Signature Healthcare of Spencer County

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.

48.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 79 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 34.6% 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 26 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 0.30 therapist hours per resident per day in 2026Q1 — more than 49% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 120 beds and averages 93.2 residents a day — about 78% occupied, or roughly 27 beds typically open. It usually has some room. 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 3.83 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.33 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.81 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 3.13 hrs/resident/day on weekends vs 4.11 on weekdays — 24% thinner on weekends — a notable drop. RN hours go from 1.38 to 1.19 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 56% 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.

17 citations, most serious first. The 10 most serious are shown; the remaining 7 are one tap away and print in full.

• Potential for harm · D2026-04-10 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  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 interviews, record review, and review of the facility's policies and procedures, the facility failed to ensure an allegation of abuse was reported immediately, but no later than two hours after the allegation was made for two of four sampled residents (Residents (R) 3 and R4).On 3/30/2026 at 3:32 PM, staff found R4 in R3's bed and reported the incident immediately to the Director of Nursing (DON), who was in the facility at the time of the incident. However, the incident was not reported to the Office of Inspector General (OIG) until 04/03/2026, 4 days after the incident. Review of the facility's plan of correction (POC), the facility's education records, and interviews with staff determined the facility implemented their plan of correction as alleged prior to the initiation of this survey with compliance date of 04/03/2026.The findings include:Review of the facility's policy, Resident Rights, revised 01/31/2026, revealed, All residents have the right to be treated with respect and dignity. These rights…

  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 · Past Non-Compliance
• Potential for harm · F2026-01-23 · tag F0838 — failed to assess facility resources and resident needs — widespread
  Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility failed to develop a facility assessment that adequately addresses informed staffing decisions to ensure that there are sufficient number of staff with the appropriate competencies and skill sets necessary to care for its' residents needs as identified through residents assessments and plans of care. Interview on 01/23/2026 at 10:40 AM with CEO he stated the facility assessment had total number per week for nurses and nurse aides required depending on census, but did not address specific numbers required on a daily basis to determine residents care needs. Based on interview, review of facility policy, and review of the Signature Healthcare of [NAME] County Facility Assessment, it was determined the Facility Assessment failed to address all required components. The Facility Assessment failed to address the facility census in its determination of staffing needs. It also failed to consider specific staffing needs, including a breakdown of licensed nurses and nurse aides, for each resident unit in the…

  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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-23 · 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 The facility failed to develop and implement a comprehensive care plan for each resident, which includes measurable objectives and time frames to meet a resident's medical nursing, mental, and psychosocial needs that are identified in the comprehensive assessment. This includes revisions as necessary with changes to create a person-centered care plan for each resident for two (2) of 93 sampled residents. (sampled residents 8, and 74.Review of the care plan for Resident (R) 8 did not match the most current orders or needs of the residents. Observation on 01/21/2026 of the R8's room and property revealed R8's wheelchair was without an anti-tipping device, and there were no non-skid strips on the floor and the resident's bed had two (2) half rails used for mobility, the order was for the right side only.Review of the care plan for R74 revealed no history of PTSD nor specific triggers for adverse behaviors, although it was commonly known.Based on observation, interview, record review, and review of the facility's…

  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 · D2026-01-23 · 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 The facility failed to ensure nursing staff followed the standard of care for medication administration medications in a safe manor for one of 93 sample residents. (sample R 8).Review of R8's medication list revealed an allergy to acetaminophen, but the resident continued to receive acetaminophen in different prepared medication.Based on interview, record review, and review of facility documents and policy revealed the facility failed to ensure nursing staff followed the standard of care for medication administration medications in a safe manor for one (Resident (R) 8) of five sampled residents reviewed for unnecessary medications. R8's medication list revealed an allergy to acetaminophen; however, the residents had orders for acetaminophen in two different prepared medications.Findings included:Review of the Medication Administration Policy, revised 06/24/2025, revealed Medications are administered as prescribed in accordance with the manufacturer's specifications, good nursing principles and practices, and…

  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 · Dcited before2026-01-23 · 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

  Observation on 1/21/2026 revealed staff entering a resident's room to deliver food trays. The trays were uncovered and then left while personal care was provided to a resident who was on Enhanced Barrier Precautions. No Protective Personal Equipment was observed in use for two of 93 sampled residents. (Sampled Resident 11, 27).Observation on 1/21/2026 revealed that staff obtained a finger stick blood sugar and brought the dirty machine to the cart, laying it on the cart without a barrier. The nurse wiped the machine with a Clorox wipe, one time, and did not leave it wet according to the facility policy or manufacturer's recommendation. One of 93 sampled Residents (sampled Resident 102) Based on observation, interview, and review of manufacturer's instructions and facility policy, the facility failed to maintain an infection prevention (IP) program designed to help prevent and manage the transmission of diseases and infections for two (Resident (R) 11 and R102) of 20 sampled residents, as well as one supplemental resident (R27.) Staff failed to thoroughly cleanse and disinfect a…

