Signature Healthcare of Monroe County Rehab and We
706 North Magnolia Street, Tompkinsville, KY 42167 · Monroe County · 104 certified beds · avg 73 residents/day · certified since Jul 1, 1982
Part of chain: SIGNATURE HEALTHCARE (67 facilities, chain avg rating 3.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · 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 (2)
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 |
|---|---|---|
| May 11, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Apr 18, 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. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 1 | 0 | D |
| 2024 | 1 | 0 | D |
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) | 4.13 | 3.71 | 3.95 | top 19% in Kentucky; top 35% in the U.S. |
| Registered Nurse hours | 0.63 | 0.74 | 0.69 | bottom 49% in Kentucky; top 44% in the U.S. |
| Weekend total nurse staffing | 3.29 | 3.27 | 3.50 | top 31% in Kentucky; bottom 46% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.25 | 0.53 | 0.48 | bottom 15% in Kentucky; bottom 22% in the U.S. |
| Total nursing staff turnover (%) | 32.9 | 46.4 | 45.8 | top 11% in Kentucky; top 20% in the U.S. |
| RN turnover (%) | 25.0 | 41.8 | 42.9 | top 16% in Kentucky; top 20% 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 3.89, RN 0.60, weekend 3.10. Staffing rating: 4/5.
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: 2/5 · long-stay residents: 2/5 · short-stay residents: 2/5
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 | — | 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 |
| Harrison, John | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2007 |
| Spears, Candi | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/08/2021 |
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 many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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 |
|---|---|---|---|---|---|
| Red Boiling Springs TN Opco LLC | 14.7 mi | Red Boiling Springs, TN | ★★★☆☆ | 4/5 | |
| Celina Health and Rehabilitation Center | 15.0 mi | Celina, TN | ★★★★☆ | 4/5 | |
| Cumberland Valley Nursing & Rehabilitation Center | 18.4 mi | Burkesville, KY | ★☆☆☆☆ | 2/5 | |
| Metcalfe Nursing and Rehabilitation Center | 20.0 mi | Edmonton, KY | ★☆☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
All facilities in Tompkinsville →
Facility data as of CMS processing date 2026-08-01. CCN 185168.