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SIGNATURE HEALTHCARE

Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency across a group says more about an operator than any single building.

Homes

67

States

5

Beds

7,618

Avg score

73.7

Avg turnover

46%

Federal fines

$1,130,737

Flags across this group

2 of the group's homes carry a CMS abuse icon.

All 67 homes

A

92/100

Signature Healthcare At Jefferson Place Rehab & We

Louisville, KY · Jefferson County

CMS 4/596 bedsFor-profitMedicaid
Nurse hours
3.88 /day
Staff turnover
28%
Serious cites
0

Signature Healthcare at Jefferson Place sits right at the national average for total nurse staffing, 3.88 hours per resident day against 3.86, so this isn't a home running thin, but it isn't running rich either. What stands out is retention: 27.9% turnover against a 45.8% national average means the people caring for residents tend to stay, which matters more for daily life than a small staffing edge. The 12 deficiencies on record include none at the harm level and none related to abuse, and the most recent inspection was in mid-2025, so the picture is current. Weekend coverage dips about 13% below weekdays, worth asking about if your family visits Saturdays or Sundays.

A

89/100

Riverside Care & Rehabilitation Center

Calhoun, KY · Mc Lean County

CMS 5/579 bedsFor-profitMedicaid
Nurse hours
3.88 /day
Staff turnover
44%
Serious cites
0

Riverside Care & Rehabilitation Center runs 79 certified beds in Calhoun under for-profit LLC ownership, and the numbers here mostly hold up. Nurse staffing sits at 3.88 hours per resident day, barely above the national average, but weekends drop about 13% below its own weekday level, so coverage thins out when families tend to visit. Turnover at 43.5% edges below the national rate of 45.8%, which matters less than it sounds since nearly half the staff still leaves each year. Four deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with a recent inspection in April 2026. Strong marks on health inspections and quality measures round out a record without obvious red flags.

A

87.5/100

Signature Healthcare At Jefferson Manor Rehab & We

Louisville, KY · Jefferson County

CMS 5/5100 bedsFor-profitMedicaid
Nurse hours
3.95 /day
Staff turnover
41%
Serious cites
0

Signature Healthcare at Jefferson Manor runs about 3.95 nurse hours per resident day, slightly above the national average, and turnover sits at 40.6%, better than the 45.8% typical elsewhere. Weekend staffing drops roughly 17% below weekday levels, so coverage thins out when families tend to visit. The 14 deficiencies on record include none at the harm level and none related to abuse, and the most recent inspection was in July 2025. The CMS star ratings land at 4 for health inspections, 5 for quality measures, and 4 for staffing. For a 100-bed for-profit run by a limited liability company, the numbers suggest steady care with a predictable weekend dip worth asking about.

A

87.5/100

Hermitage Care And Rehabilitation Center

Owensboro, KY · Daviess County

CMS 5/592 bedsFor-profitMedicaid
Nurse hours
3.85 /day
Staff turnover
37%
Serious cites
0

Hermitage Care And Rehabilitation Center runs 92 certified beds in Owensboro under for-profit LLC ownership, and the numbers here are steady across the board. Nurse staffing sits at 3.85 hours per resident day, essentially level with the national average, though weekends run about 17% lighter than weekdays, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 36.8%, well below the national 45.8%, which suggests people stick around. The inspection record is the strongest signal: one deficiency total, none at harm or jeopardy level, none abuse-related, with the last inspection in April 2026. For a family weighing options, that's a clean recent history backed by consistent staffing.

B

84.5/100

Signature Healthcare Of South Louisville

Louisville, KY · Jefferson County

CMS 4/5100 bedsFor-profitMedicaid
Nurse hours
3.87 /day
Staff turnover
47%
Serious cites
0

Signature Healthcare of South Louisville runs 100 certified beds under corporate ownership, and its nurse staffing sits right at the national average, 3.87 hours per resident day against 3.86. That even number hides a dip on weekends, when coverage falls about 17 percent below what the home staffs during the week. Turnover is 46.8 percent, slightly worse than the 45.8 percent national figure, so the faces around residents change fairly often. On inspections, the record shows 15 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent visit in February 2026. Quality measures score well and staffing holds up, which is where the B comes from, solid, not spotless.

