SIGNATURE HEALTHCARE OF BREMEN
SIGNATURE HEALTHCARE OF BREMEN, in BREMEN, Indiana, holds 73 certified beds and has been certified for Medicare and Medicaid since 1992-10-27, averaging 57.8 residents a day.
Has SIGNATURE HEALTHCARE OF BREMEN been cited for violations?
CMS lists 48 health-inspection deficiencies for SIGNATURE HEALTHCARE OF BREMEN since 2023-02-15, 40 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2025-10-10.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-10-10 | F0656, F0686 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2025-02-17 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2025-02-17 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-02-17 | F0578, F0623, F0641, F0656, F0677, F0684, F0740 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D |
| 2024-11-01 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E |
| 2024-11-01 | F0557, F0580, F0656, F0684, F0755, F0757, F0760, F0880 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure that residents are free from significant medication errors. / Provide and implement an infection prevention and control program. | D |
| 2024-10-04 | F0580, F0623, F0625, F0684, F0694 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D |
| 2024-06-13 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-03-12 | F0561, F0623, F0625, F0656, F0657, F0677, F0679, F0684, F0688, F0690, F0692, F0756, F0758, F0760 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Ensure that residents are free from significant medication errors. | D |
| 2023-02-15 | F0561, F0656, F0657, F0684, F0686, F0692, F0695, F0812 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D |
How is SIGNATURE HEALTHCARE OF BREMEN staffed relative to the IN average?
| Measure | This facility | IN average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.37354 | 3.67961 |
| Total nursing staff turnover (%) | 50.0 | 45.9 |
| Average number of residents per day | 57.8 | 72.5 |
Who owns SIGNATURE HEALTHCARE OF BREMEN, and what chain is it in?
SIGNATURE HEALTHCARE OF BREMEN is registered with CMS as Government - Hospital district, operates under the legal business name JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL and belongs to the SIGNATURE HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL | since 05/01/2014 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL | since 05/01/2014 |
| 5% OR GREATER SECURITY INTEREST | MIDCAP FUNDING IV TRUST | since 02/23/2023 |
| MANAGING CONTROL - GOVERNING BODY | BEVERS, SUSAN, FISH, ERIC, GILLILAND, TERRENCE, HARPE, BRANDON, KLEBER, COURTNEY, MANN, DEBORAH, MARKEL, ANDREW, MCCORY, JACK, REEDY, MATTHEW, SMITH, RICK, STOREY, MARC | since 01/01/2025 |
| OPERATIONAL/MANAGERIAL CONTROL | ASBR HOLDINGS LLC, HEALTHCARE SERVICES GROUP INC, LP BREMEN MANAGEMENT, LLC, MIDCAP FUNDING IV TRUST, BLIMLING, NICOLE, FISH, ERIC, GETTINGER, PAUL, HARRISON, JOHN, HOUCK, JARED, LEHNER, TIMOTHY, LEWIS, LINDA, MANN, DEBORAH, MOORE, JENNIFER, RAPP, ROLAND, REVELETTE, BARBARA, SMEDRA, IRA, STEIER III, ELMER, STIGLER, CHARLES, SYER, CHARLES, WINTNER, JACOB | since 01/01/2025 |
| TRUSTEE OF THE SNF | BEVERS, SUSAN, GILLILAND, TERRENCE, HARPE, BRANDON, KLEBER, COURTNEY, MARKEL, ANDREW, MCCORY, JACK, REEDY, MATTHEW, SMITH, RICK, STOREY, MARC | since 01/01/2025 |
| ADP OF THE SNF | HEALTHCARE SERVICES GROUP INC, JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL, LP BREMEN LLC, LP BREMEN MANAGEMENT, LLC, SHC MEDICAL PARTNERS LLC, SHC MEDICAL PARTNERS OF INDIANA, LLC, SIGNATURE HEALTHCARE CLINICAL CONSULTING SERVICES LLC, SIGNATURE HEALTHCARE CONSULTING SERVICES LLC, STAKEHOLDER PAYROLL SERVICES LLC, BLIMLING, NICOLE, DOYLE, MARIA, GETTINGER, PAUL, HARRISON, JOHN, HOUCK, JARED, LEHNER, TIMOTHY, LEWIS, LINDA, MOORE, JENNIFER, REVELETTE, BARBARA | since 01/01/2017 |
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