Home / Kentucky / Elizabethtown
Signature Healthcare of Elizabethtown
1850 Veteran's Way, Elizabethtown, KY 42701 · Hardin County · (270) 769-2363
124 certified beds, about 116 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1972
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185118 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 13, 2026, inspectors cited 1 health deficiency (the Kentucky average is 2.9, the national average 9.2).
Of 7 health citations since July 2021, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.93 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 1.02 of those hours.
42.6% 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 7 health citations on file.
March 25, 2026Complaint inspection · 2 citations
- J Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, interview, record review, and review of facility policy, the facility failed to ensure residents were free of significant medication errors for 1 of 10 sampled residents reviewed for narcotic administration, Resident (R)1. On 03/12/2026, R1 was administered 5 times the intended dose of Morphine (a schedule II opioid analgesic used to treat severe pain and misuse of the medicine can cause addition, overdose, or death) on three separate instances. R1 was pronounced dead on 03/12/2026 at 5:53 PM. The facility's failure to have an effective system to ensure residents were free from significant medication errors was likely to cause serious injury, impairment, or death to a resident. On 03/20/2026 Immediate Jeopardy was identified and determined to exist on 03/12/2026 in the area of 42 CFR 483.45, Pharmacy Services (F760) at a Scope and Severity of a J. [...]
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on observation, interview, record review, and review of facility policy, the facility failed to report alleged violations involving abuse, neglect, mistreatment, or any reasonable suspicion of a crime, as required, to state agencies for 1 of 10 sample residents, Resident (R)1. (Refer to F760)
February 13, 2026Standard inspection · 1 citation
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interview, record review, facility document review, and facility policy review, the facility failed to notify the Nurse Practitioner (NP), Medical Director (MD) and management staff when the administration of an immediate (STAT, statim) order for medication was delayed due to not being received from the pharmacy timely. This failure affected 1 (Resident #105) of 1 resident reviewed for notifications.
October 25, 2024Standard inspection · 1 citation
- E Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Inspectors wroteBased on interview, record review, and review of facility policy, the facility failed to complete the Kentucky (KY) Adult Caregiver Misconduct Registry checks prior to beginning employment on 2 of 3 contracted dietary employees, Dietary Aide (DA) 1 and [NAME] 1. DA 1 began employment at the facility on 09/04/2024, and [NAME] 1 began employment on 09/11/2024. However, the facility failed to complete the KY Caregiver Misconduct Registry checks for both employees prior to employment, as the check were not completed until 10/24/2024, during the State Survey Agency (SSA) survey.
November 8, 2023Complaint inspection · 2 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview, record review, and review of facility's policy, it was determined that the facility failed to ensure residents were treated with dignity and respect in a manner that enhanced the resident's quality of life for one (1) of seven (7) sampled resident residents (Resident #2). The facility failed to honor Resident #2's right to refuse taking his/her medication. On 06/18/2023, Registered Nurse (RN) #3 was observed by staff holding Resident #2's nose during medication administration. The RN was overheared telling Resident #2, see there you go, after making him/her take the medication. On 10/27/2023 observation revealed Resident #2 was in his/her room, in bed sitting up, looking at television. Resident #2 was non-verbal so he/she was unable to be interviewed. In interview on 10/27/2023 at 9:01 AM, with [NAME] Clerk said Resident #2 says some words sometimes. [...]
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, record review, and review of the facility's policy it was determined the facility failed to have an effective system to ensure adequate supervision and monitoring to prevent resident to resident altercations for three (3) of seven (7) sampled residents (Residents #1, #3, and #4). The facility failed to provide adequate supervision to ensure Residents #4 was protected from abuse by Resident #3. On 06/04/2023 at 12:07 PM, Resident #3, who had a history of physical aggression towards staff, hit Resident #4 once across the face, while agitated for an unknown reason. Resident #4 was observed to have a raised area on his/her lip after the incident. The facility failed to provide adequate supervision per Resident #3's care plan for the safety to other residents. [...]
