Signature Healthcare of Bremen has a 2-star overall rating, with 2 stars for health inspections, 3 stars for staffing, and 4 stars for quality measures. Reported nurse staffing is 3.33 hours per resident per day, below the federal benchmark of 4.1, and there were $0 in fines in the last 24 months; recent inspection citations included infection control, food safety, and assistance with activities of daily living.
Last inspection: October 10, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3268.
Staffing detail
Registered nurses
0.69
Licensed practical nurses
0.52
Nurse aides
2.12
Weekend nursing
2.92
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 42%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
18.3%Worsening
Residents with a fall causing major injury
1.8%Steady
Residents with pressure ulcers (bedsores)
4.5%Worsening
Residents with a urinary tract infection
1.8%Improving
Residents who lost too much weight
8.1%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
12.8%Improving
Residents whose ability to walk got worse
9.5%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
16.5%Improving
Short-stay residents newly given an antipsychotic
1.4%Steady
Residents with a long-term catheter
0.7%Improving
Residents with new or worsening incontinence
25.4%Worsening
Residents with depressive symptoms
7.7%Improving
Long-stay residents given the seasonal flu vaccine
98.4%Steady
Long-stay residents given the pneumonia vaccine
86.8%Improving
Short-stay residents given the seasonal flu vaccine
93.3%Steady
Short-stay residents given the pneumonia vaccine
94.4%Improving
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2025 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited November 2024 — limited pattern, potential for harm.
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F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited October 2025 — isolated incident, potential for harm.
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F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited October 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 9 health deficiencies.
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INSPECTION
Health inspection found 9 health deficiencies.
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Operator & ownership
Ownership
Government - Hospital district
Chain
Part of SIGNATURE HEALTHCARE · 68 homes · 3.1 stars avg
Occupancy
59.9 residents on an average day (82% of 73 beds)
Resident voice
Resident council
Medicare history
Certified for 33 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.