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Signature Healthcare Of Nashville Rehab & Wellness

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Reviews
Overall Rating 2.0 / 5.0 ★★★★★

  • Kenzie
    ★★★★★ 2 months ago

    This place doesn't even deserve a star. Horrible!! They lied about giving my grandmother a bath i came two days in a row and the second day they said she had just had a bath but was still wearing the same clothes she was in the day before with dried pee on them!! They new she had a whole closet full of clothes. I had to have them bring me a shower chair and I went and cleaned her myself. When in the shower room it was disgusting dirty diapers on the floor. One morning my dad came to check on her and her oxygen nose piece was on the floor!!! She was in there for about three days and we realized she wasn't getting her proper medicine she couldn't even talk brought her home and gave her the right stuff she was able to go to the bathroom on her own. I hope this post helps you. If we didn't get her out when we did she wouldn't have lived as long as she did. This place really needs to be shut down.

  • Carmen Sawyers
    ★★★★★ 3 months ago

    Staff takes food and money from patients and have known threats from staff. If we only knew what we know now.

  • Brittney Mcfarland
    ★★★★★ a year ago

    This place shouldn't even get a star! Horrible!!! Everything about this place is horrible. My dad had to come here after having a really bad stroke. Not even 2 hours of him being here he was left unattended he fell and busted his face open! He had to go back to the ER to get stitches! We did ALL OF his care!! The staff we're very inattentive. They would forget about his meals so we had to bring him food. They checked on him only once a day. If you question anything they did they we're rude. You can really see that no one cares at this place. My family had to take shifts because we were afraid to leave him alone with these people! I wouldn't recommend this place to anyone!!!

  • Kenya Hall
    ★★★★★ 2 years ago

    Please do not be fooled by the beautiful and clean rooms. The nursing and medical care at Signature a horrible experience for my 90 year old grandmother. She went in for "rehab" and left in worse shape. There is an extreme lack of communication. I voiced several concerns and asked to be contacted several times. The only person who called me was the finance staff asking how I was going to pay after her medicare coverage. In fact she called 3 times but I never received a call about my grandmother's medical care. I asked to speak to the nurse practitioner several times and finally had to go find her in her office. She had the worse dismissive attitude of a provider I have ever encountered. I was concerned about my grandmother's low heart rate while there and when I asked the nurse about it. His response was "I haven't assessed her all day" and still didn't seem to have any concern. I expressed concern about her medications and left messages again for someone to call and discuss. Never done. When I finally asked Christine, she replied "she didn't know they were being held and hadn't look at the hospital discharge records". After the first 5 days of no communication I had to ask for a family meeting to find out what the plan and goals were. No one really knew. She received physical therapy in the mornings and the rest of the days left in her room. I personally had to come on a daily basis to help her with bathing, dressing, and take her outside or provide interaction with her. She had a significant cognitive decline while there due to lack of interactions or encouragement from the staff. They seemed to be more interested in socializing at the desk. Never even saw the case manager. The day I went to see her she was nearly passed out in her room with a low heart rate again (never addressed from my previous concerns reported). I had to tell them to call a ambulance to go to the ER. I asked yhe tech to take her blood pressure and the technician gave me the vital sign machine to take it and left. The nursing and provider care there is the worst. We were told at admission she would have a lot of interaction, participation, and a care plan with goals. All LIES. It is a beautiful room but that is just a way to cover up the lack of quality care not provided here. Since we left to go to the ER no one there had even called to check on her or to see if she was still alive or dead. Again the financial person DID call and asked if we wanted to pay $400 a day to hold her bed while in the hospital. I moved her stuff out of room and made 3 trips to carry her stuff out. No one ever said a word while there !! This place is all about selling you LIES, taking your money or Medicare money, and then leaving you to take care of yourself. The nurses had bad attitudes if questions were asked. The director was unhelpful and told us her declining state was "normal" and that's it. I will be contacting the state and Medicare about the poor medical care given here. My grandmother came there for rehab and left there with a worse decline, walking with a cane, low pulse, high blood pressure, worsening of memory, and unable to do anything more than when admitted. In addition, the food is awful. If you admit a family member there I suggest you provide your own medical care because you will receive very little here. My grandmother's husband died here in June too.

  • Diamond M.
    ★★★★★ a year ago

    Totally understaffed. My brother got bed sores because they didn't rotate him. The nurses light stayed on for hours. The workers try, but it is not enough of them for the number of patients. The owners should hire more people. Understaffed and overworked doesn't equate to quality care.

About Signature Healthcare Of Nashville Rehab & Wellness

General Information

Legal Business NameLp Nashville Ii, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMay 21, 2013 (4 years)
Capacity119
Residents93
Percent Occupied78%
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 Nashville Rehab & Wellness

Signature Healthcare Of Nashville Rehab & Wellness
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

January 28, 2016 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
ESomePotential for HarmComplaint+InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaint+InspectionTry to resolve each resident's complaints quickly.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmComplaint+Inspection1) 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.
DFewPotential for HarmHealth 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.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.

October 5, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaintHave enough nurses to care for every resident in a way that maximizes the resident's well being.
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.

December 4, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionGive proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.

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 Nashville Rehab & Wellness 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 5min
2hr 30min
ReportedExpected
CNA
1hr 15min
45min
ReportedExpected
LPN
1hr 40min
1hr 15min
ReportedExpected
RN
5hr
4hr 30min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 30min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

56.1%
86.8%
86.8%
86.8%
93.2%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
51.7%
61.3%
68.3%
76.1%
91.5%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
-
-
-
-
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
36.5%
26.8%
21.7%
27.4%
36.8%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents who received an antianxiety or hypnotic medication
37.3%
27.5%
45.6%
11.8%
21.0%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents whose ability to move independently worsened
12.3%
11.5%
9.7%
10.6%
18.6%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents who received an antipsychotic medication
22.2%
16.0%
15.4%
25.9%
15.7%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents whose need for help with daily activities has increased
22.8%
27.3%
13.6%
13.4%
5.3%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents who self-report moderate to severe pain
5.4%
1.6%
3.2%
3.0%
8.0%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents who lose too much weight
11.5%
14.8%
10.3%
6.6%
5.3%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of high risk long-stay residents with pressure ulcers
6.4%
7.1%
1.8%
0.0%
2.4%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents who have depressive symptoms
3.6%
9.8%
4.8%
7.6%
5.4%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents with a urinary tract infection
3.4%
3.2%
3.2%
0.0%
3.3%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of long-stay residents experiencing one or more falls with major injury
1.6%
0.0%
2.0%
1.9%
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

66.0%
79.5%
87.7%
84.2%
81.7%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
62.2%
84.9%
84.9%
84.9%
80.0%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
54.2%
52.8%
60.5%
67.4%
61.7%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of short-stay residents who made improvements in function
41.1%
36.2%
34.7%
31.6%
14.0%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of short-stay residents who self-report moderate to severe pain
1.0%
1.7%
1.6%
1.1%
2.2%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of short-stay residents who newly received an antipsychotic medication
0.3%
0.3%
0.5%
1.1%
0.8%
Q4 2015Q1 2016Q2 2016Q3 2016TN
Percentage of short-stay residents with pressure ulcers that are new or worsened



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