SIGNATURE HEALTHCARE OF ELIZABETHTOWN

Nursing Home Inspector

1117 WOODLAND DRIVE
ELIZABETHTOWN, KY 42701
Hardin County
Phone: 270-769-2363
Provider Number: 185118
Last Inspection: 01/12/2017

About the Nursing Home

Number of Beds: 112
Number of Residents: 76
Beds Available: 36
Percent Occupancy: 68%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Individual
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

7

Facility
14

County
12

KY
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

7

2017
20

2015
0

2014

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

1/12/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Isolated : Minimal 3 2/15/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 2/15/2017
 

11/19/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Isolated : Minimal 3 1/2/2016
 
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 1/2/2016
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 1/2/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 1/2/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 1/2/2016
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Isolated : Minimal 3 1/2/2016
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

7/7/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 8/5/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 8/5/2017
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 8/5/2017
 

2/10/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 2/18/2017
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 2/15/2017
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 2/15/2017
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg KY State Avg
Number of Residents 76 56.57 79.68
Registered Nurses 0.69 1.36 0.86
Licensed Practical / Vocational Nurses 0.78 0.88 0.87
Certified Nursing Assistants 2.19 2.30 2.40
Total Staff Hours 3.66 4.55 4.13

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% KY State Avg%
of high risk long-stay residents with pressure ulcers 4 5 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 97 94 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93 93 95
of long-stay residents experiencing one or more falls with major injury 2 3 3
of long-stay residents who have depressive symptoms 0 4 2
of long-stay residents who lose too much weight 6 7 7
of long-stay residents who received an antianxiety or hypnotic medication 16 24 31
of long-stay residents who received an antipsychotic medication 25 16 19
of long-stay residents who self-report moderate to severe pain 5 11 6
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 25 20 21
of long-stay residents whose need for help with daily activities has increased 22 16 16
of long-stay residents with a catheter inserted and left in their bladder 1 0 2
of long-stay residents with a urinary tract infection 5 3 4
of low risk long-stay residents who lose control of their bowels or bladder 67 54 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 91 87 84
of short-stay residents who had an outpatient emergency department visit 13 10 14
of short-stay residents who made improvements in function 55 52 59
of short-stay residents who newly received an antipsychotic medication 2 2 2
of short-stay residents who self-report moderate to severe pain 24 18 16
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 93 88 83
of short-stay residents who were rehospitalized after a nursing home admission 27 18 22
of short-stay residents who were successfully discharged to the community 39 52 46
of short-stay residents with pressure ulcers that are new or worsened 0 0 1