B

84/100

Signature Healthcare At Hillcrest

Owensboro, KY · Daviess County

CMS 3/5156 bedsFor-profitMedicaid
Nurse hours
3.67 /day
Staff turnover
33%
Serious cites
0

Signature Healthcare at Hillcrest runs 156 certified beds in Owensboro under corporate for-profit ownership, and the numbers tell a fairly steady story. Nurse staffing sits at 3.67 hours per resident day, roughly 5% under the national figure, and weekends dip about 14% below what the home itself staffs on weekdays, worth asking about if your relative needs more help on Saturdays and Sundays. Turnover is the bright spot: 33.3% against a national 45.8% means aides and nurses are staying longer than at the typical home. Three deficiencies on record, none involving harm or abuse, and an inspection from May 2026 keeps the regulatory picture current.

B

84/100

Prestonsburg Health Care Center

Prestonsburg, KY · Floyd County

CMS 5/556 bedsFor-profitMedicaid
Nurse hours
4.00 /day
Staff turnover
44%
Serious cites
0

Prestonsburg Health Care Center runs 56 certified beds under for-profit limited liability ownership, and the numbers tell a fairly steady story. Nurse staffing sits at 4.00 hours per resident day, a bit above the national average of 3.86, though weekends drop roughly 10% below the home's own weekday levels. Staff turnover is 44.2%, just under the national 45.8%. The inspection record is the strongest part: a 5/5 health inspection rating, a 5/5 quality measure rating, only 4 deficiencies on file, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated August 2025. Staffing stars come in at 4/5.

B

83.5/100

Pickett Care And Rehabilitation Center

Byrdstown, TN · Pickett County

CMS 4/569 bedsFor-profitMedicaid
Nurse hours
3.78 /day
Staff turnover
32%
Serious cites
0

Pickett Care runs 69 certified beds under for-profit LLC ownership, and its staffing sits just under the national average at 3.78 nurse hours per resident day. That gap is small, but weekends thin out roughly 20% below the home's own weekday coverage, which is where short-staffing tends to bite. Turnover at 31.5% is meaningfully better than the 45.8% national figure, so caregivers here stick around longer than at the typical home. The current inspection record shows 17 deficiencies, including two at harm or jeopardy level and one tied to abuse, worth asking about directly. A recent April 2025 inspection and solid quality and staffing ratings round out a mixed but workable picture.

B

83/100

Morgantown Care & Rehabilitation Center

Morgantown, KY · Butler County

CMS 3/5122 bedsFor-profitMedicaid
Nurse hours
3.75 /day
Staff turnover
36%
Serious cites
0

Morgantown Care & Rehabilitation Center runs 122 certified beds under for-profit LLC ownership, and the numbers suggest a home that's basically steady without being exceptional. Nurse staffing sits at 3.75 hours per resident day, a hair under the national average, and weekends drop about 13% below its own weekday levels, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is the bright spot: 35.5% against a national 45.8%, meaning caregivers here tend to stick around longer than at the typical American nursing home. The inspection record shows 8 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey in April 2026.

B

82.5/100

Signature Healthcare At Colonial Rehab & Wellness

Bardstown, KY · Nelson County

CMS 1/565 bedsFor-profitMedicaid
Nurse hours
3.81 /day
Staff turnover
25%
Serious cites
0

Signature Healthcare at Colonial Rehab & Wellness runs on a corporate for-profit model with 65 certified beds, and the staffing picture is a mixed one. Nurse hours come to 3.81 per resident day, right around the national average of 3.86, but weekends drop roughly 18% below weekday coverage, that's when families tend to visit and notice. Turnover sits at 25%, well under the national 45.8%, so the people caring for your relative are more likely to stick around. The trouble is the inspection record. Six deficiencies, three of them serious enough to involve harm or jeopardy, plus one tied to abuse, and a $67,987 fine. A recent August 2025 inspection means the state has been watching closely. Strong quality scores don't erase that history.