July 1, 2021Standard inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews, record review and facility policy review, it was determined the facility failed to prevent the possible spread of COVID-19 for one (1) of eighteen (18) sampled residents (Resident #230). Resident #230, who had not received the COVID-19 vaccine, was admitted to the facility on [DATE]. Observation of Resident #230 and the resident's room on 06/29/2021 revealed the facility failed to place the resident in isolation, per the facility's policy; and, failed to place appropriate signage and Personal Protective Equipment (PPE) outside the resident's door.
Fire safety inspections
6 fire safety citations on file: 4 on October 25, 2024, 2 on July 1, 2021.
Every fire safety citation6 citations
- F Use approved construction type or materials.
- E Properly provide smoke detection systems in areas open to corridors.
- E Install an approved automatic sprinkler system.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D Have exits that are accessible at all times.
- D Have restrictions on the use of portable space heaters.
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) | 3.93 | 3.95 | 3.86 |
| Registered nurses | 1.02 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.30 | 3.49 | 3.42 |
| Nurse aides | 2.13 | ||
| Licensed practical nurses | 0.77 | ||
| Nursing staff turnover (share who left in a year) | 42.6% | 46.4% | 45.8% |
| Registered nurse turnover | 36.0% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.60 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 4.19 on weekdays and 3.30 on weekends, 21% 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 3.95 in April to June 2025 to 3.93 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 | 3.93 | 1.02 | 4.19 | 3.30 | 0.0% | 0 of 90 | 116 |
| Oct to Dec 2025 | 3.86 | 0.93 | 4.10 | 3.24 | 0.0% | 0 of 92 | 117 |
| Jul to Sep 2025 | 3.85 | 0.83 | 4.07 | 3.30 | 0.0% | 0 of 92 | 117 |
| Apr to Jun 2025 | 3.95 | 0.84 | 4.25 | 3.21 | 1.0% | 0 of 91 | 117 |
| 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.
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
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Kentucky, all employers | |||
| CNAs (nursing assistants) | $18.45 | $17.38 to $21.21 | 23,410 |
| LPNs and LVNs | $29.07 | $26.10 to $31.29 | 8,570 |
| Registered nurses | $38.96 | $36.38 to $46.73 | 50,300 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
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 | 7.0 | 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 | 0.0 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.0 | 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 | 9.6 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.2 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.5 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.4 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.7 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 2.1 | 1.8 |
Owners and operators
Legal business name: LP E-TOWN 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 | |
| Dillard, Weslene | W-2 managing employee | Individual | 10/03/2021 | |
| Harrison, John | Corporate officer | Individual | 02/02/2014 | |
| Signature Healthcare LLC | Operational/managerial control | Organization | 04/01/2014 |
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.
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on March 25, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on February 13, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on March 25, 2026: "Ensure that residents are free from significant medication errors."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on November 8, 2023: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.30 hours per resident per day, below the Kentucky average of 3.49.
Other nursing homes nearby
- Elizabethtown Nursing and Rehabilitation Center Elizabethtown, 2 mi · 2 of 5 stars · 19 citations
- Helmwood Healthcare Elizabethtown, 2.4 mi · 4 of 5 stars · 4 citations
- Kensington Nursing and Rehabilitation Center Elizabethtown, 2.7 mi · 3 of 5 stars · 19 citations
- Baptist Health Hardin Elizabethtown, 3.2 mi · 5 of 5 stars · 6 citations
- Signature Healthcare at North Hardin Rehab & Welln Radcliff, 6 mi · 2 of 5 stars · 28 citations
- Radcliff Veterans Center Radcliff, 9.9 mi · 3 of 5 stars · 8 citations
- Sunrise Manor Nursing Home Hodgenville, 13.7 mi · 1 of 5 stars · 19 citations
- Brandenburg Nursing and Rehabilitation Center Brandenburg, 23.2 mi · 3 of 5 stars · 1 citation
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 of Elizabethtown's Medicare star rating?
- CMS rates Signature Healthcare of Elizabethtown 2 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Signature Healthcare of Elizabethtown get at its last inspection?
- 1 health deficiency at the standard inspection on February 13, 2026. The Kentucky average is 2.9.
- Has Signature Healthcare of Elizabethtown been fined?
- CMS lists no fines in the last three years.
- Does Signature Healthcare of Elizabethtown 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 of Elizabethtown?
- CMS lists 10 owners and managers, and links the home to Signature Healthcare. Legal business name: LP E-TOWN 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.