Above average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
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 Of Carrollton Rehab & Wellnes during CMS and state inspections, most recent first.
A facility failed to provide staff training specific to a resident's mental illness diagnoses, including Borderline Personality Disorder and Schizoaffective Disorder. The resident exhibited aggressive behaviors, but the facility's training did not cover these specific disorders, leading to incidents of verbal and physical aggression towards staff. Interviews revealed that staff were trained in dementia-related behaviors but not in the specific mental health issues affecting the resident.
A resident with a history of verbal aggression engaged in a verbal altercation with a housekeeper, who retaliated with derogatory language. The incident, witnessed by staff, led to the housekeeper's removal from the facility. The resident, cognitively intact, had a care plan addressing their challenging behaviors, but the facility failed to prevent the verbal abuse.
A facility failed to maintain an effective infection control program when a KMA entered a resident's contact precaution room without proper PPE, despite clear signage and available equipment. The resident was on isolation due to candidiasis auris. The KMA received incorrect instructions from nursing staff, and the Infection Preventionist confirmed that training is conducted but did not keep audit records. The Administrator noted ongoing staff education.
A resident's narcotic pain medication was misappropriated by an LPN who admitted to taking the medication without authorization. The incident was discovered when the LPN left and returned to the facility, claiming her purse was stolen, and requested access to the supply room. The missing narcotics were reported to the police, leading to the LPN's arrest. Facility staff had been trained not to share narcotic keys, but the incident still occurred.
Lack of Specific Mental Health Training for Resident's Diagnoses
Penalty
Summary
The facility failed to provide staff training specific to a resident's mental illness diagnoses and behaviors, which led to a deficiency in care for one of the sampled residents. The resident, identified as R1, had diagnoses of Borderline Personality Disorder and Schizoaffective Disorder, and exhibited behaviors such as verbal aggression and physical aggression. Despite these diagnoses, the facility did not provide training for staff that was directly related to these specific mental illnesses, as confirmed by interviews and reviews of training records and the facility's training website. The facility's policy on abuse, neglect, and misappropriation of property included training to protect the health, welfare, and rights of residents, with a focus on understanding behavioral symptoms that might increase the risk of abuse. However, the training provided did not cover specific mental illnesses like Borderline Personality Disorder and Schizoaffective Disorder, which were relevant to R1's condition. The facility's training overview and the website used for staff training included common behavioral health disorders in older adults but omitted the specific disorders affecting R1. Interviews with various staff members, including the Director of Nursing, Social Services Director, and the Administrator, revealed a lack of specific training for R1's psychiatric diagnoses. Staff were generally trained in dementia and dementia-type behaviors, but not in the specific mental health issues pertinent to R1. This lack of targeted training contributed to incidents where R1 exhibited aggressive behaviors towards staff, including verbal abuse and physical aggression, which were not effectively managed due to the absence of appropriate training.
Verbal Altercation Between Housekeeper and Resident
Penalty
Summary
The facility failed to protect a resident from verbal abuse, as evidenced by an incident involving a housekeeper and a resident. The housekeeper engaged in a verbal altercation with the resident, who had a history of being verbally abusive and difficult to redirect. The resident, who was cognitively intact with a BIMS score of 15, called the housekeeper derogatory names, prompting the housekeeper to retaliate with similar language. This exchange occurred despite the facility's policy to prevent abuse and protect residents' rights to be treated with respect and dignity. The incident was investigated by the facility, which revealed that the housekeeper, who had disabilities, was provoked by the resident's verbal aggression. The housekeeper's response included yelling and using derogatory language towards the resident, which was witnessed by other staff members. The facility's investigation determined that the incident was a situational, reactionary event without willful intent to harm, but the housekeeper was removed from the premises and not allowed to return. The resident involved in the incident had been admitted to the facility with diagnoses including dementia, schizoaffective disorder, and borderline personality disorder. The resident's care plan noted behaviors such as being verbally abusive and difficult to redirect, with interventions aimed at providing a non-confrontational environment. Despite these measures, the incident occurred, highlighting a failure to maintain a safe and respectful environment for the resident.
Failure to Adhere to Contact Precaution Protocols
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by staff not adhering to contact precaution protocols for a resident diagnosed with candidiasis auris. The resident, identified as R51, was on contact isolation due to this fungal infection. Despite clear signage and available personal protective equipment (PPE) outside the resident's room, a Kentucky Medication Aide (KMA) entered without donning the required PPE, specifically gloves and a gown. This action was contrary to the facility's infection control policy, which mandates the use of PPE for staff entering rooms under contact precautions. The KMA admitted to receiving incorrect instructions from nursing staff, suggesting that PPE was not necessary for brief room entries to deliver medication. The Infection Preventionist, who also serves as the Director of Nursing, confirmed that infection control training, including PPE usage, is conducted annually and as needed, with the last session held in December 2023. However, the Infection Preventionist did not maintain records of random audits conducted on infection control practices. The facility's Administrator acknowledged that staff education on contact isolation is an ongoing process.
Misappropriation of Resident's Narcotic Medication by LPN
Penalty
Summary
The facility failed to protect a resident from the misappropriation of their narcotic pain medication by an LPN. The incident involved a resident who was admitted with diagnoses including sepsis, urinary tract infection, and low back pain, and had orders for oxycodone for pain management. The LPN admitted to taking the resident's narcotic medication without authorization, which was discovered after the LPN attempted to conceal the theft by hiding the empty package and narcotic count form in the trash. The incident unfolded when the LPN left the facility and returned shortly, claiming her purse was stolen and requesting access to the supply room. Another LPN, unaware of the theft, allowed her to use the keys. During the subsequent medication pass, it was discovered that the narcotic key was missing, and the resident's oxycodone and narcotic count sheet were gone. The facility staff had to use a master key to continue the medication pass, and the missing narcotics were reported to the police, leading to the LPN's arrest. Interviews with facility staff revealed that training was provided on not sharing narcotic keys after the narcotic count, but the exact dates of the training were not recalled. The Assistant Director of Nursing and the Administrator were notified of the incident, and the police were involved, resulting in the LPN's arrest. The Director of Nursing was on vacation at the time but was informed of the situation and the LPN was reported to the Kentucky Board of Nursing.
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Illustrative
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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.
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Nursing homes near Carrollton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Swiss Villa Nursing And Rehabilitation | 6.9 mi | ★★★★★ | 6 | 0 |
| Bedford Springs Health And Rehabilitation | 10.2 mi | ★★★★★ | 0 | 0 |
| River Terrace Health Campus | 12.4 mi | ★★★★★ | 8 | 0 |
| Hickory Creek At Madison | 14 mi | ★★★★★ | 3 | 0 |
| Waters Of Clifty Falls, The | 14.5 mi | ★★★★★ | 9 | 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.