B

81.5/100

Signature Healthcare Of Rockwood Rehab & Wellness

Rockwood, TN · Roane County

CMS 5/5157 bedsFor-profitMedicaid
Nurse hours
3.66 /day
Staff turnover
20%
Serious cites
0

Signature Healthcare of Rockwood runs a tight ship on inspections and outcomes, top marks on both health inspection and quality measures, with just eight deficiencies on record and none rising to actual harm. The catch is staffing. At 3.66 nurse hours per resident day, it sits under the national average, and weekends drop about 16% below its own weekday coverage. That gap matters most when something goes wrong on a Saturday. On the plus side, turnover is 20%, well under half the national rate, so the aides and nurses you meet are more likely to still be there next year. The remaining concern is one abuse-related deficiency and the fact that the last full inspection was May 2023.

B

81.5/100

Princeton Transitional Care & Assisted Living

Johnson City, TN · Washington County

CMS 5/547 bedsFor-profit
Nurse hours
4.79 /day
Staff turnover
52%
Serious cites
0

Princeton Transitional Care in Johnson City runs on a corporate for-profit model, and its staffing numbers tell a mixed story. At 4.79 nurse hours per resident day, it sits about 24% above the national average, which is a real margin in a field where most homes struggle to hit the baseline. But weekends drop roughly 23% below its own weekday coverage, so the care you see Monday isn't what you get Saturday. Annual turnover hits 52.2%, well past the 45.8% national figure, meaning the staff who know your parent may not stay long. The inspection record is clean: three deficiencies, none at harm level, none abuse-related, with a recent survey in May 2026 and top marks from CMS on health inspections.

B

81/100

Signature Healthcare At North Hardin Rehab & Welln

Radcliff, KY · Hardin County

CMS 2/5136 bedsFor-profitMedicaid
Nurse hours
3.75 /day
Staff turnover
47%
Serious cites
0

Signature Healthcare at North Hardin runs 136 certified beds as a for-profit LLC, and its staffing sits just under the national mark, 3.75 nurse hours per resident day against 3.86 nationwide. Weekends thin out further, dropping roughly 13% below the home's own weekday coverage, and turnover lands at 47.1% versus 45.8% nationally, so the people caring for residents are changing over at a steady clip. Inspectors were last in on May 29, 2025, and the current record shows 28 deficiencies, none at harm or jeopardy level, though one is abuse-related. Ownership, weekend dips, and that deficiency count are the things worth asking about directly.

B

80.5/100

Signature Healthcare Of Ridgely Rehab&Wellness Ctr

Ridgely, TN · Lake County

CMS 3/5100 bedsFor-profitMedicaid
Nurse hours
3.55 /day
Staff turnover
39%
Serious cites
0

Signature Healthcare of Ridgely runs about 3.55 nurse hours per resident day, roughly 8% under the national average of 3.86, and weekends dip about 17% below its own weekday coverage. That thinner weekend staffing matters most for a 100-bed home, since that's when families often visit and when needs don't pause. Turnover sits at 39.1%, better than the 45.8% national figure. The inspection record shows 15 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in August 2023, a fairly long gap since the state was last inside. The 2/5 inspection rating reflects that citation history, while the 5/5 quality measure score comes from clinical data the home reports.

B

79.5/100

Signature Healthcare At Summit Manor Rehab & Welln

Columbia, KY · Adair County

CMS 2/5104 bedsFor-profitMedicaid
Nurse hours
3.90 /day
Staff turnover
42%
Serious cites
0

Signature Healthcare at Summit Manor runs a 104-bed for-profit operation in Columbia, and the staffing picture is roughly a wash against the national average, 3.90 nurse hours per resident day versus 3.86 nationally. The catch is weekends, when coverage drops about 19% below what the home staffs on weekdays. Staff turnover sits at 42.4%, a bit better than the 45.8% national figure, which matters in a rural market where replacing nurses is hard. Twelve deficiencies are on the current record, none at the harm level and none abuse-related, and the most recent inspection came in January 2025, so the record is reasonably fresh.

