents affected: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| District Dietary Manager | District Dietary Manager | Named in findings related to food temperature and food preparation sanitation |
| Social Services Director | Social Services Director | Interviewed regarding resident environment and odor issues |
| Environmental Services Director | Environmental Services Director | Interviewed regarding odor, chemical storage, laundry, and pest control |
| Director of Nursing | Director of Nursing | Interviewed regarding resident environment and pest control |
| Administrator | Administrator | Interviewed regarding overall facility expectations and deficiencies |
| Plant Operation Director | Plant Operation Director | Interviewed regarding Legionella water management and pest control |
| Laundry Worker #1 | Laundry Worker | Observed folding linens improperly |
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: May 31, 2019
Visit Reason
The inspection was conducted following complaints and investigations related to resident abuse, failure to obtain physician orders for care, failure to develop and implement care plans, and infection control issues.
Complaint Details
The complaint investigation involved allegations of verbal abuse between residents, failure to obtain physician orders for care, failure to develop care plans, and infection control breaches. The verbal abuse allegation was substantiated with interviews and policy reviews confirming Resident #41 threatened Resident #47. Other deficiencies were confirmed through record reviews and staff interviews.
Findings
The facility was found to have failed to protect residents from verbal abuse, failed to obtain physician orders for maintenance of a Mediport, failed to develop and implement care plans for safe smoking and Mediport care, and failed to maintain an effective infection control program, including improper use of PPE by staff.
Deficiencies (4)
F 0600: The facility failed to protect residents from verbal abuse when Resident #41 threatened to kill Resident #47.
F 0635: The facility failed to obtain physician orders for the maintenance care of Resident #79's Mediport upon re-admission.
F 0656: The facility failed to develop and implement care plans for safe smoking for Residents #69 and #71, and for Mediport care for Resident #79.
F 0880: The facility failed to maintain an effective infection control program when staff failed to use appropriate PPE in Resident #87's contact isolation room.
Report Facts
Residents affected: 40
Residents affected: 1
Residents affected: 1
Residents affected: 3
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse #3 | Registered Nurse | Named in failure to obtain physician orders for Mediport care and re-admission assessment |
| Director of Nursing | Director of Nursing | Named in multiple findings including failure to obtain orders, care plan development, and infection control oversight |
| Speech Therapist | Speech Therapist | Named in infection control breach for failure to wear PPE |
| Certified Nursing Assistant #3 | Certified Nursing Assistant | Named in infection control procedures and observations |
| Registered Nurse #1 | Registered Nurse | Named in infection control procedures and observations |
| Social Worker | Social Worker | Named in behavioral observations and care plan discussions |
| Administrator | Administrator | Named in responsibility for resident safety and infection control policy enforcement |
| Assistance Director of Nursing | Assistant Director of Nursing | Named in infection control procedures and staff training |
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Apr 5, 2018
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements related to resident care, medication storage, infection control, and care planning.
Findings
The facility was found deficient in properly assessing and documenting the use of physical restraints, specifically the use of an activity tray on Resident #8's wheelchair. Care plans for Residents #8 and #31 were not updated to reflect current interventions and resident preferences. Medication carts were observed unlocked and unattended, posing a security risk. Infection control practices were inadequate as urinary drainage bags for Residents #60 and #70 were improperly positioned, increasing infection risk.
Deficiencies (4)
F 0604: The facility failed to assess or re-evaluate the use of a physical restraint, specifically an activity tray on Resident #8's wheelchair, which was not removed during meals or when not engaged in activities.
F 0657: The facility failed to revise care plans for Residents #8 and #31 to include the use of an activity tray for fall prevention and anxiety, and to reflect Resident #31's toileting preferences.
F 0761: The facility failed to ensure medication carts were securely stored; one medication cart was observed unlocked and unattended on the 200 Hallway.
F 0880: The facility failed to maintain effective infection control; urinary drainage bags for Residents #60 and #70 were found on the floor or positioned above the bladder, risking infection.
Report Facts
Residents sampled: 21
Medication carts observed: 8
Medication carts unlocked: 1
Residents with urinary drainage issues: 2
Falls for Resident #8: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nursing Assistant | Provided information about Resident #8's activity tray use and restraint policy |
| Assistant Director of Nursing | ADON | Provided details on restraint use, care plan monitoring, and medication cart security |
| Registered Nurse #3 | RN | Discussed restraint policies and care plan updates |
| Director of Nursing | DON | Discussed care plan responsibilities and restraint policy enforcement |
| Administrator | Facility Administrator | Discussed overall facility responsibility for care plans and restraint monitoring |
| LPN #2 | Licensed Practical Nurse | Interviewed regarding medication cart security |
| Staff Development Director | SDD | Provided information on staff education and infection control audits |
| 600 Unit Manager | Unit Manager | Discussed care plan updates and infection control practices |
| Certified Nursing Assistant #3 | CNA | Discussed urinary drainage bag placement and infection control |
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