Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Signature Healthcare At Summit Manor Rehab & Welln during CMS and state inspections, most recent first.
The facility failed to maintain a safe, clean, and well‑maintained environment as required by its own policy, with surveyors observing loose kitchen handrails, damaged doors and wood paneling, exposed concrete and stained flooring in resident rooms and bathrooms, bubbling and chipped paint, rusted door frames, water‑stained ceiling tiles, scuffed walls and baseboards, damaged tiles, and deteriorated outdoor structures such as a raised garden bed. Additional issues included a broken cabinet and taped wall corner guard in shower rooms, an unsecured wall clock, a missing floor tile, dried paint splatter, rusted heating/cooling units with chipped paint, and a pool table with a missing corner guard. A resident reported a heating/air unit in her room with a missing bottom panel exposing dust and debris. Staff interviews revealed that some items had been broken for years, concerns about the safety of the handrails had not resulted in repairs, housekeeping did not consistently log issues for maintenance, and there was no formal system to track and ensure completion of maintenance work orders, as acknowledged by the DON, the Maintenance Director, and the Administrator.
Surveyors found the facility failed to maintain a safe, clean, and well-repaired environment, with unsecured kitchen handrails, damaged doors and wood paneling, holes and stained flooring in resident rooms and bathrooms, bubbling paint, rusted door frames, water-stained ceiling tiles, and scuffed walls and baseboards. Common and shower areas had missing cabinet hardware, taped wall guards, an improperly mounted clock, a pool table with a missing corner guard, and a structurally deteriorated raised garden bed. Flooring defects, rusted heating/cooling units, and exposed dust and debris in a resident’s HVAC unit were also observed, and a resident reported dissatisfaction with the cleanliness. Staff interviews revealed that some items, such as a broken shower cabinet and unsafe handrails, had been problematic for years, that housekeeping did not consistently log issues for maintenance, and that there was no formal system to track and ensure completion of maintenance work orders despite leadership expectations for a safe and clean environment.
The facility failed to maintain sanitary food service practices, as dietary staff did not wash hands or change gloves before preparing food, and did not check temperatures of several food items. This was against the facility's policy and FDA standards.
Failure to Maintain Safe, Clean, and Well-Maintained Environment
Penalty
Summary
The deficiency involves the facility’s failure to maintain a safe, clean, and well‑maintained environment as required by its “Home-like Environment” policy, which states residents have a right to a safe, clean, and homelike setting. Surveyors observed multiple unresolved maintenance and housekeeping issues throughout the building and grounds. These included loose and insecure handrails leading into the kitchen, a damaged kitchen entry door with scratches and a missing piece, damaged and chipped wood paneling at the nurses’ station, and multiple areas of damaged flooring in resident rooms where heating/cooling units had been removed, exposing concrete and stained flooring around toilets and sinks. Additional observations included bubbling and chipping wall paint, rusted door frames, discolored and water‑stained ceiling tiles, and scuffed walls and baseboards in hallways and the dining room. Further observations showed environmental issues in resident-use and common areas, including a water hose lying in flowerbeds at the facility entrance, a Styrofoam cup on the ground outside a resident’s window, scratched glass doors to the smoking area, damaged floor tiles at the exit to the smoking area, a cabinet in a resident shower room with a missing handle, and a wall corner guard held in place with multiple strips of tape. Another shower room had a wall clock not mounted properly, resting on cloth hooks. Additional findings included a missing floor tile in a resident room exposing concrete, dried paint splatter at entries to several resident rooms, rust and chipped paint on a heating/cooling unit and adjacent exit door, a pool table in the dining room with a missing corner guard and exposed edges, and a raised garden bed with structural deterioration and a failing, rotted base partially detached and laying on the ground. Interviews confirmed that these conditions had been ongoing and not consistently addressed through the facility’s maintenance processes. A resident reported that the heating/air unit in her room was missing the bottom part, exposing dust and debris on the floor, and stated she would clean it herself if able. A CNA reported the broken cabinet in the shower room had been in that condition for many years and that repairs were not consistently completed after being reported via logbooks. The Housekeeping Manager acknowledged awareness of scuff marks on walls and baseboards but had not entered them into the maintenance logbook. The Dietary Manager stated she had concerns about the safety of the kitchen handrails, which she believed could pose a fall risk, and that maintenance had not repaired them. The Maintenance Director stated there were no outstanding work orders in the logbook, acknowledged that monthly painting had not been done for March, and noted the damaged raised garden bed had not been repaired or removed. The DON and Administrator both acknowledged there was no formal system to track and ensure completion of maintenance work orders, and the Administrator was aware of the unsecured kitchen handrails but was not aware if repairs had ever been completed.