B

79/100

Signature Healthcare At Rockford Rehab & Wellness

Louisville, KY · Jefferson County

CMS 5/5110 bedsFor-profitMedicaid
Nurse hours
3.65 /day
Staff turnover
43%
Serious cites
0

Signature Healthcare at Rockford Rehab & Wellness sits in Louisville with 110 certified beds, run by a for-profit corporation. The inspection record is genuinely strong, a five-star health inspection rating, no abuse deficiencies, and a survey completed in late February 2026. Quality measures also score five stars. Where it slips is staffing: 3.65 nurse hours per resident day, roughly 5% under the national average of 3.86, earning just two stars. Weekend coverage drops about 15% below its own weekday levels, so care can thin out when families visit most. Turnover at 43% is slightly better than the 45.8% national figure, but nine deficiencies remain on record, three of them at harm or jeopardy level.

B

78.5/100

Signature Healthcare Of Monroe County Rehab And We

Tompkinsville, KY · Monroe County

CMS 5/5104 bedsFor-profitMedicaid
Nurse hours
3.89 /day
Staff turnover
33%
Serious cites
0

Signature Healthcare of Monroe County Rehab and We sits in Tompkinsville with 104 certified beds, run by a for-profit limited liability company. Its last inspection came in November 2025 and turned up just two deficiencies, neither tied to harm or abuse, a clean record that helps explain the strong inspection rating. Nurse staffing runs 3.89 hours per resident day, only a hair above the national average of 3.86, and weekends drop roughly 20% below weekday coverage, so the floor can feel thinner on Saturdays and Sundays. Annual turnover of 32.9% is meaningfully better than the 45.8% national figure, which matters for consistency of care.

B

77.5/100

Signature Healthcare Of Elizabethtown

Elizabethtown, KY · Hardin County

CMS 2/5124 bedsFor-profitMedicaid
Nurse hours
3.93 /day
Staff turnover
43%
Serious cites
0

Nurse staffing at this Elizabethtown home runs 3.93 hours per resident day, slightly above the national average, though weekends drop about 16% below its own weekday levels, so coverage thins out when families tend to visit. Staff turnover is 42.6%, a bit better than the 45.8% national figure, but the inspection record is the real problem: 13 deficiencies, one of them at the harm or jeopardy level and two tied to abuse, with the most recent inspection in October 2024. The corporation that owns it holds a 1-out-of-5 health inspection rating, even as its quality measure score sits at 5. That gap, strong clinical metrics against serious inspection findings, is worth asking about directly.

B

77.5/100

Fountain Circle Care & Rehabilitation Center

Winchester, KY · Clark County

CMS 1/5179 bedsFor-profitMedicaid
Nurse hours
3.99 /day
Staff turnover
43%
Serious cites
0

Fountain Circle runs on a for-profit LLC structure with 147 certified beds in Winchester, and its staffing sits at 3.99 nurse hours per resident day, a bit above the national average, though weekends drop roughly 17% below its own weekday coverage. Turnover lands at 43.4%, slightly better than the 45.8% national figure. The current inspection record shows 11 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in March 2025. What holds the health inspection rating down to 2 stars is the volume of those deficiencies rather than their severity, and the quality and staffing measures each land at 3 stars.

B

77.5/100

Signature Healthcare Of Primacy

Memphis, TN · Shelby County

CMS 5/5120 bedsFor-profitMedicaid
Nurse hours
3.81 /day
Staff turnover
48%
Serious cites
0

Signature Healthcare of Primacy runs 120 beds under for-profit LLC ownership, and the staffing picture is the weak spot. At 3.81 nurse hours per resident day, it sits just under the national average of 3.86, and weekends drop roughly 17% below its own weekday coverage. Annual turnover of 48.2% also edges past the national 45.8%, so the people caring for residents change often. What lifts it is the inspection record: a 4-star health inspection rating, seven deficiencies on file, none involving harm or jeopardy, and none abuse-related, with the most recent inspection dated March 2026. Quality measures come in strong at 5 stars. If staffing consistency matters most to you, ask how weekends are covered.

