SIGNATURE HEALTHCARE OF NORTH FLORIDA

The information listed below provides an in-depth look into the type and quality of care offered at Signature Healthcare of North Florida. 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 NORTH FLORIDA
1083 SANDERS AVENUE
GRACEVILLE, FL 32440
(850) 263-4447

Nursing Home Ratings

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

Percent of Beds Occupied

82%

Number of Residents and Certified Beds

  • Residents: 148
  • Certified Beds: 180

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Chipley | Bonifay | Marianna

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 North Florida. 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: 11-1626.7%
ADL Index Range: 6-106.4%
ADL Index Range: 0-521.4%
Total Percent:54.5%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-166.9%
ADL Index Range: 6-109.4%
ADL Index Range: 0-58.0%
Total Percent:24.3%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-167.1%
ADL Index Range: 0-55.4%
Total Percent:12.5%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.3%
ADL Index Range: 0-57.8%
Total Percent:8.1%
 

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
0.10%
Total Percent:0.10%
 

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
0.4%
Total Percent:0.4%
 

Rating Details For Signature Healthcare of North Florida

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) Hours29 Minutes1 Hour and 10 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 4 Minutes40 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 51 Minutes2 Hours and 23 Minutes
Total Licensed Nurse Hours1 Hour and 33 Minutes1 Hour and 50 Minutes
Total Nurse Hours4 Hours and 24 Minutes4 Hours and 13 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 Florida are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityFlorida Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%86%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season84%87%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Lose Too Much Weight13%8%
Percent of Long-Stay Residents Who Were Physically Restrained4%5%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection16%11%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased22%12%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder55%54%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%3%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious22%10%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse13%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores16%12%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%5%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair6%5%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season64%80%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination77%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores11%14%
Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain4%17%

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 01/07/2011.

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

Follow All Laws and Professional Standards.
  • Inspection Date: 11/07/2008
  • Correction Date: 12/18/2008
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 11/07/2008
  • Correction Date: 12/18/2008
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 12/18/2009
  • Correction Date: 01/22/2010

Environmental

Provide Clean Bed and Bath Linens That Are in Good Condition.
  • Inspection Date: 11/07/2008
  • Correction Date: 12/18/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 11/07/2008
  • Correction Date: 12/18/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 12/18/2009
  • Correction Date: 01/22/2010
Keep Adequate and Comfortable Lighting in All Areas.
  • Inspection Date: 12/18/2009
  • Correction Date: 01/22/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 12/18/2009
  • Correction Date: 01/22/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 12/18/2009
  • Correction Date: 01/22/2010
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 12/18/2009
  • Correction Date: 01/22/2010
Get Rid of Garbage Properly.
  • Inspection Date: 01/07/2011
  • Correction Date: 02/14/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 11/07/2008
  • Correction Date: 12/18/2008

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 12/18/2009
  • Correction Date: 01/22/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 11/07/2008
  • Correction Date: 12/18/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 11/07/2008
  • Correction Date: 12/18/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 11/07/2008
  • Correction Date: 12/18/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 11/07/2008
  • Correction Date: 12/18/2008
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Inspection Date: 11/07/2008
  • Correction Date: 12/18/2008
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Inspection Date: 11/07/2008
  • Correction Date: 12/18/2008
Give or Get Dental Care for Each Resident.
  • Inspection Date: 11/07/2008
  • Correction Date: 12/18/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 12/18/2009
  • Correction Date: 01/22/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 12/18/2009
  • Correction Date: 01/22/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 12/18/2009
  • Correction Date: 01/22/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 12/18/2009
  • Correction Date: 01/22/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 12/18/2009
  • Correction Date: 01/22/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 12/18/2009
  • Correction Date: 01/22/2010
Give or Get Dental Care for Each Resident.
  • Inspection Date: 12/18/2009
  • Correction Date: 01/22/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 11/07/2008
  • Correction Date: 12/18/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 11/07/2008
  • Correction Date: 12/18/2008
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: 11/07/2008
  • Correction Date: 12/18/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 12/18/2009
  • Correction Date: 01/22/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 12/18/2009
  • Correction Date: 01/22/2010

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 11/07/2008
  • Correction Date: 12/18/2008
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 11/07/2008
  • Correction Date: 12/18/2008
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 11/07/2008
  • Correction Date: 12/18/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 11/07/2008
  • Correction Date: 12/18/2008
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Inspection Date: 11/07/2008
  • Correction Date: 12/18/2008
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
  • Inspection Date: 11/07/2008
  • Correction Date: 12/18/2008
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 12/18/2009
  • Correction Date: 01/22/2010
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 12/18/2009
  • Correction Date: 01/22/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 12/18/2009
  • Correction Date: 01/22/2010
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 01/07/2011
  • Correction Date: 02/14/2011

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)12/18/2009$1,170
Civil Money Penalty (CMP)12/18/2009$15,600

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Signature Healthcare of North Florida, as well as complaints by residents or their family in the previous three years.

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
Formal ComplaintsDegree of HarmResidents Affected

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 04/23/2008
  • Correction Date: 06/11/2008

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 North Florida 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 01/05/2011.

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: 11/04/2008
  • Correction Date: 12/22/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 12/14/2009
  • Correction Date: 02/22/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 12/14/2009
  • Correction Date: 02/22/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 11/04/2008
  • Correction Date: 12/22/2008
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 12/14/2009
  • Correction Date: 02/22/2010
Properly Protected Cooking Facilities.
  • Inspection Date: 12/14/2009
  • Correction Date: 02/22/2010
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 01/05/2011
  • Correction Date: 02/07/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 12/14/2009
  • Correction Date: 02/22/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 11/04/2008
  • Correction Date: 12/22/2008

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 12/14/2009
  • Correction Date: 02/22/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 12/14/2009
  • Correction Date: 02/22/2010

Laboratories

Proper Facilities for the Use and Storage of Combustible Liquids.
  • Inspection Date: 11/04/2008
  • Correction Date: 12/22/2008

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 12/14/2009
  • Correction Date: 02/22/2010

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: 01/05/2011
  • Correction Date: 02/07/2011
Source: Medicare Nursing Home Compare; Agency for Health Care Administration of Florida - Retrieved 2011