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Signature Healthcare Center of Waterford

Signature Healthcare Center of Waterford is a for-profit nursing home located at 8333 W Okeechobee Road in Hialeah Gardens, Florida. The location is close to shopping and Florida National University. This nursing home has 214 certified beds and participates in Medicare and Medicaid. Signature Healthcare Center of Waterford is not in a hospital and not in a Continuing Care Retirement Community (CCRC). The nursing home can be reached at (305) 556-9900 or through their website: http://shccenterofwaterford.com/.

Signature Healthcare Center of Waterford has a transitional care unit, Excelerated Care, to offer services to residents who have had a recent hospital stay. The AHCA has given this nursing home a 5-star rating and the U.S. Centers for Medicare & Medicaid Services rate this facility as above average. On their website, Signature Healthcare Center of Waterford notes their facility has received the Medicare Champion Award for pain management, an America’s Top Nursing Home designation from the Consumer Research Council, the Excellence in Action Award, and a Decade of Excellence Award by AHCA.

Signature Healthcare Center of Waterford offers clinical and rehabilitation services, including physical, occupational and speech therapy as well as tracheostomy care, pain management, wound care, post-surgical care, diabetic care, palliative care, orthopedic recovery services, nutrition management services, and more. The nursing home has a spirituality program, concierge services, private rooms, and satellite television.

Inspections of Signature Healthcare Center of Waterford

The health inspection rating given to this nursing home by the U.S. Centers for Medicare & Medicaid Services is “below average.” As of September 2018, the last inspection report available for Signature Healthcare Center of Waterford is dated 01/16/2018 and nine citations were listed on that report. During that inspections, inspectors concluded that “the facility failed to maintain resident rooms in safe, clean and comfortable condition.” In four rooms, there were various concerns, including a hole in the wall, stains on a pillow, marks on the plaster and ceiling, and other concerns. Inspectors also found the nursing home did not “implement care plans” for two out of 35 residents observed. Some of those who did not have their care plans followed included residents with skin conditions and pressure ulcers.

In addition, the inspection found that Signature Healthcare Center of Waterford did not “follow professional nursing standards of practice for an unresponsive resident.” The resident had a hypoglycemic episode and inspectors concluded staff did not correctly document blood sugar results or the offering of simple carbohydrates based on the facility Hypoglycemic Management Protocol. In one instance, inspectors found a resident with Diabetes Mellitus did not get appropriate care, as defined by the hypoglycemic diabetic protocol.

Inspectors compiling the 01/16/2018 report also found the nursing home “failed to provide treatment and services” to help a high-risk patient avoid a “facility acquired pressure ulcer.” According to inspectors, a lower-mobility patient was found with a bandage which was not dated to indicate when it was last changed. The patient had a blister formed on the foot and his legs were not elevated when he was in his wheelchair.

The same report indicated that for two of five observed patients “the facility failed to adequately assess and administer in a timely manner pharmacological and non-pharmacological treatment/interventions” for pain management. In both cases, the patients had obvious pain, crying out, grimacing, and crying due to pain. Investigators also concluded the nursing home “failed to ensure effective administration” and did not “ensure staff was following professional nursing standards of practice” while also failing to make sure staff followed the nursing home’s protocol. The inspection also found that the nursing home showed a “failure to ensure emergency medication was readily available to staff.” Quality assurance and implementation of effective plans of action to address concerns was also cited by inspectors as areas of note. Some bandages at the facility were also not disposed of as required by biohazard rules.

Between 2015 and 2018, Signature Healthcare Center of Waterford has seen two complaints which led to a citation.

For fire safety inspection, the last inspection performed was on 01/18/2018. Two citations were noted, which is better than the Florida average (2.1 citations) and the national average (3 citations). Signature Healthcare Center of Waterford has automatic water sprinkler systems in all required areas.

Staffing

Signature Healthcare Center of Waterford received an above-average rating for staffing. Residents in this nursing home get 1 hour and 31 minutes with licensed nursing home on average per day. This is similar to both the state (1 hour and 36 minutes) and national (1 hour and 33 minutes) averages. Signature Healthcare Center of Waterford sees more residents per day (195.4) compared to Florida nursing home (107.7) and national (86.6) nursing homes. Residents at this nursing home get 2 hours and 34 minutes with nurse aides per day, on average, which is lower than the 2 hours and 41 minutes in the state but more than the national average of 2 hours and 18 minutes. Residents of Signature Healthcare Center of Waterford get more physical therapist staff hours daily (9 minutes) when compared with residents in Florida (8 minutes) and those in nursing homes across America (7 minutes).