B

77.5/100

Mountain City Care & Rehabilitation Center

Mountain City, TN · Johnson County

CMS 5/5120 bedsFor-profitMedicaid
Nurse hours
3.43 /day
Staff turnover
35%
Serious cites
0

Mountain City Care & Rehabilitation Center runs 3.43 total nurse hours per resident per day, roughly 11% under the national average, and weekends drop about 16% below its own weekday staffing. That's worth knowing before you visit on a Sunday. The tradeoff is stability: turnover sits at 35.4% against a national average near 46%, so the aides and nurses you meet are more likely to still be there next year. The current record shows six deficiencies, none at the harm level and none abuse-related, and its last inspection was April 2026, so the findings are recent rather than stale. A 120-bed for-profit LLC with a five-star inspection history and thinner daily coverage, ask about weekend coverage directly.

B

77/100

Clinton County Care And Rehabilitation Center

Albany, KY · Clinton County

CMS 4/552 bedsFor-profitMedicaid
Nurse hours
3.79 /day
Staff turnover
23%
Serious cites
0

Clinton County Care and Rehabilitation Center in Albany runs on leaner nurse staffing than most homes, 3.79 hours per resident day against a national average of 3.86, and weekends drop roughly 15% below its own weekday coverage. That said, the 22.9% annual turnover is remarkably low, nearly half the national rate, which means the aides and nurses who are there tend to stay. Eight deficiencies on record, none involving harm, jeopardy, or abuse, and a clean inspection as recently as May 2025. The tradeoff is clear: fewer hands per shift, but stable ones, and a survey history without serious problems.

B

77/100

Signature Healthcare Of Elizabethton Rehab & Welln

Elizabethton, TN · Carter County

CMS 5/594 bedsFor-profitMedicaid
Nurse hours
3.89 /day
Staff turnover
37%
Serious cites
0

Signature Healthcare of Elizabethton runs 94 certified beds under for-profit LLC ownership, and its inspection record is the cleanest part of the story: a five-star health inspection rating with just two deficiencies on file, none at the harm or jeopardy level. One of those two is abuse-related, which is worth asking about directly. Nurse staffing sits at 3.89 hours per resident day, barely above the 3.86 national average, and weekends dip about 12% below the home's own weekday coverage. Staff turnover is 36.8%, lower than the 45.8% national figure, which suggests people tend to stay. The last inspection was May 2025, so the record you're reading is recent.

B

77/100

Signature Healthcare Of Rogersville

Rogersville, TN · Hawkins County

CMS 5/5150 bedsFor-profitMedicaid
Nurse hours
3.40 /day
Staff turnover
43%
Serious cites
0

Signature Healthcare of Rogersville runs 150 certified beds under corporate ownership, and its staffing sits at 3.40 nurse hours per resident per day, about 12% under the national average of 3.86. Weekends dip roughly another 12% below its own weekday coverage, so if you're visiting or calling on a Saturday, expect a thinner floor than midweek. The stronger news is on inspections: three deficiencies on record, none at the harm level, none abuse-related, and the most recent survey was in January 2026. Turnover lands at 42.9%, slightly better than the 45.8% national figure. Its inspection and quality ratings both hit the top mark; staffing is the piece holding it back.

B

76.5/100

Signature Healthcare Of Mccreary County Rehab And

Pine Knot, KY · Mc Creary County

CMS 2/560 bedsFor-profitMedicaid
Nurse hours
3.86 /day
Staff turnover
40%
Serious cites
0

Signature Healthcare of McCreary County runs a 60-bed for-profit home in Pine Knot, and its staffing sits right at the national average, 3.86 nurse hours per resident per day. That's not a cushion, though. Weekend staffing drops about 19% below the home's own weekday level, and 40% of staff turn over each year, which is better than the 45.8% national rate but still means a lot of new faces. The real trouble is the inspection record: a 1-star health inspection rating, 14 deficiencies, four of them serious enough to involve harm or jeopardy. The most recent inspection was May 2025, so this isn't stale history. Family members should ask directly how the home covers weekends and what's changed since that inspection.

