nursing home in Horse Cave, KY
Signature Healthcare of Hart County Rehab & Wellne
1505 South Dixie Street, Horse Cave, KY 42749 · (270) 786-2200
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★2
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Signature Healthcare of Hart County Rehab & Wellne at a glance
Signature Healthcare of Hart County Rehab & Wellne is a 104-bed for-profit nursing home in Horse Cave, Kentucky (Hart County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Kentucky average of 3.
Residents receive about 3.8 hours of nursing care per day (1 of them from registered nurses), close to the state average of 4 hours.
Its most recent standard health inspection (March 13, 2026) found 0 health citations. The Kentucky average is 2.8.
It has not received a federal fine in the past three years.
Nursing staff turnover is 48.5% per year (state average 46.4%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 104
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Signature Healthcare
- Medicare-certified since
- July 16, 1993
- Resident/family council
- Resident
- County
- Hart County
- CMS Certification Number
- 185381
Ratings
| Measure | This facility | Kentucky avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.2 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.6 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 2.7 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Kentucky avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.80 hrs | 3.95 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 1.00 hrs | 0.79 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.23 hrs | 2.36 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.15 hrs | 3.49 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 48.5% | 46.4% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 33.3% | 41.8% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Kentucky avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 0 | 3 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 4 | 40.4 | 80.6 | Better |
Penalties
| Measure | This facility | Kentucky avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $15,373 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Kentucky avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 104 | 95 | 107 | |
| Average residents per day | 95 | 82 | 86 | |
| Occupancy | 90.9% | 87.1% | 80.9% |
Long-stay residents
| Measure | This facility | Kentucky avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.7% | 3.9% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 8.1% | 4.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 5.3% | 16.1% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.6% | 1.6% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.2% | 0.5% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 10.1% | 13.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 12.2% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 10.2% | 6.6% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 69.1% | 17.7% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 19.3% | 29.8% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 16.2% | 19% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 96.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.1% | 94.3% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Kentucky avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.6% | 1.7% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 98.4% | 83.5% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 96.7% | 84% | 82% | Better |
Inspection citations
State inspectors cited this home for 5 health deficiencies and 2 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 13, 2026 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | D Potential harm, isolated | Corrected March 19, 2026 |
| March 13, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected March 19, 2026 |
| November 1, 2024 Standard | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0606 | E Potential harm, pattern | Corrected October 29, 2024 |
| November 1, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected November 9, 2024 |
| August 2, 2019 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected September 12, 2019 |
| August 2, 2019 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected September 12, 2019 |
| August 2, 2019 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected September 12, 2019 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| SHC LP HOLDINGS LLC Organization | 5% or greater direct ownership interest | 100% | 12/01/2015 |
| ASBR HOLDINGS LLC Organization | 5% or greater indirect ownership interest | — | 05/01/2018 |
| JJLA LLC Organization | 5% or greater indirect ownership interest | — | 12/01/2015 |
| LPSNF LLC Organization | 5% or greater indirect ownership interest | — | 12/01/2015 |
| STEIER III, ELMER Individual | 5% or greater indirect ownership interest | — | 12/01/2015 |
| WHEATEN LLC Organization | 5% or greater indirect ownership interest | — | 12/01/2015 |
| HARRISON, JOHN Individual | corporate officer | NOT APPLICABLE | 11/01/2007 |
| SIGNATURE HEALTHCARE LLC Organization | operational/managerial control | NOT APPLICABLE | 12/01/2015 |
| COOK, JASON Individual | w-2 managing employee | NOT APPLICABLE | 12/29/2022 |
Other nursing homes near Signature Healthcare of Hart County Rehab & Wellne
Nhc Healthcare, Glasgow
109 Homewood Boulevard, Glasgow, KY 42141 · 10 mi
For-profit · 194 beds · Part of National Healthcare Corporation
★★★★★2Below average- ★★★★★3Average
Glenview Health and Rehabilitation
1002 Glenview Drive, Glasgow, KY 42141 · 10.4 mi
For-profit · 60 beds · Part of Simcha Hyman & Naftali Zanziper
★★★★★2Below averageBarren County Nursing and Rehabilitation
300 Westwood Street, Glasgow, KY 42141 · 11.5 mi
For-profit · 94 beds · Part of Simcha Hyman & Naftali Zanziper
★★★★★2Below averageSignature Healthcare of Glasgow Rehab & Wellness C
220 Westwood Street, Glasgow, KY 42141 · 11.5 mi
For-profit · 68 beds · Part of Signature Healthcare
★★★★★4Above averageEdmonson Nursing and Rehabilitation Center
813 South Main Street, Brownsville, KY 42210 · 18.6 mi
For-profit · 74 beds · Part of Encore Health Partners
- CMS high performer
★★★★★5Much above average
Frequently asked questions
What is Signature Healthcare of Hart County Rehab & Wellne's rating?
Signature Healthcare of Hart County Rehab & Wellne has 5 out of 5 stars on the CMS overall star rating. The average for Kentucky nursing homes is 3 stars.
How many inspection citations did Signature Healthcare of Hart County Rehab & Wellne receive?
Its most recent standard health inspection found 0 citations, compared with a Kentucky average of 2.8. Every citation is listed on this page with its severity.
Does Signature Healthcare of Hart County Rehab & Wellne accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Signature Healthcare of Hart County Rehab & Wellne?
It is for profit - corporation and part of Signature Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Signature Healthcare of Hart County Rehab & Wellne and how do I contact it?
Signature Healthcare of Hart County Rehab & Wellne is at 1505 South Dixie Street, Horse Cave, KY 42749. Phone: (270) 786-2200.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.