Failure to Maintain Safe, Clean, and Well-Repaired Environment Throughout Facility
Penalty
Summary
The facility failed to provide a safe, clean, and well-maintained environment as required by its "Home-like Environment" policy, which states residents have a right to a safe, clean, and homelike environment. Surveyors observed multiple unrepaired and poorly maintained areas throughout the building. These included unsecured handrails leading into the kitchen with screws coming out of the wall and a loose handrail end, a kitchen entry door with scratches, worn areas, and a missing piece at the bottom corner, and damaged wood paneling at the nurses’ station with numerous chipped or missing sections. Additional observations included holes and damaged flooring in a resident room where heating/cooling units had been removed, stained flooring at the base of a toilet and under a sink, bubbling and chipping wall paint, rusted door frames, discolored and water-stained ceiling tiles, and scuffed walls and baseboards in hallways and the dining room. Surveyors also noted environmental issues in resident-use and common areas that were not addressed. A water hose was left lying in flowerbeds at the facility entrance and a styrofoam cup was observed on the ground outside a resident’s window. The glass door to the smoking area had visible scratches, and floor tiles at the exit from the dining room to the smoking area were damaged, including a tile with a missing corner. In resident shower rooms on the second floor, one cabinet had a missing handle and a wall corner guard was held in place with multiple strips of tape, while another shower room had a wall clock not mounted properly, instead resting on two cloth hooks. A pool table in the first-floor dining room was missing a corner guard, leaving exposed edges, and a raised garden bed outside the dining area showed structural deterioration with a rotted, detached base partially laying on the ground. Further observations showed missing or damaged flooring and deteriorated heating/cooling units near resident rooms. In one resident room, a six-inch by six-inch floor tile had been removed, exposing concrete, and dried white paint splatter was present at the entry to several resident rooms. A heating/cooling unit outside a resident room had rust, discolored paint, and chipping, and an exit door next to it also had rust and chipped paint. Another resident’s heating/air unit was missing its bottom door, exposing dust and debris underneath; the resident reported that if able, she would clean it herself because she liked her home to be clean. Staff interviews revealed that a shower room cabinet had been broken for many years and that repairs were not consistently completed after being reported via logbooks. The Housekeeping Manager acknowledged awareness of scuff marks but had not entered them into the maintenance log, and the Dietary Manager reported long-standing concerns about unsafe handrails that had not been repaired. The Maintenance Director stated there were no outstanding work orders, that painting had not been done for the month, and that there was no formal tracking system for work order completion, which was confirmed by the DON and Administrator, both of whom acknowledged the lack of a formal process to ensure maintenance issues were completed despite expectations for a safe and clean environment.
Deficiency in Food Service Safety
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as observed during a survey. Dietary staff did not wash their hands or change gloves before preparing resident foods, which is a violation of the facility's policy and the FDA Food Code. Specifically, a dietary aide used a brown paper towel to clean a thermometer between checking the temperature of milk and apple juice, and both the dietary aide and another staff member put on gloves without performing hand hygiene. Additionally, one staff member handled soiled dishes and then returned to the steam table without changing gloves or washing hands, and used a dirty food pusher for pureed bread. Furthermore, the staff failed to check the temperatures of seven out of ten food items on the steam table during the dinner meal. The dietary manager confirmed that staff are expected to change gloves, wash hands, and use alcohol pads to clean thermometers between uses. The administrator also stated that all food temperatures should be checked according to policy. These actions and inactions led to the deficiency in food service safety, as the facility did not ensure that food was prepared, distributed, and served in a sanitary manner.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 15 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Columbia
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Green River Trails | 14.6 mi | ★★★★★ | 0 | 0 |
| Fair Oaks Health And Rehabilitation | 15.1 mi | ★★★★★ | 0 | 0 |
| The Grandview Nursing And Rehabilitation Facility | 16.8 mi | ★★★★★ | 2 | 0 |
| Campbellsville Nursing And Rehabilitation Center | 17.3 mi | ★★★★★ | 4 | 0 |
| Metcalfe Nursing And Rehabilitation Center | 19.2 mi | ★★★★★ | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.