ElderGrade
D

51/100

Below average

Signature Healthcare At Heritage Hall Rehab & Well

331 South Main Street, Lawrenceburg, KY 40342

CMS 1/5 stars (502) 839-7246
Certified beds
94
Occupancy
92%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 5 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $185,227 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

10/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 5 immediate-jeopardy citation(s) in the last 3 years

Staffing

20/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.88 total nurse hours per resident per day (national median 3.77)
  • 0.68 RN hours per resident per day
  • Weekend staffing drops 12% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 44% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

0/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $185,227 in federal fines across 1 action(s)
  • -2 for 1 denial(s) of Medicare payment for new admissions

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.75 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.68 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.32 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 43.80%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 20 citations

Last standard health inspection: July 31, 2025 (1 year ago).

D Jul 31, 2025 F0655

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

No actual harm, potential for more than minimal harm

D Jul 31, 2025 F0759

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

No actual harm, potential for more than minimal harm

D Jul 31, 2025 F0761

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled...

No actual harm, potential for more than minimal harm

D Jul 31, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

J Sep 29, 2023 F0602 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Immediate jeopardy to resident health or safety

J Sep 29, 2023 F0610 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Immediate jeopardy to resident health or safety

J Sep 29, 2023 F0656 From a complaint

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Immediate jeopardy to resident health or safety

J Sep 29, 2023 F0684 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Immediate jeopardy to resident health or safety

Who owns this home

Full record

Part of SIGNATURE HEALTHCARE, which operates 68 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
COLLLIER, LISA Individual W-2 MANAGING EMPLOYEE
HARRISON, JOHN Individual CORPORATE OFFICER
ASBR HOLDINGS LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
JJLA LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
LPSNF LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
WHEATEN LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
STEIER III, ELMER Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
SHC LP HOLDINGS LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Signature Healthcare At Heritage Hall Rehab & Well

What is the ElderGrade for Signature Healthcare At Heritage Hall Rehab & Well? +

Signature Healthcare At Heritage Hall Rehab & Well holds an ElderGrade of D (51 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Signature Healthcare At Heritage Hall Rehab & Well? +

Residents receive an average of 3.75 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Signature Healthcare At Heritage Hall Rehab & Well been cited for harming residents? +

Yes. 5 of the 20 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Signature Healthcare At Heritage Hall Rehab & Well accept Medicaid? +

Yes, Signature Healthcare At Heritage Hall Rehab & Well is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.