Signature Healthcare of Madison

On top of having a decent overall grade, we also wanted to point out that this facility received favorable nursing marks this year. We gave them one of our better scores in that area, with a B+. This proved to be the facility's top grade. Our nursing grade assesses the nursing home's nurse staffing levels. We look at both the levels of training of the nurses as well as the number of hours spent with patients. This nursing home averages 0 hours of nursing care per resident per day. Finally, we also looked at several nursing quality-based metrics and this facility excelled in some of these areas. With less than five percent of its residents sustaining pressure ulcers, it performed as well as any nursing home Tennessee in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can frequently be avoided by providing better nursing care, such as by employing a policy of moving residents even once per day.

Another one of this facility's better category grades was in the category of short-term care. In that category, we gave this nursing home a B. It actually performed better than most nursing homes in this category. In the category of short-term care, we strive to qualify indicators of a facility's rehabilitation services. We analyze a facility's skilled nursing services, including the ones performed by registered nurses and physical and occupational therapists. Unfortunately, we were not able to find registered nurse or physical therapy staffing data for this facility. The final item we assessed in this category is the number of residents who returned home from the nursing home. We found that 0 percent of this nursing home's residents returned home as opposed to remaining at the nursing home on a permanent basis.

This nursing home was awarded its next highest category score in the category of long-term care. We gave this facility a C in this area, which is a decent grade. Our long-term care grades are vital for prospective residents needing non-healthcare services such as personal care. In addition to assessing the quantity of care provided by nurses and other staff, we analyzed the percentage of residents vaccinated against pneumonia. This nursing home administered the vaccine to 30.909092 percent of its patients. This is multiple points lower than average. Fortunately, this place was able to limit hospitalizations. Indeed, it had only 0.01 hospitalizations per 1,000 long-term resident days, which is a remarkably low number.

The last category we looked at was inspections. Unfortunately, this facility didn't receive favorable inspections in recent years. As a result, we had to give it an F in this area. Since this information is compiled by independent government inspectors, we heavily weight a poor performance in this area. This really dragged down this facility's overall score. We would advise paying close attention to any deficiencies on a nursing home's inspection reports when it receives this bad of an inspection score. We would scrutinize the level of severity of those deficiencies. This particular facility was hit with 3 deficiencies by CMS. The only favorable thing we found is that none of the deficiencies were in the categories that suggest that they created a risk to resident health or safety. Finally, we also want to draw your attention to the fact that this nursing home received significant government fines recently of over $50,000. This usually signifies that CMS inspectors became fed up after multiple years of bad government inspections.