Signature Healthcare at Hillcrest
3740 Old Hartford Road, Owensboro, KY 42303 · Daviess County · (270) 684-7259
156 certified beds, about 128 residents a day · For profit - Corporation · Medicare and Medicaid since 1972
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185120 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 14, 2026, inspectors cited 1 health deficiency (the Kentucky average is 2.9, the national average 9.2).
None of its 3 health citations since January 2020 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.67 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 1.13 of those hours.
33.3% 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.
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 3 health citations on file.
May 14, 2026Standard inspection · 1 citation
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and facility policy review the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety which had the potential to affect residents who consumed meals from the kitchen. Observation of the kitchen, on 05/12/2026 and 05/13/2026, revealed food items uncovered in the freezer, two staff members not wearing a hairnet as required, and alternative food item prepared for lunch service, left uncovered and temped at an unacceptable temperature range (81 Degrees Fahrenheit). Review of the facility's revised policy, titled, Food Preparation, dated 02/2026, revealed all foods were prepared in accordance with the Food and Drug Administration (FDA) Food Code. [...]
April 18, 2025Standard inspection, Complaint inspection · 2 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and facility policy review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for all resident(s) in the facility. 1. Observation in the kitchen revealed staff with their hair nets not covering their hair as required. 2. Observation of the kitchen revealed multiple food items that were not covered in the freezer, food items in the refrigerator out of date per the manufacturer's use-by date. Continued observation revealed multiple food items dated with only a month and day and did not include the year for reference. Observation of metal pans revealed they were removed from cleaning and stacked without allowing sufficient dry time. [...]
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to ensure residents and/or their representatives right to be informed of and participate in treatment. The facility failed to ensure consent for physical contact was obtained for two residents, Resident (R)203 and R209. R203's representative stated she had not been involved in the care planning for the resident. Record review revealed no documented evidence for physical contact consent between R203 and R209 located in the Electronic Medical Record (EMR) for R203.
January 30, 2020Standard inspection · 0 citations
Fire safety inspections
3 fire safety citations on file: 1 on April 18, 2025, 2 on January 30, 2020.
Every fire safety citation3 citations
- D Have properly located and lighted "Exit" signs.
- F Inspect, test, and maintain automatic sprinkler systems.
- D Install smoke barrier doors that can resist smoke for at least 20 minutes.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Kentucky | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.67 | 3.95 | 3.86 |
| Registered nurses | 1.13 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.16 | 3.49 | 3.42 |
| Nurse aides | 2.30 | ||
| Licensed practical nurses | 0.24 | ||
| Nursing staff turnover (share who left in a year) | 33.3% | 46.4% | 45.8% |
| Registered nurse turnover | 32.1% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.00 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 3.87 on weekdays and 3.16 on weekends, 18% 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 3.70 in April to June 2025 to 3.67 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.67 | 1.13 | 3.87 | 3.16 | 0.0% | 0 of 90 | 128 |
| Oct to Dec 2025 | 3.63 | 1.03 | 3.79 | 3.21 | 0.0% | 0 of 92 | 128 |
| Jul to Sep 2025 | 3.67 | 1.00 | 3.85 | 3.21 | 0.0% | 0 of 92 | 125 |
| Apr to Jun 2025 | 3.70 | 0.90 | 3.88 | 3.24 | 0.0% | 0 of 91 | 124 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Kentucky, Jan to Mar 2026 | 3.85 | 0.71 | 4.04 | 3.40 | 3.2% | 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Kentucky | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 4.8 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.9 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.3 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.3 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 2.1 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.9 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.4 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.5 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.6 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 2.1 | 1.8 |
Owners and operators
Legal business name: LP OWENSBORO II, LLC. CMS links this home to Signature Healthcare, a group of 67 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Shc Ky Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 04/01/2014 |
| Asbr Holdings LLC | 5% or greater indirect ownership interest | Organization | 05/01/2018 | |
| Jjla LLC | 5% or greater indirect ownership interest | Organization | 04/01/2014 | |
| Lpsnf LLC | 5% or greater indirect ownership interest | Organization | 04/01/2014 | |
| Shc LP Holdings LLC | 5% or greater indirect ownership interest | Organization | 04/01/2014 | |
| Wheaten LLC | 5% or greater indirect ownership interest | Organization | 04/01/2014 | |
| Steier III, Elmer | 5% or greater indirect ownership interest | Individual | 04/01/2014 | |
| Conley, William | W-2 managing employee | Individual | 09/01/2018 | |
| Harrison, John | Corporate officer | Individual | 04/01/2014 | |
| Conley, William | Operational/managerial control | Individual | 09/01/2018 |
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.
- 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, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on April 18, 2025: "Ensure that residents are fully informed and understand their health status, care and treatments."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.16 hours per resident per day, below the Kentucky average of 3.49.
Other nursing homes nearby
- Wellington Parc of Owensboro Owensboro, 0.9 mi · 4 of 5 stars · 6 citations
- Carmel Home Owensboro, 1 mi · 2 of 5 stars · 7 citations
- Chautauqua Health and Rehabilitation Owensboro, 1.9 mi · 3 of 5 stars · 23 citations
- The Transitional Care Center of Owensboro Owensboro, 2.5 mi · 5 of 5 stars · 2 citations
- Hermitage Care and Rehabilitation Center Owensboro, 2.8 mi · 5 of 5 stars · 1 citation
- Twin Rivers Nursing and Rehabilitation Center Owensboro, 3.8 mi · 5 of 5 stars · 18 citations
- Waters of Rockport Skilled Nursing Facility, the Rockport, 10.3 mi · 1 of 5 stars · 41 citations
- Riverside Care & Rehabilitation Center Calhoun, 16.2 mi · 5 of 5 stars · 4 citations
Kentucky contacts for a concern about a nursing home
These are the official offices in Kentucky. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Kentucky Office of Inspector General, Division of Health Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Kentucky State Long-Term Care Ombudsman Program, Nursing Home Ombudsman Agency of the Bluegrass, (800) 372-2991. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Kentucky OIG Nursing Home Inspection Findings, where Kentucky publishes its own records on licensed homes.
Common questions
- What is Signature Healthcare at Hillcrest's Medicare star rating?
- CMS rates Signature Healthcare at Hillcrest 3 out of 5 stars overall, with 3 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 Hillcrest get at its last inspection?
- 1 health deficiency at the standard inspection on May 14, 2026. The Kentucky average is 2.9.
- Has Signature Healthcare at Hillcrest been fined?
- CMS lists no fines in the last three years.
- Does Signature Healthcare at Hillcrest 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 Hillcrest?
- CMS lists 10 owners and managers, and links the home to Signature Healthcare. Legal business name: LP OWENSBORO II, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.