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Signature Healthcare nursing homes
67 nursing homes with 7,618 beds in Kentucky (38), Tennessee (21), Indiana (4), North Carolina (3), Virginia (1).
CMS affiliated entity 474 · data as of September 1, 2026
The group's record in brief
CMS links 67 certified nursing homes in 5 states to Signature Healthcare: 66 for profit, 0 nonprofit, 1 government run. 66 of them are certified for Medicaid.
Across the inspections on file, the group's homes carry 989 health citations; 84 citations were rated actual harm or immediate jeopardy, 50 of them immediate jeopardy. At their latest standard inspections the homes averaged 2.9 health deficiencies (national average 9.2).
20 homes in the group were fined in the last three years, $1,130,737 in all across 34 fines. Average nursing staff turnover across its homes was 45.6% (national 45.8%).
Staffing across the group
Daily payroll records from 67 homes in the group for January to March 2026, added up: hours worked by nursing staff divided by resident days. Weekend staffing ran 20% below weekdays.
| Hours per resident per day | This group | United States |
|---|---|---|
| All nursing staff | 3.69 | 3.75 |
| Registered nurses | 0.77 | 0.62 |
| Weekdays | 3.92 | 3.92 |
| Weekends | 3.14 | 3.33 |
| Share of nursing hours by contract staff | 1.1% | 5.3% |
Source: CMS Payroll Based Journal Daily Nurse Staffing. Weekend staffing in every state.
Signature Healthcare homes by state
| State | Homes | Average stars | Fines, 3 years | Special focus |
|---|---|---|---|---|
| Kentucky | 38 | 2.9 | $595,282 | |
| Tennessee | 21 | 3.6 | $452,120 | |
| Indiana | 4 | 2.0 | $74,225 | |
| North Carolina | 3 | 2.7 | $9,110 | |
| Virginia | 1 | 3.0 | $0 |
How the group's homes are rated
67 of its homes have a CMS overall rating. The national average is 3 stars. CMS's own chain averages: 3.1 overall, 2.8 health inspections, 2.8 staffing, 3.9 quality measures.
| Overall stars | Homes | |
|---|---|---|
| 5 of 5 | 16 | |
| 4 of 5 | 10 | |
| 3 of 5 | 15 | |
| 2 of 5 | 14 | |
| 1 of 5 | 12 |
Across the group: 84 citations rated actual harm or immediate jeopardy, and an average of 3.71 nursing staff hours per resident per day (national 3.86).
Every home in the group
Group membership is CMS's: homes it links to one affiliated entity through common owners or operators, from the Provider Information file.
Companies the CMS ownership file lists as owners of most of these homes: Jjla LLC, Wheaten LLC.