How to file a complaint about care →
No fines or payment denials in the published 3-year window.
Signature Healthcare of Hart County Rehab & Wellne
1505 South Dixie Street, Horse Cave, KY 42749 (opens Google Maps) · Hart County · (270) 786-2200· 104 certified beds · avg 95 residents/day · certified since Jul 16, 1993 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: SIGNATURE HEALTHCARE (67 facilities, chain avg rating 3.1★)
4/5
Health inspection rating (on-site)
inspected Mar 13, 2026
0
Serious findings on record
$0
Fines, last 3 years
2.95
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 5 inspection findings. Open the full record below to read every finding.
The facility hired someone with an official finding of abuse, neglect, exploitation, or theft against them. Facilities are not allowed to employ people with such findings. F-0606
The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. F-0812
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. F-0580
View all 5 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 1, 2024 | E · Potential for more than minimal harm, pattern | The facility hired someone with an official finding of abuse, neglect, exploitation, or theft against them. Facilities are not allowed to employ people with such findings. · F-0606 |
| Nov 1, 2024 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Aug 2, 2019 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · F-0580 |
| Aug 2, 2019 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Aug 2, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
Inspection trend by year
All citationsSerious citations (G–L)
2019
All citations: 3
Serious citations (G–L): 0
2024
All citations: 2
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 3 | 0 | D |
| 2024 | 2 | 0 | E |
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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityKentucky averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 2.95
Kentucky average: 3.71
U.S. average: 3.95
Registered Nurse hours
This facility: 0.77
Kentucky average: 0.74
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.44
Kentucky average: 3.27
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Kentucky avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.95 | 3.71 | 3.95 | bottom 17% in Kentucky; bottom 12% in the U.S. |
| Registered Nurse hours | 0.77 | 0.74 | 0.69 | top 31% in Kentucky; top 30% in the U.S. |
| Weekend total nurse staffing | 2.44 | 3.27 | 3.50 | bottom 12% in Kentucky; bottom 8% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.53 | 0.53 | 0.48 | top 36% in Kentucky; top 30% in the U.S. |
| Total nursing staff turnover (%) | 48.5 | 46.4 | 45.8 | bottom 40% in Kentucky; bottom 41% in the U.S. |
| RN turnover (%) | 33.3 | 41.8 | 42.9 | top 34% in Kentucky; top 33% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.80, RN 1.00, weekend 3.15.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.80 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Signature Healthcare of Hart County Rehab & Wellne. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| 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 | — | 12/01/2015 |
| LPSNF LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/01/2015 |
| SHC LP Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/01/2015 |
| Steier III, Elmer | Individual | 5% or Greater Indirect Ownership Interest | — | 12/01/2015 |
| Wheaten LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/01/2015 |
| Cook, Jason | Individual | W-2 Managing Employee | NOT APPLICABLE | 12/29/2022 |
| Harrison, John | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2007 |
| Signature Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/01/2015 |
All 9 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Signature Healthcare — 67 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Signature Healthcare of Hartford Rehab & Wellness — Hartford, KY · overall 4/5
- Signature Healthcare of McCreary County Rehab and — Pine Knot, KY · overall 2/5
- Signature Healthcare of Monroe County Rehab and We — Tompkinsville, KY · overall 5/5
- Signature Healthcare of South Louisville — Louisville, KY · overall 4/5
- Signature Healthcare of Spencer County — Taylorsville, KY · overall 2/5
- Sunrise Manor Nursing Home — Hodgenville, KY · overall 1/5
- Signature Healthcare of Chapel Hill — Chapel Hill, NC · overall 3/5
- Signature Healthcare of Kinston — Kinston, NC · overall 3/5
Listed by state, then facility name — not a ranking. Showing 8 of the 66 others, continuing from this facility's own place in that list.
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 do you screen job applicants for past findings of abuse, neglect, or theft before hiring?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Kentucky midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 49% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| NHC Healthcare, Glasgow | 10.0 mi | Glasgow, KY | ★★☆☆☆ | 2/5 | |
| Glasgow State Nursing Facility | 10.3 mi | Glasgow, KY | ★★★☆☆ | 2/5 | |
| Glenview Health and Rehabilitation | 10.4 mi | Glasgow, KY | ★★☆☆☆ | 3/5 | |
| Barren County Nursing and Rehabilitation | 11.5 mi | Glasgow, KY | ★★☆☆☆ | 3/5 | |
| Signature Healthcare of Glasgow Rehab & Wellness C | 11.5 mi | Glasgow, KY | ★★★★☆ | 4/5 | |
| Edmonson Nursing and Rehabilitation Center | 18.6 mi | Brownsville, KY | ★★★★★ | 5/5 | |
| Metcalfe Nursing and Rehabilitation Center | 19.9 mi | Edmonton, KY | ★☆☆☆☆ | 2/5 |
Facility data as of CMS processing date 2026-08-01. CCN 185381.