Chains › Signature Healthcare
Signature Healthcare
Nursing home chain, as named in the CMS provider file.
Signature Healthcare operates 67 Medicare-certified nursing homes in 5 states, with 7,586 certified beds; the largest presence is in Kentucky, Tennessee and Indiana.
37% of its facilities are rated 1 or 2 stars overall (national: 41%). Citations run at 13.0 per 100 beds against 26.8 nationally, and fines in the period covered total $1.1M.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026. Chain membership is as recorded by CMS and can lag ownership changes.
| Measure | Signature Healthcare | US |
|---|---|---|
| Median overall rating | 3 | 3 |
| Median citations per facility | 12 | 23 |
| Median nurse hours per resident day | 3.7 | 3.7 |
| Median nursing turnover | 44.2% | 44.9% |
| Facilities with the abuse icon | 3 | 1426 |
Rating distribution
States
| State | Facilities |
|---|---|
| Kentucky | 38 |
| Tennessee | 21 |
| Indiana | 4 |
| North Carolina | 3 |
| Virginia | 1 |
Most-cited tags
| Tag | Requirement | Citations |
|---|---|---|
| F0880 | Provide and implement an infection prevention and control program. | 77 |
| F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 62 |
| F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 55 |
| F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | 53 |
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 48 |
| F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | 32 |
| F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | 30 |
| F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | 29 |
Penalties by year
Facilities
Questions and answers
How many nursing homes does Signature Healthcare operate?
67 Medicare-certified facilities in 5 states, with 7,586 certified beds, according to the chain name in the CMS provider file.
How are Signature Healthcare facilities rated?
37% are rated 1–2 stars overall and 17 hold 5 stars; the median overall rating is 3. Nationally 41% are rated 1–2 stars.
Has Signature Healthcare been fined?
CMS lists 34 fines totalling $1.1M and 5 payment denials across its facilities in the period the penalties file covers.