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Signature Healthcare at Colonial Rehab & Wellness

708 Bartley Avenue, Bardstown, KY 40004 · Nelson County · (502) 348-9260

65 certified beds, about 54 residents a day · For profit - Corporation · Medicare and Medicaid since 1992

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 185342 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 21, 2025, inspectors cited 0 health deficiencies (the Kentucky average is 2.9, the national average 9.2).

Of 6 health citations since May 2021, 3 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).

CMS lists 1 fine totaling $67,987 in the last three years; the largest was $67,987, and the latest is dated July 11, 2024.

Nurses and nurse aides worked 3.81 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 1.12 of those hours.

25.0% of nursing staff left within the year CMS measured (Kentucky average 46.4%).

CMS links it to Signature Healthcare, an affiliated group of 67 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 6 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
2K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
2D
1E
0F
Potential for minimal harm
0A
0B
0C
August 21, 2025Standard inspection · 0 citations
July 11, 2024Standard inspection, Complaint inspection · 4 citations
  1. K
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 12, 2024
    Inspectors wroteBased on observation, interview, record review, and review of the facility's policies, it was determined the facility failed to have an effective system to ensure residents were assessed to determine their capacity to consent or were free from sexual abuse for three of 24 sampled (Residents (R) 2, R33, and R34). Review of facility documentation of multiple incidents and sexual abuse allegations involving R63 revealed the following: 1. On 02/22/2022, staff witnessed R63 and R2 kissing and the facility unsubstantiated the incident. The facility failed to assess the residents for their ability to consent and failed to update R63's care plan related to the monitoring that occurred after the event. 2. [...]
  2. K
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · Immediate jeopardy to resident health or safety, pattern · Corrected (the home has a date of correction) July 12, 2024
    Inspectors wroteBased on interview, record review, and review of the facility's policy, it was determined the facility failed to ensure its staff developed and implemented the resident's care plan with interventions to address inappropriate sexual behavior and failed to ensure the residents were assessed and care planned for the ability to consent to sexual activity for four of 24 sampled residents (Residents (R) 63, R2, R33, and R34). On 02/22/2022, Resident (R) 63 was observed by staff to have kissed R2. The facility failed to develop R63's comprehensive care plan to address the inappropriate behavior. Then approximately 6 months later, on 08/14/2022, R63 kissed R2 again, after R2 asked for a kiss. The facility considered this incident mutual, however, when the facility interviewed R2 after the incident, she could not recall the incident. [...]
  3. J
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 12, 2024
    Inspectors wroteBased on interview, record review, and facility policy review, it was determined the facility failed to ensure residents were free of any significant medication errors for one of seven sampled residents (Residents (R)58). On 05/03/2022, R58 developed increased altered mental status and was sent to the emergency room (ER) for evaluation. During assessment of R58 at the ER, the ER nurse discovered a 75 microgram (mcg) fentanyl patch (narcotic medication used to treat severe pain) on the resident's left upper arm/shoulder. However, review of the facility's information for R58 revealed no documentation noting fentanyl as one of R58's medications. Review of R2's (R58's roommate) orders revealed that resident had an active order for a 75 mcg fentanyl patch. The Director of Nursing (DON) assessed R2 and did not find the resident's prescribed fentanyl patch. [...]
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 12, 2024
    Inspectors wroteBased on observation, interview, record review, 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, sanitary, and comfortable environment and to help prevent and control the development and transmission of communicable diseases and to implement interventions to protect one (1) out of ten (10) sampled Residents (R), R43. Observation revealed R43's room door had a sign posted noting the resident was on Enhanced Barrier Precautions (EBP). However, further observation revealed Certified Nurse Aide (CNA) 3 entered R43's room without donning Personal Protective Equipment (PPE) as required.
May 14, 2021Standard inspection · 2 citations
  1. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 8, 2021
    Inspectors wroteBased on observation, interview and record review, it was determined the facility failed to ensure food was served at an appetizing temperature. Resident interviews and review of Resident Council Meeting minutes revealed resident complaints of cold food. Observation of the tray line on 05/11/2021 revealed the facility was not using the pellet warmer (part of the plate warming system to keep food warm). A test tray was obtained on 05/11/2021, and the mixed greens were cool and not at an appetizing temperature.
  2. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 8, 2021
    Inspectors wroteBase on observation, interview and record review the facility failed to keep food stored under sanitary condition. A dented can of apples was stored on a shelf in the kitchen available for use.

Fire safety inspections

10 fire safety citations on file: 3 on August 21, 2025, 3 on July 11, 2024, 4 on May 14, 2021.

