Signature Healthcare of Hartford Rehab & Wellness
114 McMurtry Avenue, Hartford, KY 42347 · Ohio County · (270) 298-7437
110 certified beds, about 85 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1991
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185275 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 3, 2025, inspectors cited 3 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
None of its 5 health citations since February 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 3.87 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 1.04 of those hours.
45.1% 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.
July 3, 2025Standard inspection · 3 citations
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on interview, record review, and review of facility policy, the facility failed to ensure that each resident was free from chemical restraints imposed for purposes of discipline or convenience and that were not required to treat the resident's medical symptoms. Additionally, the facility failed to ensure that residents who use psychotropic drugs have behavior monitoring, non-pharmacological, and behavioral interventions for one of three sampled residents, Resident (R) 83.
- 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 observation, interview, record review, and review of facility policies, it was determined that the facility failed to develop and implement a comprehensive person-centered care plan for each resident, to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for two of 22 sampled Resident (R) 83 and R59.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on interview, record review, and review of facility policy, the facility failed to ensure each resident's drug regimen was free from unnecessary drugs. An unnecessary drug is any drug without an adequate indication for its use. This affected one of three of 22 sampled residents Resident (R) 83. Review of record revealed R 83 was receiving an antipsychotic medication (seroquel) for an indication of insomnia and dementia. Review of the facility's policy titled, Psychotropic Medications Policy, dated 05/07/2024, revealed psychotropic medications would be used appropriately for residents with 's mental illness and or related disorders. A psychotropic drug is any drug that affects brain activities associated with mental processes and behavior. These drugs include, but are not limited to, drugs in the following categories: antipsychotics, antidepressants, anti-anxiety, and hypnotics. [...]
April 15, 2021Standard inspection · 0 citations
February 14, 2019Standard 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 the facility's policy, it was determined the facility failed to ensure it must treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life, for two (2) of twenty-two (22) sampled residents (Residents #72 and #88). Observations on 02/13/19 and 02/14/19 revealed a staff entered Resident #72's and #88's rooms without knocking on the door prior to entering.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review and review of facility policy, 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 the development and transmission of communicable diseases and infections for three (3) of twenty-two (22) sampled residents (Residents #72, #76 and #88). Observations revealed staff failed to establish a clean field prior to dressing changes;, and, to wash hands and change gloves when moving from dirty to clean area, and before contact with items in the room when providing treatments or dressing changes for Residents #76, #72 and #88.
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) | 3.87 | 3.95 | 3.86 |
| Registered nurses | 1.04 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.20 | 3.49 | 3.42 |
| Nurse aides | 2.55 | ||
| Licensed practical nurses | 0.27 | ||
| Nursing staff turnover (share who left in a year) | 45.1% | 46.4% | 45.8% |
| Registered nurse turnover | 53.6% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.03 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 4.14 on weekdays and 3.20 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 3.97 in April to June 2025 to 3.87 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 | 3.87 | 1.04 | 4.14 | 3.20 | 0.0% | 0 of 90 | 85 |
| Oct to Dec 2025 | 3.72 | 0.84 | 3.96 | 3.11 | 0.0% | 0 of 92 | 86 |
| Jul to Sep 2025 | 3.90 | 0.96 | 4.19 | 3.18 | 0.2% | 0 of 92 | 83 |
| Apr to Jun 2025 | 3.97 | 0.88 | 4.28 | 3.19 | 3.3% | 0 of 91 | 84 |
| 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 | 17.2 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.4 | 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 | 0.0 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.4 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.8 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.7 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.5 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 21.1 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 2.1 | 1.8 |
Owners and operators
Legal business name: LP HARTFORD 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 | |
| Harrison, John | Corporate officer | Individual | 11/01/2007 | |
| Signature Healthcare LLC | Operational/managerial control | Organization | 12/01/2015 | |
| Daves, Trina | Operational/managerial control | Individual | 02/28/2022 |
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 July 3, 2025: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on July 3, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on July 3, 2025: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
- 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 February 14, 2019: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.20 hours per resident per day, below the Kentucky average of 3.49.
Other nursing homes nearby
- Beaver Dam Nursing & Rehab Center, Inc Beaver Dam, 5.8 mi · 3 of 5 stars · 8 citations
- Fordsville Nursing and Rehabilitation Center Fordsville, 16.1 mi · 4 of 5 stars · 10 citations
- Morgantown Care & Rehabilitation Center Morgantown, 19.3 mi · 3 of 5 stars · 8 citations
- Riverside Care & Rehabilitation Center Calhoun, 21.8 mi · 5 of 5 stars · 4 citations
- Greenville Nursing and Rehabilitation Greenville, 22.4 mi · 5 of 5 stars · 7 citations
- Maple Health and Rehabilitation Greenville, 22.4 mi · 5 of 5 stars · 7 citations
- Signature Healthcare at Hillcrest Owensboro, 22.7 mi · 3 of 5 stars · 3 citations
- Wellington Parc of Owensboro Owensboro, 23.5 mi · 4 of 5 stars · 6 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 Hartford Rehab & Wellness's Medicare star rating?
- CMS rates Signature Healthcare of Hartford Rehab & Wellness 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Signature Healthcare of Hartford Rehab & Wellness get at its last inspection?
- 3 health deficiencies at the standard inspection on July 3, 2025. The Kentucky average is 2.9.
- Has Signature Healthcare of Hartford Rehab & Wellness been fined?
- CMS lists no fines in the last three years.
- Does Signature Healthcare of Hartford 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 of Hartford Rehab & Wellness?
- CMS lists 9 owners and managers, and links the home to Signature Healthcare. Legal business name: LP HARTFORD 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.