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Signature Healthcare Of Warren

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Reviews
Overall Rating 4.0 / 5.0 ★★★★★

  • ★★★★★ a year ago

    Great place. Came a long way. New DON and Admistration. People do care here.

  • ★★★★★ a year ago

    This place is the worst thing I have EVER seen. They should be shut down immediately! My mother, was sent to Signature Health in Warren, Ohio after she had ankle surgery on December 17, 2015. Since she arrived we have had nothing but problems with this facility. She was scheduled to have a PET scan the following week, which I called and gave Signature all of the dietary restrictions as well as transport needs. They assured me they would set up the transport with their people and even confirmed the times with me. On the day of the scan, my mother called and said no one came to get her and they were blaming it on the hospital for not coming. After making 5 attempts to reach someone, I finally spoke to the director of nursing who apologized and promised they would get it taken care of. Finally, four weeks later, she got her PET scan. This PET scan was because there was a spot on her lung they thought might be cancer again. Great care, right? In her first week there, not a single doctor came in to see her, despite our requests. Also in the first week she was there, she was not given a sponge bath or even able to change her night gown. She physically could not move on her own and was relying on their care, which seems to be bare minimum at best. At one point in time, a nurse was trying to roll her over and the blanket was bunched up in the way. After being asked to stop, the nurse forcefully rolled her over so hard she left a bruise on her arm. After three weeks in the facility she started complaining that something felt wrong in her cast. When we called the surgeon, they said she needed to go to the ER. I personally called the facility (after they completely ignored what my mother was telling them) and told them they needed to call the surgeon's office to get the request, but he wanted her back in the ER to get checked that day. Nothing ever happened. She sat there until the following week. Beyond the major complaints that are risks to her health, medicine is consistently given late if not missed entirely, meals are served and random hours (lunch at 2:30 and dinner at 5?) One night dinner was buttered noodles. Literally.The response time when a call buzzer is activated can take 5-10 minutes, which for someone dependent on them for bed pans and emergencies is a long time. The place absolutely stinks of urine as well. After seeing the way care was administered, we requested a transfer the first week of January. After hearing nothing for a week, I called on January 8th to speak with the social worker. Again on the 9th I called, but got no response. I emailed the administrator, who promised he would launch an investigation and also work on the transfer. I have been in contact with them multiple times in the last month and it seems like it takes about a week to even get a response from Signature to requests. In the meantime, she isn't starting the physical therapy she needs to heal and they're continually coming in and trying to talk her into staying. My gut instinct is that this place is simply trying to suck up Medicare money by having her stay every day they can. I cannot believe a place like this is even allowed to be in charge of the care of the elderly. It is truly awful and I would say even a dangerous place for seniors to be. I cannot put into words how absolutely awful this place is. Disgusting is about the best I can do!

  • ★★★★★ a year ago

    New mangement!!!

  • ★★★★★ a year ago

  • ★★★★★ a year ago

About Signature Healthcare Of Warren

General Information

Legal Business NameLp Warren LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJune 18, 1980 (37 years)
Capacity150
Residents121
Percent Occupied81%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Signature Healthcare Of Warren

Signature Healthcare Of Warren
was reviewed by to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Ohio Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

August 30, 2016 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

June 23, 2016 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaintProtect each resident from mistreatment, neglect and misappropriation of personal property.

May 26, 2016 - 1 year ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

May 11, 2016 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

April 25, 2016 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintOperate and provide services according to Federal, State, and local laws and professional standards.
ESomePotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintKeep each resident free from physical restraints, unless needed for medical treatment.
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaintLet residents choose a personal doctor.
DFewPotential for HarmComplaintKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

April 8, 2016 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmComplaintTell the resident or the residents representative in writing how long the nursing home will hold the residents bed in cases of transfer to a hospital or therapeutic leave.
DFewPotential for HarmComplaintTry to resolve each resident's complaints quickly.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

February 29, 2016 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 10 days
---Fine$25,545 fine
JFewImmediate JeopardyComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
GFewActual HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
DFewPotential for HarmComplaintEnsure laboratory services, blood blanks and transfusion services provided on site meet requirements for certified laboratories; or have an agreement to obtain services from an offsite laboratory, that meets the same requirements.
DFewPotential for HarmComplaintHave enough nurses to care for every resident in a way that maximizes the resident's well being.
DFewPotential for HarmComplaintEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
DFewPotential for HarmComplaintMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

January 7, 2016 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

November 19, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionGive residents a notice of rights, rules, services and charges.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
DFewPotential for HarmHealth InspectionChoose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionMake sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

August 18, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintHave enough nurses to care for every resident in a way that maximizes the resident's well being.
ESomePotential for HarmComplaintEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.

June 11, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide medically-related social services to help each resident achieve the highest possible quality of life.

April 2, 2015 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmComplaintMake sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
DFewPotential for HarmComplaintKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

March 20, 2015 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmComplaintMake sure that residents receive treatments/services to maintain or improve their ability to care for themselves.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Signature Healthcare Of Warren require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

1hr 60min
2hr 15min
ReportedExpected
CNA
1hr 10min
40min
ReportedExpected
LPN
35min
1hr 10min
ReportedExpected
RN
3hr 40min
4hr 10min
ReportedExpected
Total Nursing

This facility also provides approximately 20min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

78.3%
68.5%
68.2%
68.2%
95.2%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
8.3%
11.7%
52.8%
68.9%
95.4%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
40.7%
53.2%
46.7%
53.7%
42.3%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of low risk long-stay residents who lose control of their bowels or bladder
26.9%
27.0%
34.3%
32.4%
24.8%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents who received an antianxiety or hypnotic medication
25.5%
26.0%
23.7%
31.0%
18.7%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents whose ability to move independently worsened
37.9%
37.5%
38.5%
30.1%
18.3%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents who received an antipsychotic medication
23.1%
27.3%
24.8%
23.0%
15.6%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents whose need for help with daily activities has increased
3.3%
5.0%
7.6%
6.7%
7.0%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents who self-report moderate to severe pain
6.6%
4.1%
3.0%
4.3%
7.3%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents who lose too much weight
1.6%
3.2%
4.6%
0.0%
5.2%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of high risk long-stay residents with pressure ulcers
8.7%
12.9%
7.1%
5.3%
12.3%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents who have depressive symptoms
9.5%
6.8%
2.8%
1.0%
3.9%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents with a urinary tract infection
8.3%
4.9%
4.6%
1.9%
3.5%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents experiencing one or more falls with major injury
6.5%
6.6%
4.7%
4.0%
2.2%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.5%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

7.6%
19.2%
37.1%
31.1%
85.5%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
15.8%
19.3%
19.2%
19.2%
82.6%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
60.5%
53.1%
36.3%
59.0%
62.7%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of short-stay residents who made improvements in function
19.6%
19.5%
-
-
17.3%
Q4 2015Q1 2016Q2 2016Q3 2016OH
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who self-report moderate to severe pain
6.6%
8.5%
5.1%
5.4%
2.1%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.0%
1.6%
1.3%
1.1%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of short-stay residents with pressure ulcers that are new or worsened



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