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Complaint Investigation

Signature Health Of Portland Rehab & Wellness Cent

Inspection Date: September 11, 2025
Total Violations 1
Facility ID 445306
Location PORTLAND, TN
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Inspection Findings

F-Tag F0692

Quality of Life and Care Deficiencies
Harm Level: Actual Harm

F 0692 Level of Harm - Actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

appetite, she would report it to the nurse on duty.? ?? During an interview on 9/9/2025 at 12:35PM, CNA C stated she would let the nurse know when a resident did not eat well and would also attempt to assist the resident with eating. CNA C stated when a resident consumed less than 50 percent, the resident was offered a snack and that the facility staff passed snacks out to residents at least twice per day.?? ?? During

an interview on 9/9/2025 at 2:02 PM, the Physical Therapy Assistant (PTA) stated Resident #1 was receiving services for Speech Therapy (ST). The PTA served as back up to the rehabilitation manager. ??

During an interview on 9/9/2025 at 2:40 PM, Licensed Practical Nurse (LPN) H served as a floor nurse.

LPN H stated residents are to be weighed on admission, weekly for 2 weeks and then monthly. LPN H stated if a problem with weights was identified then, it would be reported to management and medical physicians. LPN H stated readmission residents' weight schedule would start over.? LPN H stated the expectation is for CNAs to report if a resident ate less than 50% of a meal and stated meal percentages were documented in the Electronic Medical Records.?? ?? During an interview?on 9/9/2025 at 3:00 PM, (Named Company) State Care Consultant (SCC) was asked what the policy was for weighing residents.

The SCC stated Residents should be weighed on admission, weekly times 2 weeks and then monitored per policy. During an interview on 9/9/2025 at 3:46 PM, the former RD, RD L was familiar with Resident #1's name but could not recall any details related to weight loss. ??? During an interview on 9/9/2025 at 4:14 PM, the Director of Nursing (DON) stated residents are weighed upon admission and weekly for 2 weeks and if there was an identified concern, then the weekly weights would continue and if not, the resident will be weighed monthly unless otherwise indicated. The DON stated .if the resident has 5% weight loss in 30-days, they should be seen by the RD. The DON verified that there was no documentation from the RD in February after the weight loss had been identified and no documentation in March. The DON stated she monitors weight loss and discusses the weight loss at an At Risk meeting which occurs every Thursday and

the clinical leadership, DON, Assistant Director of Nursing (ADON), Social Service Director (SSD), and Activities Director attended the meeting. The DON stated RD J has been kept updated with residents' weights and visits the facility every Monday since currently the facility did not have a RD on staff. ? ?

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📋 Inspection Summary

SIGNATURE HEALTH OF PORTLAND REHAB & WELLNESS CENT in PORTLAND, TN inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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 PORTLAND, TN, (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 HEALTH OF PORTLAND REHAB & WELLNESS CENT or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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