Signature Healthcare Center of Waterford ranks much above average when it comes to access to registered nurses (RNs). In this nursing home, residents get 1 hour and 9 minutes of RN time per day, on average, per resident. In comparison, nursing home residents in Florida and across the country average 40 minutes of RN time per resident per day.

Quality of Resident Care

Signature Healthcare Center of Waterford ranks much above average when it comes to resident care. 71.6% of short-stay residents are discharged to the community, compared to a state average of 55.6%. Only 4% of short-term resident report moderate to severe pain, compared to 9.5% of Florida residents and 13.1% of national short-term nursing home residents. 0.2% of nursing home residents of this facility report new or more severe pressure ulcers, compared to the state average of 0.5% and the national average of 0.9%. In addition, no long-term residents reported moderate or severe pain or depression.

1 Vital Statistics
Number of Beds: 214 certified bedsinformation

Beds in the nursing home that have been approved by the federal government to participate in Medicare or Medicaid.

Accepts: Medicare and Medicaidinformation

Shows if the nursing home participates in the Medicare, Medicaid, or both.

2 Key Ratings
Star Rating Summary
Overall Rating information

Medicare assigns the overall star rating based on a nursing homes's performance on 3 separate measures: Health inspections, staffing, and quality measures. Each of these domains have their own star ratings, with more stars meaning better quality of care

Two Stars Below Average
Health Inspection information

Medicare assigns the star rating based on a nursing home’s weighted score from recent health inspections. More stars means fewer health risks

One Star Much Below Average
Staffing information

Medicare assigns the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs), and Nurse aides. More stars means a better level of staffing per nursing home resident

Four Stars Above Average
RN Staffing Four Stars Above Average
Quality Measures information

Medicare assigns the star rating based on data from a select set of clinical data measures. More stars means better quality of care

Five Stars Much Above Average
3 Key Short Stay Statistics
Description Signature Healthcare Center Of Waterford Florida
Average
Percent of short-stay residents who self-report moderate to severe pain
Lower percentages are better.
1.8% 8.9%
Percentage of SNF residents with pressure ulcers that are new or worsened
Lower percentages are better.
0.7% Not Available
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
7.6% 88.3%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
5.4% 91.8%
Percentage of short-stay residents who got antipsychotic medication for the first time
Lower percentages are better.
1.4% 2.1%
4 Key Long Stay Statistics
Description Signature Healthcare Center Of Waterford Florida
Average
Percent of long-stay residents experiencing one or more falls with major injury
Lower percentages are better.
1.3% 2.7%
Percent of long-stay residents with a urinary tract infection
Lower percentages are better.
1.8% 2.7%
Percent of long-stay residents who self-report moderate to severe pain
Lower percentages are better.
0.0% 4.3%
Percent of long-stay high-risk residents with pressure ulcers
Lower percentages are better.
7.0% 8.0%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Lower percentages are better.
73.6% 54.5%
Percent of long-stay residents who have or had a catheter inserted and left in their bladder
Lower percentages are better.
0.7% 1.8%
Percent of long-stay residents who were physically restrained
Lower percentages are better.
2.6% 0.2%
Percentage of long-stay residents whose ability to move independently worsened
Lower percentages are better.
9.7% 16.4%
Percent of long-stay residents whose need for help with daily activities has increased
Lower percentages are better.
7.5% 12.7%
Percent of long-stay residents who lose too much weight
Lower percentages are better.
8.3% 5.5%
Percent of long-stay residents who have depressive symptoms
Lower percentages are better.
0.0% 1.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Lower percentages are better.
23.2% 24.3%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
90.2% 95.6%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
80.7% 96.9%
Percent of long-stay residents who received an antipsychotic medication
Lower percentages are better.
9.5% 14.1%
5 Inspection Summary

Date of standard health inspection: 02/22/2019
Total number of health deficiencies: 13
Average number of health deficiencies in Florida: 6.3

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