Signature Healthcare of Georgetown

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

61.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 151 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 62.1% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 66 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.52 therapist hours per resident per day in 2026Q1 — more than 82% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 20% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 65 beds and averages 62.5 residents a day — about 96% occupied, or roughly 2 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.53 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.27 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.93 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.14 hrs/resident/day on weekends vs 3.69 on weekdays — 15% thinner on weekends. RN hours go from 1.43 to 0.85 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 48% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

22 citations, most serious first. The 10 most serious are shown; the remaining 12 are one tap away and print in full.

• Potential for harm · E2025-07-10 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to provide a safe, clean, comfortable, and homelike environment for 2 out of 4 hallways, 100 Hall and 400 Hall.Observations on 07/07/2025 revealed the drain access covers on the 100 and 400 Hall were loose, creating a possible tripping hazard.The findings include:Observation on 07/07/2025 at 2:05 PM revealed the drain cover at the end of 100 Hall outside room [ROOM NUMBER] was loose and slid side to side.Observation on 07/07/2025 at 3:58 PM revealed plates (covers) on 400 Hall were loose and spun around.In an interview on 07/08/2025 at 9:15 AM, Resident (R) 44 stated it was nice the drain cover was screwed down better now and did not move around when he wheeled over it. He stated it had been loose for a while.In an interview on 07/10/2025 at 10:10 AM, the Maintenance Director stated the process for routine maintenance in the building was to schedule tasks in the maintenance computer program. He further stated he was aware the drain covers periodically came…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-10 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and review of the facility's policy, the facility failed to follow its Abuse Policy when an employee did not immediately report an allegation of abuse to the Administrator or his designee for 1 of 2 residents reviewed for reporting alleged sexual abuse, Resident (R) 28.On 07/07/2025 at 2:10 PM a housekeeper (HK) 1 reported to the State Survey Agency (SSA) Surveyor that on approximately 07/05/2025, she overheard Certified Nurse Aide (CNA) 2 having a sexually inappropriate conversation with R28. However, that incident was not reported and investigated.The findings include:Review of the facility's policy titled, Abuse, Neglect and Misappropriation of Property, last revision date 09/15/2023, revealed the definition of abuse was willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain, or mental anguish. Abuse also included the deprivation by an individual, including a caretaker, of goods or services that were necessary…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-10 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and review of guidelines from the Centers for Disease Control and Prevention (CDC), the facility failed to follow infection control precautions for 1 of 9 sampled residents under Enhanced Barrier Precautions (EBP), Resident (R) 58. Observation on 07/08/2025 revealed Certified Nurse Aide (CNA) 1 changing linens and removing garbage for a resident under EBP precautions (R58) without wearing appropriate personal protective equipment (PPE).The findings include: Review of the facility provided signage for Enhanced Barrier Precautions (EBP) revealed the signage followed the guidelines from the United States Department of Health and Human Services, Centers for Disease Control and Prevention (CDC). The EBP signage, posted on R58's door, directed that everyone must clean their hands before entering and before leaving the room; providers and staff were directed to wear gloves and a gown for the following high contact resident care activities: dressing, bathing/showering, transferring, changing linens, providing hygiene, changing briefs or…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2021-12-03 · tag F0577 — pattern
  Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review and review of the facility's policy, it was determined the facility failed to ensure residents had the right to examine the results of the facility's most recent survey and Plan of Correction. Observations on 11/30/2021 through 12/02/2021, revealed the survey results were not readily accessible to the resident, family members and legal representatives of the resident. In addition residents voiced that they were unaware they could view the latest survey results and did not know where the results were kept for them to view. The findings include: Review of the facility policy titled, Resident Rights, revised 08/16/2018, revealed residents were entitled to exercise his/her rights and privileges as a resident of the facility and as a citizen of the United States, to the fullest extent possible without interference, coercion, discrimination, or reprisal. Observation on 11/30/2021 at 9:45 AM, revealed the front lobby and the Transitional Care Unit (TCU) was separated from…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2021-12-03 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, review of the Centers for Medicare and Medicaid's (CMS) Resident Assessment Instrument (RAI) 3.0 Manual, and review of the facility's policy, it was determined the facility failed to develop and implement a person-centered Comprehensive Care Plan (CCP) for each resident's care needs for six (6) of twenty-two (22) sampled residents (Resident #11, #14, #18, #27, #29, and #38). 1. Resident #29's CCP, initiated on 03/12/2019, revealed the facility failed to develop a care plan related to care measures for a resident with a Gastrointestinal Bleed upon return to the facility from the hospital. Additionally, the facility failed to develop the CCP related to incontinence care for a dependent resident. 2. Resident #38's CCP, initiated on 06/16/2021, revealed the facility failed to develop a care plan related to his/her Foley catheter. 3. Resident #14's CCP, initiated on 07/09/2021, revealed the facility failed to develop a care plan related to his/her oxygen therapy. 4.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2021-12-03 · tag F0725 — failed to have enough nursing staff — pattern
