Provider Name: SIGNATURE HEALTHCARE OF PRIMACY
Address: 6025 PRIMACY PARKWAY, MEMPHIS, TN 38119
Phone: (901) 767-1040
County: Shelby (780)
Ownership Type: For profit - Limited Liability company
Certified Beds: 120
Average Residents Per Day: 93.9 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: LP MEMPHIS V, LLC
First Approved Date: June 3, 1981
Affiliated Entity: SIGNATURE HEALTHCARE (474)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Both
Sprinkler System Status: Yes
Overall Rating: 2 ()
Health Inspection Rating: 3 ()
QM Rating: 4 ()
Long Stay QM Rating: 4 ()
Short Stay QM Rating: 4 ()
Staffing Rating: 1 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.78181, LPN Staff Hours Per Day: 1.3739, RN Staff Hours Per Day: 0.6099, Licensed Staff Hours Per Day: 1.9839
Total Nurse Staff Hours Per Day, per resident: 3.76574
Weekend Nurse Staff Hours: 3.14199, Weekend RN Staff Hours: 0.3884
PT Staff Hours Per Day, per resident: 0.1432
Nurse Staff Turnover: 54.0, Nurse Turnover Note:
RN Turnover: 61.5, RN Turnover Note:
Admin Left Number: 2, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.2295, Case Mix LPN Hours Per Day: 0.8513, Case Mix RN Hours Per Day: 0.4638
Adjusted Nurse Aide Hours Per Day, per resident: 1.62810, Adjusted LPN Hours Per Day: 1.1909, Adjusted RN Hours Per Day: 0.4955
Total Adjusted Nurse Hours Per Day, per resident: 3.34852
Adjusted Weekend Nurse Hours Per Day, per resident: 2.79388
Health Survey Dates and Scores: Cycle 1: 2021-12-01 (Score: 20), Cycle 2: 2019-10-22 (Score: 0), Cycle 3: 2018-12-19 (Score: 36)
Total Weighted Health Score: 16.000
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 6025 PRIMACY PARKWAY,MEMPHIS,TN,38119 (35.0975, -89.863)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Assure that each resident’s assessment is updated at least once every 3 months.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-02-01
Type: Health, Deficiency: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-02-01
Type: Health, Deficiency: Ensure each resident receives an accurate assessment.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-02-01
Type: Health, Deficiency: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-02-01
Type: Health, Deficiency: Ensure services provided by the nursing facility meet professional standards of quality.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-01-19
Type: Health, Deficiency: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-01-19
Type: Health, Deficiency: Ensure medication error rates are not 5 percent or greater.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-01-19
Type: Health, Deficiency: Ensure that residents are free from significant medication errors.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-01-19
Type: Health, Deficiency: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-01-19
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-01-19
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications: