Signature Healthcare of Hart County Rehab & Wellne
1505 South Dixie Street, Horse Cave, KY 42749 · Hart County · (270) 786-2200
104 certified beds, about 95 residents a day · For profit - Corporation · Medicare and Medicaid since 1993
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185381 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 13, 2026, inspectors cited 0 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
None of its 5 health citations since August 2019 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 3.80 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 1.00 of those hours.
48.5% 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 5 health citations on file.
March 13, 2026Standard inspection · 0 citations
November 1, 2024Standard inspection · 2 citations
- E Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Inspectors wroteBased on interview, personnel record review, and facility policy review, it was determined the facility failed to ensure contracted employees had a Kentucky Adult Caregiver Misconduct Registry check prior to employment as required by KRS 209.032 for 5 of 7 contracted employee files sampled. The facility provided an acceptable plan for the removal of this deficiency on 11/01/2024. This plan alleged the deficiency was corrected on 10/28/2024, prior to the initiation of the survey. The plan provided by the facility alleged the following: 1. On 10/28/2024 the Administrator audited all dietary and housekeeping contracted employees. Each employee had a Kentucky Adult Caregiver Misconduct Registry (KACMR) check completed. 2. [...]
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wrote483.60 Based on observation, interview and record review, it was determined the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for one of two nourishment refrigerators. Observation revealed the nourishment refrigerator on the Dogwood unit had two bowls of applesauce unlabeled or undated.
August 2, 2019Standard inspection · 3 citations
- 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, and facility policy review, it was determined the facility failed to notify a resident's physician regarding the significant weight loss for one (1) of twenty-two (22) sampled residents, Resident #77. Review of the medical record revealed no documentation regarding notification to the physician of Resident #77's weight loss of more than five (5) percent (%) in a one (1) month period.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview, record review, and facility policy review it was determined the facility failed to develop a comprehensive care plan for one (1) of twenty-two (22) sampled residents, Resident #77. The facility identified Resident #77 sustained significant weight loss (five (5) percent or more), however, the facility did not address the Problem in the resident's person-centered comprehensive care plan.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, record review, and facility policy review, it was determined the facility failed to insure controlled medication records accounted for per facility procedures to prevent diversion. Review of a Narcotic Flow Sheet revealed no witness signature for the removal of a card. In addition, review of the narcotic sheet count revealed the count was incorrect for two (2) days.
Fire safety inspections
2 fire safety citations on file: 2 on March 13, 2026.
Every fire safety citation2 citations
- D 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) | 3.80 | 3.95 | 3.86 |
| Registered nurses | 1.00 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.15 | 3.49 | 3.42 |
| Nurse aides | 2.23 | ||
| Licensed practical nurses | 0.58 | ||
| Nursing staff turnover (share who left in a year) | 48.5% | 46.4% | 45.8% |
| Registered nurse turnover | 33.3% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.95 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 4.07 on weekdays and 3.15 on weekends, 23% 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 3.73 in April to June 2025 to 3.80 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 | 3.80 | 1.00 | 4.07 | 3.15 | 0.0% | 0 of 90 | 95 |
| Oct to Dec 2025 | 3.77 | 0.81 | 4.01 | 3.15 | 0.0% | 0 of 92 | 96 |
| Jul to Sep 2025 | 3.67 | 0.72 | 3.89 | 3.10 | 0.0% | 0 of 92 | 95 |
| Apr to Jun 2025 | 3.73 | 0.61 | 3.93 | 3.22 | 0.0% | 0 of 91 | 89 |
| 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 | 10.1 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.6 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.6 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.2 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.1 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.3 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 10.9 | 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 | 1.1 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.1 | 2.1 | 1.8 |
Owners and operators
Legal business name: LP HORSE CAVE 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 LP Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 12/01/2015 |
| Asbr Holdings LLC | 5% or greater indirect ownership interest | Organization | 05/01/2018 | |
| Jjla LLC | 5% or greater indirect ownership interest | Organization | 12/01/2015 | |
| Lpsnf LLC | 5% or greater indirect ownership interest | Organization | 12/01/2015 | |
| Wheaten LLC | 5% or greater indirect ownership interest | Organization | 12/01/2015 | |
| Steier III, Elmer | 5% or greater indirect ownership interest | Individual | 12/01/2015 | |
| Cook, Jason | W-2 managing employee | Individual | 12/29/2022 | |
| Harrison, John | Corporate officer | Individual | 11/01/2007 | |
| Signature Healthcare LLC | Operational/managerial control | Organization | 12/01/2015 |
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 1 problem in this area, most recently on November 1, 2024: "Not hire anyone with a finding of abuse, neglect, exploitation, or theft."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on November 1, 2024: "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 August 2, 2019: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on August 2, 2019: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.15 hours per resident per day, below the Kentucky average of 3.49.
Other nursing homes nearby
- NHC Healthcare, Glasgow Glasgow, 10 mi · 2 of 5 stars · 16 citations
- Glasgow State Nursing Facility Glasgow, 10.3 mi · 3 of 5 stars · 6 citations
- Glenview Health and Rehabilitation Glasgow, 10.4 mi · 2 of 5 stars · 12 citations
- Barren County Nursing and Rehabilitation Glasgow, 11.5 mi · 2 of 5 stars · 10 citations
- Signature Healthcare of Glasgow Rehab & Wellness C Glasgow, 11.5 mi · 4 of 5 stars · 5 citations
- Edmonson Nursing and Rehabilitation Center Brownsville, 18.6 mi · 5 of 5 stars · 3 citations
- Metcalfe Nursing and Rehabilitation Center Edmonton, 19.9 mi · 1 of 5 stars · 14 citations
- Green River Trails Greensburg, 24.2 mi · 4 of 5 stars · 8 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 of Hart County Rehab & Wellne's Medicare star rating?
- CMS rates Signature Healthcare of Hart County Rehab & Wellne 5 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Signature Healthcare of Hart County Rehab & Wellne get at its last inspection?
- 0 health deficiencies at the standard inspection on March 13, 2026. The Kentucky average is 2.9.
- Has Signature Healthcare of Hart County Rehab & Wellne been fined?
- CMS lists no fines in the last three years.
- Does Signature Healthcare of Hart County Rehab & Wellne 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 Hart County Rehab & Wellne?
- CMS lists 9 owners and managers, and links the home to Signature Healthcare. Legal business name: LP HORSE CAVE 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.