Every fire safety citation10 citations
  1. D
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · August 21, 2025 · Corrected (the home has a date of correction)
  2. D
    Have simulated fire drills held at unexpected times.
    K 712 · August 21, 2025 · Corrected (the home has a date of correction)
  3. D
    Have proper medical gas storage and administration areas.
    K 923 · August 21, 2025 · Corrected (the home has a date of correction)
  4. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · July 11, 2024 · Corrected (the home has a date of correction)
  5. E
    Ensure proper usage of power strips and extension cords.
    K 920 · July 11, 2024 · Corrected (the home has a date of correction)
  6. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · July 11, 2024 · Corrected (the home has a date of correction)
  7. D
    Meet other general requirements that are deficient.
    K 500 · May 14, 2021 · Corrected (the home has a date of correction)
  8. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · May 14, 2021 · Corrected (the home has a date of correction)
  9. D
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · May 14, 2021 · Corrected (the home has a date of correction)
  10. D
    Have proper medical gas storage and administration areas.
    K 923 · May 14, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
July 11, 2024Fine $67,987

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeKentuckyUnited States
All nursing staff (RN, LPN and aides)3.813.953.86
Registered nurses1.120.790.69
All nursing staff on weekends3.123.493.42
Nurse aides2.27
Licensed practical nurses0.42
Nursing staff turnover (share who left in a year)25.0%46.4%45.8%
Registered nurse turnover9.1%41.8%42.9%
Administrators who left0

CMS expects 3.83 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.09 on weekdays and 3.12 on weekends, 24% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.61 in April to June 2025 to 3.81 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.811.124.093.12 0.0%0 of 9054
Oct to Dec 20253.831.114.083.19 0.0%0 of 9254
Jul to Sep 20253.801.164.083.07 0.0%0 of 9254
Apr to Jun 20253.610.983.853.01 0.0%0 of 9153
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Kentucky, Jan to Mar 20263.850.714.043.403.2%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Kentucky

JobMedianMiddle halfEmployed
Kentucky, all employers
CNAs (nursing assistants)$18.45$17.38 to $21.2123,410
LPNs and LVNs$29.07$26.10 to $31.298,570
Registered nurses$38.96$36.38 to $46.7350,300
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeKentuckyUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
12.413.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.40.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.11.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.03.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
6.614.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.04.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
2.716.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
26.824.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
12.313.712.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.41.91.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.92.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Signature Healthcare at Colonial Rehab & Wellness's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (48.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

48.3% this home

No different from the national rate

US median of homes 51.5% · Kentucky: 38 better, 49 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 68 eligible stays.

Potentially preventable readmissions

10.9% this home

No different from the national rate

US median of homes 10.7% · Kentucky: 0 better, 12 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 67 eligible stays.

Infections that led to a hospital stay

6.0% this home

No different from the national rate

US median of homes 7.1% · Kentucky: 0 better, 6 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 43 eligible stays.

Self-care and mobility at discharge

74.2% this home

Median of homes: Kentucky49.5% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 31 residents counted.

Falls with major injury

3.9% this home

Median of homes: Kentucky0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 51 residents counted.

New or worsened pressure ulcers

3.3% this home

Median of homes: Kentucky2.6% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 51 residents counted.

Medication list given at discharge

96.2% this home

Median of homes: Kentucky98.1% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 26 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: LP BARDSTOWN LLC. CMS links this home to Signature Healthcare, a group of 67 nursing homes averaging 3.1 stars overall.

NameRoleTypeShareSince
Shc LP Holdings LLC5% or greater direct ownership interestOrganization100%12/01/2015
Asbr Holdings LLC5% or greater indirect ownership interestOrganization05/01/2018
Jjla LLC5% or greater indirect ownership interestOrganization12/01/2015
Lpsnf LLC5% or greater indirect ownership interestOrganization12/01/2015
Wheaten LLC5% or greater indirect ownership interestOrganization12/01/2015
Steier III, Elmer5% or greater indirect ownership interestIndividual12/01/2015
Ononye, ObinnaW-2 managing employeeIndividual02/24/2024
Harrison, JohnCorporate officerIndividual11/01/2007

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on May 14, 2021: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
  2. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on July 11, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on July 11, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on July 11, 2024: "Ensure that residents are free from significant medication errors."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.12 hours per resident per day, below the Kentucky average of 3.49.

Other nursing homes nearby

Kentucky contacts for a concern about a nursing home

These are the official offices in Kentucky. NursingHomeClear cannot take or act on complaints.

Common questions

What is Signature Healthcare at Colonial Rehab & Wellness's Medicare star rating?
CMS rates Signature Healthcare at Colonial Rehab & Wellness 1 out of 5 stars overall, with 1 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Signature Healthcare at Colonial Rehab & Wellness get at its last inspection?
0 health deficiencies at the standard inspection on August 21, 2025. The Kentucky average is 2.9.
Has Signature Healthcare at Colonial Rehab & Wellness been fined?
Yes. CMS lists 1 fine totaling $67,987 in the last three years.
Does Signature Healthcare at Colonial Rehab & Wellness accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Signature Healthcare at Colonial Rehab & Wellness?
CMS lists 8 owners and managers, and links the home to Signature Healthcare. Legal business name: LP BARDSTOWN LLC.

Sources

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