SIGNATURE HEALTHCARE OF TRIMBLE COUNTY

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

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

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 Kentucky 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 08/25/2010.

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 10/23/2008 Correction Date: 01/02/2009
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 10/23/2008 Correction Date: 01/02/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/23/2008 Correction Date: 01/02/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 12/29/2009 Correction Date: 02/05/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 12/29/2009 Correction Date: 02/05/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 08/25/2010 Correction Date: 09/28/2010

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Inspection Date: 10/23/2008 Correction Date: 01/02/2009

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 10/23/2008 Correction Date: 12/05/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/23/2008 Correction Date: 12/05/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 12/29/2009 Correction Date: 02/05/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/25/2010 Correction Date: 09/28/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 10/23/2008 Correction Date: 12/05/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 08/25/2010 Correction Date: 09/28/2010

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 10/23/2008 Correction Date: 02/19/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 10/23/2008 Correction Date: 01/02/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 10/23/2008 Correction Date: 02/19/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 10/23/2008 Correction Date: 01/02/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 12/29/2009 Correction Date: 02/05/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 10/23/2008 Correction Date: 12/05/2008
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: 10/23/2008 Correction Date: 12/05/2008
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 12/29/2009 Correction Date: 02/05/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 12/29/2009 Correction Date: 02/05/2010
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 08/25/2010 Correction Date: 09/28/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/25/2010 Correction Date: 09/28/2010

Resident Rights

Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States. Inspection Date: 10/23/2008 Correction Date: 01/02/2009
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: 10/23/2008 Correction Date: 02/19/2009
Protect the Resident from a Transfer or Discharge That is Not Wanted or Needed. Inspection Date: 10/23/2008 Correction Date: 01/02/2009
Provide Written Records when a Resident is Transferred or Discharged. Inspection Date: 10/23/2008 Correction Date: 01/02/2009
Provide Enough Notice Before Discharging or Transferring a Resident. Inspection Date: 10/23/2008 Correction Date: 01/02/2009
Tell the Resident or the Resident's Representative in Writing How Long the Nursing Home Will Hold the Resident's Bed when the Resident Temporarily Leaves the Facility. Inspection Date: 10/23/2008 Correction Date: 01/02/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 08/25/2010 Correction Date: 09/28/2010

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.

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

Administration

Keep Accurate and Appropriate Medical Records. Complaint Filed: 04/16/2008 Correction Date: 05/01/2008

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Complaint Filed: 12/10/2008 Correction Date: 01/02/2009

Resident Rights

Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States. Complaint Filed: 12/10/2008 Correction Date: 01/02/2009
Protect the Resident from a Transfer or Discharge That is Not Wanted or Needed. Complaint Filed: 12/10/2008 Correction Date: 01/02/2009
Provide Written Records when a Resident is Transferred or Discharged. Complaint Filed: 12/10/2008 Correction Date: 01/02/2009
Provide Enough Notice Before Discharging or Transferring a Resident. Complaint Filed: 12/10/2008 Correction Date: 01/02/2009
Tell the Resident or the Resident's Representative in Writing How Long the Nursing Home Will Hold the Resident's Bed when the Resident Temporarily Leaves the Facility. Complaint Filed: 12/10/2008 Correction Date: 01/02/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 08/25/2010 Correction Date: 09/28/2010
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. Complaint Filed: 08/25/2010 Correction Date: 09/28/2010

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 Trimble County 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 08/25/2010.

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 12/08/2009 Correction Date: 02/05/2010