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, it was determined the facility failed to ensure sufficient nursing staff to provide nursing services and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident for seven (7) of twenty-two (22) sampled residents (Resident's #2, #6, #20, #23, #27, #29, and #30). Interviews with Resident #6, Resident #20, and Resident #27, on 11/30/2021, revealed they had to wait up to an hour for their call bell to be answered. In addition, interview with Resident #23, on 11/30/2021, revealed it may take up to thirty (30) to forty-five (45) minutes for call lights to be answered during mealtimes During Resident Group Interview conducted on 11/30/2021, Residents #2 and #29, revealed they had to wait extended wait periods for assistance after the call lights were activated. Additional interview with Resident #29, on 12/01/2021, revealed approximately two (2) months ago he/she activated the call light, but staff did not answer call light timely and he/she soiled…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2021-12-03 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, review of the Centers for Disease Control and Prevention (CDC) Healthcare Providers Clean Hands Count for Healthcare Providers guideline, review of the nursing manual [NAME] and [NAME]. (n.d.). Fundamentals of Nursing, and review of the facility's policies, it was determined the facility failed to establish and maintain an infection prevention and control program designed to provide a safe and sanitary environment and to help prevent and control the development and transmission of communicable diseases, including COVID-19, and to implement interventions per the Centers for Medicare and Medicaid Services (CMS), the CDC, and the Kentucky Department for Public Health (Health Department) State guidelines for COVID-19 for two (2) of twenty-two (22) sampled residents, Resident #18 and Resident #37. Observation, on 12/01/2021, during medication administration revealed Registered Nurse (RN) #1 broke a pill with her unsanitized bare hands and placed it in a medication cup…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2021-12-03 · tag F0578 — failed to honor advance directives / code status — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and review of facility policy, it was determined the facility failed to establish mechanisms for documenting and communicating the resident's choices to the interdisciplinary team and to the staff responsible for the resident's care for one (1) of twenty-two (22) sampled residents (Resident #42). Record review revealed Resident #42 was admitted to the facility on [DATE], with a Physician's Order for Code status: Full Code. Observation, on [DATE] at 3:30 PM, revealed a printed Advance Directive/Informed Consent form, dated [DATE], available at the nursing station in a binder with the Advance Directive/Informed Consent forms. The Advance Directive/Informed Consent form for Resident #42 had Full Code handwritten in large letters, in the top right corner. However, the resident's most recent Advance Directives/Informed Consent form, dated [DATE], revealed the resident's code status was DNR. Additionally, although Resident #42's Advance Directive/Informed Consent was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2021-12-03 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to ensure two (2) of twenty-two (22) sampled residents' care plans, Resident #11 and #33, were revised to reflect the care needs of the residents. 1. Review of Resident #33's Comprehensive Care Plan (CCP), initiated on 07/18/2020, revealed the facility failed to revise the resident's Nutritional Status focus area to ensure the staff was provided Resident #33's correct feeding instructions. 2. Review of Resident #11's (CCP), initiated on 04/14/2016, revealed the facility failed to revise the resident's Nutritional Status focus area to ensure the staff was provided Resident #11's correct feeding instructions, as directed by the Physician's orders, dated 11/16/2021. The findings include: Review of the facility's policy titled, Comprehensive Care Plans, revised on 07/19/2018, revealed the CCP included how the facility would assist the resident to meet their needs, goals, and preferences. Further…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2021-12-03 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, facility policy review, review of [NAME] and [NAME]. (n.d.). Fundamentals of Nursing, and review of the Kentucky Board of Nursing (KBN) Advisory Opinion Statement (AOS) #14, it was determined the facility failed to follow professional standards of practice for two (2) of twenty-two (22) sampled residents, Residents #18 and #30. 1. Observation of Registered Nurse (RN) #1, on [DATE] at approximately 10:30 AM, revealed she performed the incorrect wound care to Resident #18's left great toe. Further observation revealed RN #1 administered a discontinued medication to the skin rash on Resident #18's face. Additionally, observation of RN #1 performing Resident #18's suprapubic catheter (a surgically created connection between the urinary bladder and the skin used to drain urine from the bladder) irrigation, on [DATE] at approximately 10:00 AM, revealed RN #1 failed to use appropriate infection control techniques. 2. Observation on [DATE] at 11:00 AM, revealed Registered…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to SIGNATURE HEALTHCARE — 67 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

5 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.2M paid to related parties — landlords or management companies under common ownership — equal to about 16% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in KY