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Signature Healthcare of McCreary County Rehab and
58 Cal Hill Spur, Pine Knot, KY 42635 (opens Google Maps) · Mc Creary County · (606) 354-3155· 60 certified beds · avg 55 residents/day · certified since Sep 4, 1990 · 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★)
2/5
Health inspection rating (on-site)
inspected May 14, 2026
6
Serious findings on record
most recent May 14, 2026
$0
Fines, last 3 years
3.69
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: ★★☆☆☆2/5 · CMS overall rating: 2/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, isolated · Oct 1, 2020 · F-0580
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.
▲ Immediate jeopardy, isolated · Oct 1, 2020 · F-0580
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.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 28, 2020 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Oct 1, 2020 · F-0656
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.
▲ Immediate jeopardy, isolated · Oct 1, 2020 · F-0656
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.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 28, 2020 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Oct 1, 2020 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
▲ Immediate jeopardy, isolated · Oct 1, 2020 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 28, 2020 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Oct 1, 2020 · F-0726
The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
▲ Immediate jeopardy, isolated · Oct 1, 2020 · F-0726
The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Why it matters: Undertrained caregivers are more likely to miss warning signs and make care mistakes.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 28, 2020 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · May 14, 2026 · F-0656
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.
▲ Actual harm, isolated · May 14, 2026 · F-0656
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.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
▲ Actual harm, isolated · May 14, 2026 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ Actual harm, isolated · May 14, 2026 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Inspection findings in the public record
Showing the latest 3 of 12 inspection findings. Open the full record below to read every finding.
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
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. F-0689
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 12 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 |
|---|---|---|
| May 14, 2026 | ▲ G · Actual 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 |
| May 14, 2026 | ▲ G · Actual harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Oct 1, 2020 | ▲ J · Immediate jeopardy, 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 |
| Oct 1, 2020 | ▲ J · Immediate jeopardy, 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 |
| Oct 1, 2020 | ▲ J · Immediate jeopardy, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Oct 1, 2020 | ▲ J · Immediate jeopardy, isolated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · F-0726 |
| Oct 1, 2020 | 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 |
| Oct 1, 2020 | D · Potential for more than minimal harm, isolated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657 |
| Oct 1, 2020 | D · Potential for more than minimal harm, isolated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679 |
| Oct 1, 2020 | D · Potential for more than minimal harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686 |
| Oct 1, 2020 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Oct 1, 2020 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
Inspection trend by year
All citationsSerious citations (G–L)
2020
All citations: 10
Serious citations (G–L): 4
2026
All citations: 2
Serious citations (G–L): 2
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 10 | 4 | J ▲ |
| 2026 | 2 | 2 | G ▲ |
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: 3.69
Kentucky average: 3.71
U.S. average: 3.95
Registered Nurse hours
This facility: 0.83
Kentucky average: 0.74
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.01
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) | 3.69 | 3.71 | 3.95 | top 36% in Kentucky; bottom 46% in the U.S. |
| Registered Nurse hours | 0.83 | 0.74 | 0.69 | top 24% in Kentucky; top 25% in the U.S. |
| Weekend total nurse staffing | 3.01 | 3.27 | 3.50 | top 50% in Kentucky; bottom 31% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.43 | 0.53 | 0.48 | bottom 48% in Kentucky; top 43% in the U.S. |
| Total nursing staff turnover (%) | 40.0 | 46.4 | 45.8 | top 31% in Kentucky; top 36% in the U.S. |
| RN turnover (%) | 30.0 | 41.8 | 42.9 | top 27% in Kentucky; top 29% 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 3.86, RN 0.87, weekend 3.15.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.86 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
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: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Signature Healthcare of McCreary County Rehab and. 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 |
| Boyatt, Stacey | Individual | W-2 Managing Employee | NOT APPLICABLE | 04/29/2024 |
| Harrison, John | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2007 |
All 8 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 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
- Signature Healthcare of Roanoke Rapids — Roanoke Rapids, NC · overall 2/5
- Mountain City Care & Rehabilitation Center — Mountain City, TN · overall 5/5
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.
- "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 do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 40% 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 |
|---|---|---|---|---|---|
| Oneida Nursing and Rehab Center | 9.2 mi | Oneida, TN | ★☆☆☆☆ | 1/5 | SFF |
| Williamsburg Health & Rehabilitation Center | 15.8 mi | Williamsburg, KY | ★★★☆☆ | 3/5 | |
| Huntsville Post-Acute and Rehabilitation Center | 17.1 mi | Huntsville, TN | ★★☆☆☆ | 2/5 | |
| Beech Tree Health and Rehabilitation | 18.0 mi | Jellico, TN | ★☆☆☆☆ | 1/5 | abuseSFF |
Facility data as of CMS processing date 2026-08-01. CCN 185211.
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