Signature Healthcare of Hart County Rehab & Wellne

Name: Signature Healthcare of Hart County Rehab & Wellne
Address: 1505 South Dixie Street, Horse Cave, KY, 42749, US
Telephone: 2707862200

1505 South Dixie Street, Horse Cave, KY 42749 · Hart County · 104 certified beds · avg 95 residents/day · certified since Jul 16, 1993

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

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.95

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

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 (5)

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
Nov 1, 2024	E · Potential for harm, repeated	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.
Nov 1, 2024	E · Potential for harm, repeated	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.
Aug 2, 2019	D · Potential for harm, one-off	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.
Aug 2, 2019	D · Potential for harm, one-off	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.
Aug 2, 2019	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.

Inspection trend by year

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)

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)	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, 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. Staffing rating: 2/5.

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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

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

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?"
"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
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

Compare this facility with the 3 closest →

All facilities in Horse Cave →

Facility data as of CMS processing date 2026-08-01. CCN 185381.

The Care File

Visit checklist — Signature Healthcare of Hart County Rehab & Wellne

1505 South Dixie Street, Horse Cave, KY 42749 · 2707862200

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "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?"
☐ "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 185381 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)