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Signature Healthcare At Saint Francis

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About Signature Healthcare At Saint Francis

General Information

Legal Business NameLp Memphis Ii LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareSeptember 10, 1982 (35 years)
Capacity197
Residents107
Percent Occupied54%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityYes
Auto Sprinkler System In Required AreasYes

Ratings for Signature Healthcare At Saint Francis

Signature Healthcare At Saint Francis
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Tennessee 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

October 31, 2016 - 7 months ago

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

October 11, 2016 - 8 months 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.

September 8, 2016 - 9 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmHealth InspectionPut firmly secured handrails on each side of hallways.
DFewPotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
DFewPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
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 InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

March 2, 2016 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$6,057 fine
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .

December 3, 2015 - 1 year ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
ESomePotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

April 15, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.

February 11, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$1,225,900 fine
---Payment DenialPayment denial for 47 days
LManyImmediate JeopardyComplaint+InspectionEnsure that residents are safe from serious medication errors.
LManyImmediate JeopardyHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
LManyImmediate JeopardyHealth InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
LManyImmediate JeopardyComplaint+InspectionEstablish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility
LManyImmediate JeopardyComplaint+InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
LManyImmediate JeopardyHealth InspectionChoose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility.
KSomeImmediate JeopardyComplaint+InspectionProvide care by qualified persons according to each resident's written plan of care.
KSomeImmediate JeopardyComplaint+InspectionMake sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.
KSomeImmediate JeopardyComplaint+InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
KSomeImmediate JeopardyComplaint+InspectionQuickly tell the resident's doctor the results of laboratory tests.
KSomeImmediate JeopardyComplaint+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.
KSomeImmediate JeopardyComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
KSomeImmediate JeopardyHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
KSomeImmediate JeopardyHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
HSomeActual HarmComplaint+InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
FManyPotential for HarmHealth InspectionProvide housekeeping and maintenance services.
FManyPotential for HarmComplaint+InspectionMake sure that doctors visit residents regularly, as required.
GFewActual HarmComplaint+InspectionGive or get specialized rehabilitative services per the patient's assessment or plan of care.
GFewActual HarmComplaint+InspectionPrevent a loss in range of motion among residents who entered the nursing home with a full range of motion, unless it is unavoidable due to residentís clinical condition.
GFewActual HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
GFewActual HarmComplaint+InspectionProtect each resident from mistreatment, neglect and misappropriation of personal property.
GFewActual HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
GFewActual HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.
GFewActual HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
ESomePotential for HarmHealth InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
ESomePotential for HarmComplaint+InspectionEnsure 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.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmComplaint+InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
ESomePotential for HarmHealth InspectionGive the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances.
ESomePotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmHealth InspectionReview or revise the resident's care plan after any major change in physical or mental health.
DFewPotential for HarmComplaint+InspectionGive or get x-rays and other tests in a timely manner to meet the needs of residents.

October 8, 2014 - 3 years ago

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

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 At Saint Francis 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.

2hr 20min
2hr 45min
ReportedExpected
CNA
1hr 25min
50min
ReportedExpected
LPN
60min
1hr 25min
ReportedExpected
RN
4hr 45min
4hr 60min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 20min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

56.4%
69.2%
69.2%
69.2%
93.2%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
57.7%
65.6%
70.7%
75.4%
91.5%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
-
-
-
95.8%
55.0%
Q4 2015Q1 2016Q2 2016Q3 2016TN
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
11.5%
6.6%
10.5%
11.9%
36.8%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents who received an antianxiety or hypnotic medication
10.3%
16.7%
17.5%
16.3%
21.0%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents whose ability to move independently worsened
9.6%
13.3%
10.5%
9.0%
18.6%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents who received an antipsychotic medication
12.5%
12.3%
18.5%
17.7%
15.7%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents whose need for help with daily activities has increased
0.0%
0.0%
0.0%
4.4%
5.3%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents who self-report moderate to severe pain
1.9%
6.6%
3.6%
6.1%
8.0%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents who lose too much weight
0.0%
1.7%
1.7%
7.4%
5.3%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
0.0%
2.4%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents who have depressive symptoms
0.0%
0.0%
0.0%
1.5%
5.4%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents with a urinary tract infection
3.8%
3.3%
0.0%
1.4%
3.3%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents experiencing one or more falls with major injury
1.5%
3.9%
2.6%
2.7%
2.6%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
1.6%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

66.1%
64.4%
67.1%
61.2%
81.7%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
47.8%
66.8%
66.8%
66.8%
80.0%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
61.5%
63.5%
59.4%
58.7%
61.7%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of short-stay residents who made improvements in function
1.6%
1.4%
2.2%
1.9%
14.0%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of short-stay residents who self-report moderate to severe pain
4.2%
3.1%
3.5%
3.7%
2.2%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of short-stay residents who newly received an antipsychotic medication
0.3%
0.0%
0.5%
0.4%
0.8%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of short-stay residents with pressure ulcers that are new or worsened