SIGNATURE HEALTHCARE OF GAINESVILLE

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 "Very 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 Gainesville. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation Plus Extensive Services

High Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care Low

Clinically Complex

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.

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.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

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 09/10/2010.

Administration

Choose a Doctor to Be the Medical Director. Inspection Date: 09/10/2010 Correction Date: 10/12/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 09/10/2010 Correction Date: 10/12/2010
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 09/10/2010 Correction Date: 10/12/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Keep All Essential Equipment Working Safely. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 08/20/2009 Correction Date: 09/22/2009

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 09/10/2010 Correction Date: 10/12/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/10/2010 Correction Date: 10/12/2010

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 09/12/2008 Correction Date: 10/27/2008

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/20/2009 Correction Date: 09/22/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 08/20/2009 Correction Date: 09/22/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 09/10/2010 Correction Date: 10/12/2010
Make Sure That Each Resident Gets Help to Keep Vision and Hearing. Inspection Date: 09/10/2010 Correction Date: 10/12/2010
Give or Get Dental Care for Each Resident. Inspection Date: 09/10/2010 Correction Date: 10/12/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
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: 09/12/2008 Correction Date: 10/27/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 08/20/2009 Correction Date: 09/22/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/20/2009 Correction Date: 09/22/2009
Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home. Inspection Date: 08/20/2009 Correction Date: 09/22/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 09/10/2010 Correction Date: 10/12/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/10/2010 Correction Date: 10/12/2010

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 09/12/2008 Correction Date: 10/27/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 08/20/2009 Correction Date: 09/22/2009
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 09/10/2010 Correction Date: 10/12/2010

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

Administration

Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person. Complaint Filed: 07/20/2009 Correction Date: 08/31/2009

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Complaint Filed: 11/19/2009 Correction Date: 12/30/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 03/07/2011 Correction Date: 04/07/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Complaint Filed: 08/10/2009 Correction Date: 09/22/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 08/10/2009 Correction Date: 09/22/2009

Resident Assessment

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. Complaint Filed: 07/29/2009 Correction Date: 08/31/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 11/19/2009 Correction Date: 12/30/2009

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 11/19/2009 Correction Date: 12/30/2009
Provide Enough Notice Before Discharging or Transferring a Resident. Complaint Filed: 06/24/2010 Correction Date: 07/24/2010
Try to Resolve Each Resident's Complaints Quickly. Complaint Filed: 03/07/2011 Correction Date: 04/07/2011
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. Complaint Filed: 03/07/2011 Correction Date: 04/07/2011

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 Gainesville 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 09/10/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 08/18/2009 Correction Date: 09/22/2009

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 09/09/2008 Correction Date: 10/14/2008

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 09/09/2008 Correction Date: 10/14/2008