Fountain Circle Care & Rehabilitation Center

Name: Fountain Circle Care & Rehabilitation Center
Address: 200 Glenway Road, Winchester, KY, 40391, US
Telephone: 8597441800

200 Glenway Road, Winchester, KY 40391 · Clark County · 147 certified beds · avg 130 residents/day · certified since Mar 1, 1978

Part of chain: SIGNATURE HEALTHCARE (67 facilities, chain avg rating 3.1★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.89

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (11)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 6, 2025	F · Potential for harm, facility-wide	The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately.
Mar 6, 2025	F · Potential for harm, facility-wide	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Mar 6, 2025	E · Potential for harm, repeated	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Mar 6, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Dec 19, 2019	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Dec 19, 2019	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Dec 19, 2019	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Dec 19, 2019	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Nov 14, 2018	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Nov 14, 2018	E · Potential for harm, repeated	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them.
Nov 14, 2018	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 4).

Year	Citations	Worst severity that year
2018	3	E
2019	4	D
2025	4	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Kentucky avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.89	3.71	3.95	top 25% in Kentucky; top 44% in the U.S.
Registered Nurse hours	0.59	0.74	0.69	bottom 42% in Kentucky; top 50% in the U.S.
Weekend total nurse staffing	3.24	3.27	3.50	top 34% in Kentucky; bottom 44% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.32	0.53	0.48	bottom 28% in Kentucky; bottom 35% in the U.S.
Total nursing staff turnover (%)	43.4	46.4	45.8	top 44% in Kentucky; top 46% in the U.S.
RN turnover (%)	42.9	41.8	42.9	bottom 43% in Kentucky; bottom 49% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.99, RN 0.60, weekend 3.32. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Asbr Holdings LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/01/2018
Jjla LLC	Organization	5% or Greater Indirect Ownership Interest	—	04/01/2013
LPSNF LLC	Organization	5% or Greater Indirect Ownership Interest	—	04/01/2013
SHC Ky Holdings LLC	Organization	5% or Greater Direct Ownership Interest	100%	04/01/2013
SHC LP Holdings LLC	Organization	5% or Greater Indirect Ownership Interest	—	04/01/2013
Steier III, Elmer	Individual	5% or Greater Indirect Ownership Interest	—	04/01/2013
Wheaten LLC	Organization	5% or Greater Indirect Ownership Interest	—	04/01/2013
Harrison, John	Individual	Corporate Officer	NOT APPLICABLE	04/01/2013
Signature Healthcare LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	04/01/2013
Simpson, Cynthia	Individual	W-2 Managing Employee	NOT APPLICABLE	04/01/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How can my family member make private phone or video calls, and can we see where?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"How do you make sure resident assessments are completed and submitted to the state on time?"
"How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
The Willows at Hamburg	11.9 mi	Lexington, KY	★★★☆☆	2/5
Lexington Premier Nursing & Rehab	12.2 mi	Lexington, KY	★☆☆☆☆	1/5
Bourbon Heights Nursing Home	13.0 mi	Paris, KY	★☆☆☆☆	1/5	SFF
Bluegrass Care & Rehabilitation Center	14.3 mi	Lexington, KY	★★★★☆	4/5
Hartland Park Health & Rehabilitation	14.8 mi	Lexington, KY	★☆☆☆☆	1/5
Mt. Sterling Health & Rehab, LLC	15.0 mi	Mount Sterling, KY	★☆☆☆☆	1/5
Mayfair Manor	15.4 mi	Lexington, KY	★☆☆☆☆	1/5
The Willows at Citation	15.5 mi	Lexington, KY	★★★★☆	3/5
Sayre Christian Village Nursing Home	16.2 mi	Lexington, KY	★☆☆☆☆	2/5
Lexington Country Place	17.3 mi	Lexington, KY	★☆☆☆☆	1/5
The Willows at Fritz Farm	17.4 mi	Lexington, KY	★★★☆☆	3/5
Homestead Post Acute	17.6 mi	Lexington, KY	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Winchester →

Facility data as of CMS processing date 2026-08-01. CCN 185146.

The Care File

Visit checklist — Fountain Circle Care & Rehabilitation Center

200 Glenway Road, Winchester, KY 40391 · 8597441800

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "How can my family member make private phone or video calls, and can we see where?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "How do you make sure resident assessments are completed and submitted to the state on time?"
☐ "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 185146 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)