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Signature Healthcare of Hart County Rehab & WellneCMS ratings, inspections and fines

Address
1505 South Dixie Street, Horse Cave, KY 42749
CCN
185381
Ownership type
For-profit, corporation
Certified beds
104
Residents per day
95
CMS flags
None in the CMS record
CMS star ratings
Overall rating5 of 5
Health inspection rating4 of 5
Staffing rating2 of 5
Quality measure rating5 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Signature Healthcare of Hart County Rehab & Wellne an overall rating of 5 of 5 stars. The last standard survey was on 13 Mar 2026. The latest survey cycle has 0 health citations. The median for nursing homes in Kentucky is 2. CMS lists no fines for this home in its penalties file.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Signature Healthcare of Hart County Rehab & Wellne, with medians
Rating (1 to 5 stars)This homeKentucky medianUS average (CMS)
Overall rating53.03.0
Health inspection rating43.02.8
Staffing rating23.02.9
Quality measure rating53.03.6

A median is the middle value of the homes in the group: 267 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Signature Healthcare of Hart County Rehab & Wellne in the last three survey cycles
Survey cycleStandard surveyCitationsKentucky median
Cycle 1 (latest)13 Mar 202602
Cycle 21 Nov 202423
Cycle 3No date34

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 5 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyG0H0I0
No actual harm, potential for more than minimal harmF0
No actual harm, potential for minimal harmA0B0C0

Survey cycle 2: 2 citations

Standard survey of this cycle: .

Health citations of Signature Healthcare of Hart County Rehab & Wellne in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
1 Nov 2024F0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.EStandard survey29 Oct 2024
1 Nov 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey9 Nov 2024

Survey cycle 3: 3 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Signature Healthcare of Hart County Rehab & Wellne in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
2 Aug 2019F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey12 Sep 2019
2 Aug 2019F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey12 Sep 2019
2 Aug 2019F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey12 Sep 2019

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

CMS lists no fine and no payment denial for this home in its penalties file.

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Signature Healthcare of Hart County Rehab & Wellne
StaffThis homeKentucky medianKentucky average (CMS)
All nurse staff3.803.703.95
Registered nurses (RN)1.000.700.79
Licensed practical nurses (LPN)0.580.80
Nurse aides2.232.36
All nurse staff, weekends3.153.303.48
Nurse staff turnover in a year
48.5%
Nurse staff turnover, Kentucky median
45.1%
RN turnover in a year
33.3%
Administrators who left in a year
0

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Signature Healthcare of Hart County Rehab & Wellne, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeKentucky medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay10.1%13.0%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.2%0.2%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.6%1.0%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.7%3.5%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.6%1.1%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay12.2%13.0%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay8.1%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay5.3%15.0%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, corporation
Legal business name
LP Horse Cave LLC
Chain
Signature Healthcare (67 homes in the CMS chain file)
Organisations in the CMS ownership record of Signature Healthcare of Hart County Rehab & Wellne
OrganisationRole in the CMS recordInterestSince
SHC LP Holdings LLC5% or greater direct ownership interest100%1 Dec 2015
Asbr Holdings LLC5% or greater indirect ownership interest1 May 2018
Jjla LLC5% or greater indirect ownership interest1 Dec 2015
LPSNF LLC5% or greater indirect ownership interest1 Dec 2015
Wheaten LLC5% or greater indirect ownership interest1 Dec 2015
Signature Healthcare LLCOperational/managerial control1 Dec 2015

The site shows organisations only. It does not show the names of persons.

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Signature Healthcare of Hart County Rehab & Wellne (CCN 185381). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/signature-healthcare-of-hart-county-rehab-wellne-horse-cave-ky-185381/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Signature Healthcare of Hart County Rehab & Wellne last inspected?
The latest inspection with a citation in the CMS record was on 1 Nov 2024. It was a standard survey. It gave 2 citations. The standard survey before the last one was on 1 Nov 2024.
Who operates Signature Healthcare of Hart County Rehab & Wellne?
The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Signature Healthcare. The CMS ownership file names Signature Healthcare LLC for operational or managerial control. This site does not show the names of persons.
Is Signature Healthcare of Hart County Rehab & Wellne a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Kentucky as a Special Focus Facility and 5 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.