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Complaint Investigation

Signature Healthcare Of East Louisville

January 3, 2025 · Louisville, KY · 2529 Six Mile Lane
Citations 2
CMS Rating 2/5
Beds 128
Provider ID 185350
Healthcare Facility
Signature Healthcare Of East Louisville
Louisville, KY  ·  View full profile →
Inspection Summary

Signature Healthcare of East Louisville in Louisville, KY — inspection on January 3, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF656

The survey team conducted an IJ Removal and Partial Extended Survey on 01/02/2025 through 01/03/2025.

The State Survey Agency (SSA) validated the Immediate Jeopardy was removed on 12/24/2024.

Remaining non-compliance continued at a S/S of a D at

Review of the Admission assessment dated [DATE] revealed the resident was assessed on admission for elopement risk.

The elopement assessment noted on 10/31/2023, R1 to be ambulatory without wandering into unsafe areas, not making statements about leaving, and not demonstrating behaviors that may indicate an attempt to leave the facility and was not found to be an elopement risk.

Review of the Admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 11/07/2023 indicated a Brief Mental Status Score (BIMS) of 11 out of 15 indicating the resident had moderate cognitive impairment.

Further review of the MDS indicated the resident required moderate assistance to ambulate 10 feet and utilized a wheelchair for mobility and did not exhibit any behavioral symptoms, including wandering, during the assessment period.

Further review of the MDS revealed the resident did not exhibit any behavioral symptoms, including wandering, required moderate assistance to ambulate 10 feet, and utilized a wheelchair for mobility.

Review of R1's Nurse's Note, dated 09/17/2024, revealed the resident exhibited exit- seeking behaviors when she had an associated urinary tract infection. R1 was placed on 15-minute checks until the exit-seeking behaviors resolved.

185350

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 185350 B.

Wing 01/03/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Signature Healthcare of East Louisville 2529 Six Mile Lane Louisville, KY 40220

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Louisville, KY, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Signature Healthcare of East Louisville or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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