  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 · F2024-08-02 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and review of the facility's policy, it was determined the facility failed to prepare, distribute, and serve food in a sanitary manner and in accordance with professional standards for food service safety. Dietary staff failed to wash hands and wear gloves prior to cooking resident foods and checking food temperatures on the steam table during the lunch meal on 07/30/2024. A cook, who was crying, was observed to stand at the tray line for approximately five minutes with no face covering and a contract staff member, who was not wearing a hair net, walked through the kitchen three times by the food cart which was being filled with resident food trays. The findings include: Review of the facility's policy titled Food: Preparation revised 02/2023, revealed all foods were prepared in accordance with the Food and Drug Administration (FDA) Food Code. Per the policy, all staff would practice proper hand washing techniques and glove use and the staff would be responsible for food preparation procedures that avoid contamination by potentially harmful physical,…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-08-02 · tag F0880 — failed to prevent and control infections — widespread
  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, and facility policy review, it was determined the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. The facility failed to follow the Legionella Water Management Plan. Additionally, laundry staff were observed on 08/01/2024 to fold linen which touched the laundry room floor and the laundry worker's body. A contractor was observed, on 07/30/2024, cleaning the inside of a fish tank with bare hands, then carrying a bucket into the kitchen to obtain water while meal trays were being prepared. The findings include: Review of facility policy Infection Control, dated 01/23/2024, revealed the facility infection control policies and practices were intended to facilitate maintaining a safe, sanitary, and comfortable environment and to help prevent and manage transmission of diseases and infections. Further review revealed facility infection control polices and procedures applied…

  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 · F2024-08-02 · tag F0922 — failed to maintain the building's systems — widespread
  Have enough backup water supply for essential areas of the nursing home.
  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 and review of facility policy, the facility failed to ensure that safe drinking water was available when there was a loss of normal water supply for all residents. The census was 89 residents. The findings include: Review of the Dietary Services Agreement dated [DATE], revealed the contracted company was responsible for following state guidelines, for maintaining an adequate supply of emergency water. Review of the contracted company policy titled Guidelines for Water, not dated, revealed the contract company was to establish a contract with a local vendor to supply bottled water. The inventory guide revealed for non-potable water the amount was to be one gallon per person per day. Observation on [DATE] at 4:20 PM of the facility's emergency water supply revealed the emergency potable water was stored in an approximate 10 foot by 10 foot metal storage building located outside to the back of the facility. The storage building did not have a locking device and floor of the building…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-08-02 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and review of the facility's policy, it was determined the facility failed to ensure the resident environment remained free of accident hazards. On 07/30/2024, chemical products were noted underneath the sink of two bathrooms located near the back nurse's station. Additionally, the doors to both bathrooms were noted to be open with eight residents sitting in wheelchairs near the bathrooms and other residents walking near the bathrooms. The findings include: The facility did not produce an Accident/Supervision Policy upon request from the Administrator on 08/02/2024 10:54 AM . Review of the facility's Resident Rights Policy, revised 09/15/2023, revealed it was the facility's policy all residents would be treated in a manner and in an environment that promoted maintenance or enhancement of quality of life. Observation, on 07/30/2024 at 9:05 AM, revealed two public bathrooms near the back nurse's station with open doors. Further observation revealed chemical products underneath the sinks of both bathrooms. These products included Dermafungal cream,…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-08-02 · tag F0925 — failed to control pests — pattern
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and facility policy review, the facility failed to ensure the facility was free of pest in for four of 34 sampled residents (Resident [R]11, R29, R44, and R67). The findings include: Review of the facility's policy, titled Pest Control, undated, revealed the facility would establish a program for the control of insects and rodents and all areas would be monitored regularly for any signs of pest/vermin. Observation during initial facility rounds on 07/30/2024 at 10:50 AM, in the room shared by R29 and R44 and in R67's room revealed multiple gnats flying around in the room. Continued observation during facility rounds on 07/30/2024 at 11:01 AM revealed R29 and R44's room shared a bathroom with R67 and there were multiple gnats flying in the bathroom. Observation of Resident (R)11's room on 07/31/2024 at 9:18 AM revealed one gnat flying around the breakfast tray while R11 was attempting to eat breakfast. Observation of R29 and R44's room, R67's room and the shared bathroom between the rooms on 07/31/2024 at 11:36 AM and on 08/01/2024 at 2:56 PM revealed…

  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.

  Environmental 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.

About 79% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.1M paid to related parties — landlords or management companies under common ownership — equal to about 11% 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