SIGNATURE HEALTHCARE OF COLUMBIA

The information listed below provides an in-depth look into the type and quality of care offered at Signature Healthcare of Columbia. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

SIGNATURE HEALTHCARE OF COLUMBIA
1410 TROTWOOD AVENUE
COLUMBIA, TN 38401
(931) 388-6443

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

68%

Number of Residents and Certified Beds

  • Residents: 123
  • Certified Beds: 181

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Signature Healthcare of Columbia. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1621.6%
ADL Index Range: 6-1012.6%
ADL Index Range: 0-518.3%
Total Percent:52.5%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-165.4%
ADL Index Range: 6-1010.2%
ADL Index Range: 0-55.0%
Total Percent:20.6%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.7%
ADL Index Range: 6-102.8%
ADL Index Range: 0-52.5%
Total Percent:6.0%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-162.5%
ADL Index Range: 6-100.9%
ADL Index Range: 0-51.4%
Total Percent:4.7%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
3.0%
ADL Index Range: 11-14
- No Signs of depression
1.1%
ADL Index Range: 6-10
- No Signs of depression
0.8%
Total Percent:5.0%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
1.1%
ADL Index Range: 11-14
- No Signs of depression
1.5%
Total Percent:2.7%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
2.8%
ADL Index Range: 2-5
- No Signs of depression
0.7%
Total Percent:3.5%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 2-5
- Less restorative nursing
0.4%
Total Percent:0.4%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 11-14
- Two or more restorative nursing on 6+ days/wk
2.1%
ADL Index Range: 11-14
- Less restorative nursing
1.3%
ADL Index Range: 2-5
- Less restorative nursing
0.7%
ADL Index Range: 0-1
- Less restorative nursing
0.5%
Total Percent:4.6%
 

Rating Details For Signature Healthcare of Columbia

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours34 Minutes1 Hour and 5 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 7 Minutes41 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours2 Hours and 23 Minutes
Total Licensed Nurse Hours1 Hour and 41 Minutes1 Hour and 46 Minutes
Total Nurse Hours3 Hours and 41 Minutes4 Hours and 9 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Tennessee are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityTennessee Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%92%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%89%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair14%7%
Percent of Long-Stay Residents Who Were Physically Restrained2%6%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores8%10%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection6%10%
Percent of Long-Stay Residents Who Lose Too Much Weight10%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse16%10%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased17%12%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder45%49%
Percent of Long-Stay Residents Who Are More Depressed or Anxious4%10%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination79%81%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season80%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain12%14%
Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Have Pressure Sores13%12%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 06/22/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Inspection Date: 09/16/2009
  • Correction Date: 10/29/2009
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
  • Inspection Date: 09/16/2009
  • Correction Date: 10/29/2009
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 09/16/2009
  • Correction Date: 10/29/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 09/16/2009
  • Correction Date: 10/29/2009
Give or Get X-Rays and Other Tests to Meet the Needs of Residents.
  • Inspection Date: 12/08/2010
  • Correction Date: 12/28/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/16/2009
  • Correction Date: 10/29/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 09/16/2009
  • Correction Date: 10/29/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 12/08/2010
  • Correction Date: 12/28/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 12/08/2010
  • Correction Date: 12/28/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 06/22/2011
  • Correction Date: 07/08/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 06/22/2011
  • Correction Date: 07/08/2011

Nutrition and Dietary

Hire Enough Skilled Workers to Carry out Dietary Service.
  • Inspection Date: 06/22/2011
  • Correction Date: 07/08/2011

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 12/08/2010
  • Correction Date: 12/28/2010
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 12/08/2010
  • Correction Date: 12/28/2010
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 06/22/2011
  • Correction Date: 07/08/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 12/08/2010
  • Correction Date: 12/28/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 06/22/2011
  • Correction Date: 07/08/2011

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 09/16/2009
  • Correction Date: 10/29/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 09/16/2009
  • Correction Date: 10/29/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 12/08/2010
  • Correction Date: 12/28/2010
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 06/22/2011
  • Correction Date: 07/08/2011
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 06/22/2011
  • Correction Date: 07/08/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 09/16/2009
  • Correction Date: 10/29/2009

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)09/16/2009$6,800
Civil Money Penalty (CMP)09/16/2009$8,800

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Signature Healthcare of Columbia had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 06/21/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 09/15/2009
  • Correction Date: 10/29/2009
Portable Fire Extinguishers.
  • Inspection Date: 09/15/2009
  • Correction Date: 10/29/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 12/06/2010
  • Correction Date: 01/05/2011
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 06/21/2011
  • Correction Date: 07/08/2011

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 09/15/2009
  • Correction Date: 10/29/2009
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 12/06/2010
  • Correction Date: 01/05/2011
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 06/21/2011
  • Correction Date: 07/08/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 09/15/2009
  • Correction Date: 10/29/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 09/15/2009
  • Correction Date: 10/29/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 09/15/2009
  • Correction Date: 10/29/2009
Properly Maintained Smoke Detectors.
  • Inspection Date: 09/15/2009
  • Correction Date: 10/29/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 09/15/2009
  • Correction Date: 10/29/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 12/06/2010
  • Correction Date: 01/05/2011

Medical Gases and Anesthetizing Areas

No-Smoking Signs Where Oxygen is Used.
  • Inspection Date: 09/15/2009
  • Correction Date: 10/29/2009
Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 06/21/2011
  • Correction Date: 07/08/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 09/15/2009
  • Correction Date: 10/29/2009
Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 12/06/2010
  • Correction Date: 01/05/2011
Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 06/21/2011
  • Correction Date: 07/08/2011

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors.
  • Inspection Date: 09/15/2009
  • Correction Date: 10/29/2009
Source: Medicare Nursing Home Compare; Tennessee Department of Health - Retrieved 2011