Provider Name: SIGNATURE HEALTHCARE OF ERIN
Address: 278 ROCKY HOLLOW ROAD, ERIN, TN 37061
Phone: (931) 289-4141
County: Houston (410)
Ownership Type: For profit - Limited Liability company
Certified Beds: 164
Average Residents Per Day: 92.3 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: LP ERIN LLC
First Approved Date: July 1, 1996
Affiliated Entity: SIGNATURE HEALTHCARE (474)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 2 ()
Health Inspection Rating: 2 ()
QM Rating: 2 ()
Long Stay QM Rating: 1 ()
Short Stay QM Rating: 3 ()
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.04069, LPN Staff Hours Per Day: 1.2011, RN Staff Hours Per Day: 0.3414, Licensed Staff Hours Per Day: 1.5425
Total Nurse Staff Hours Per Day, per resident: 3.58321
Weekend Nurse Staff Hours: 3.12536, Weekend RN Staff Hours: 0.2135
PT Staff Hours Per Day, per resident: 0.1001
Nurse Staff Turnover: 45.3, Nurse Turnover Note:
RN Turnover: 60.0, RN Turnover Note:
Admin Left Number: 1, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0485, Case Mix LPN Hours Per Day: 0.8252, Case Mix RN Hours Per Day: 0.4337
Adjusted Nurse Aide Hours Per Day, per resident: 2.02940, Adjusted LPN Hours Per Day: 1.0740, Adjusted RN Hours Per Day: 0.2966
Total Adjusted Nurse Hours Per Day, per resident: 3.41473
Adjusted Weekend Nurse Hours Per Day, per resident: 2.97841
Health Survey Dates and Scores: Cycle 1: 2020-03-18 (Score: 91), Cycle 2: 2019-04-18 (Score: 12), Cycle 3: 2018-06-28 (Score: 0)
Total Weighted Health Score: 49.500
Reported Incidents: 2, Substantiated Complaints: 2
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 62855.00, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 278 ROCKY HOLLOW ROAD,ERIN,TN,37061 (36.3118, -87.709)
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: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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 2023-05-18
Type: Health, Deficiency: Respond appropriately to all alleged violations.
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 2023-05-18
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-05-18
Type: Health, Deficiency: Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
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 2023-05-18
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
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 2020-04-06
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 2022-05-16
Type: Health, Deficiency: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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 2019-06-01
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 2019-06-01
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:
Type: Fire Safety, Tag: 0015, Version: New
Description: Address subsistence needs for staff and patients.
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 2019-06-01
Type: Fire Safety, Tag: 0039, Version: New
Description: Conduct testing and exercise requirements.
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 2019-06-01
Type: Fire Safety, Tag: 0353, Version: New
Description: Inspect, test, and maintain automatic sprinkler systems.
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 2019-06-01
Type: Fire Safety, Tag: 0511, Version: New
Description: Have properly installed electrical wiring and gas equipment.
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 2019-06-01