B

76.5/100

Harrodsburg Health & Rehabilitation Center

Harrodsburg, KY · Mercer County

CMS 3/5112 bedsFor-profitMedicaid
Nurse hours
3.56 /day
Staff turnover
30%
Serious cites
0

Harrodsburg Health & Rehabilitation Center runs 112 certified beds under for-profit LLC ownership, and the staffing numbers are the part worth your attention. At 3.56 nurse hours per resident day, it sits about 8% under the national average, with weekends roughly 16% lighter than weekdays, that gap matters most when a fall or infection happens on a Sunday. Turnover at 30.2% is meaningfully better than the 45.8% national figure, which suggests some stability in the workforce. Six deficiencies on record, none at harm level and none abuse-related, plus one fine of $6,682 and a recent February 2026 inspection. Quality measures score well; staffing is the soft spot.

B

76/100

Riverview Health Care Center

Prestonsburg, KY · Floyd County

CMS 3/5121 bedsFor-profitMedicaid
Nurse hours
3.23 /day
Staff turnover
39%
Serious cites
0

Riverview Health Care Center in Prestonsburg holds a clean inspection record, zero deficiencies, no harm-level findings, no abuse citations, with its most recent survey in November 2024. That's genuinely uncommon, and it's the strongest thing this home has going for it. The staffing picture is more mixed. At 3.23 nurse hours per resident day, it sits about 16 percent under the national average, and weekends drop roughly 14 percent below its own weekday coverage. Turnover, though, runs at 39.1 percent against a national 45.8 percent, which suggests workers are staying longer than at the typical home. For-profit corporate ownership, a strong survey history, and thinner-than-average daily staffing, that combination is what you're weighing.

B

75/100

Signature Healthcare At Parkwood

Lebanon, IN · Boone County

CMS 5/5106 bedsFor-profitMedicaid
Nurse hours
3.54 /day
Staff turnover
52%
Serious cites
0

Signature Healthcare at Parkwood runs about 8% below the national average for nurse staffing, at 3.54 hours per resident day, and weekends dip roughly 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 52.1%, above the 45.8% national figure, which matters because consistent caregivers know residents' routines. The inspection history is genuinely strong: 21 deficiencies on record, just one at the harm level and none abuse-related, with a single $8,018 fine, and the most recent inspection was March 2026. Ownership is a for-profit limited liability company. The pattern here is a home that inspectors rate well on care quality but that runs lean on direct nursing hours.

B

75/100

Sunrise Manor Nursing Home

Hodgenville, KY · Larue County

CMS 1/5137 bedsFor-profitMedicaid
Nurse hours
3.55 /day
Staff turnover
51%
Serious cites
0

Sunrise Manor runs about 3.55 nursing hours per resident per day, roughly 8% under the national average, and weekends dip another 11% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 50.8% against a 45.8% national rate, meaning half the nursing team turns over each year. The current record carries 19 deficiencies, five serious enough to involve harm or jeopardy, and the last health inspection in December 2025 produced a one-star result. Ownership is for-profit, through a limited liability company.

B

75/100

Danville Centre For Health & Rehabilitation

Danville, KY · Boyle County

CMS 1/5106 bedsFor-profitMedicaid
Nurse hours
3.91 /day
Staff turnover
40%
Serious cites
0

Danville Centre for Health & Rehabilitation runs 3.91 nurse hours per resident per day, just barely over the national average of 3.86, thin enough that weekends, when staffing drops about 14%, could feel noticeably lighter than weekdays. Turnover at 40.4% is better than the 45.8% national figure, so the same faces are somewhat more likely to stick around. What stands out more is the inspection record: 16 deficiencies, 7 of them at harm or jeopardy level and 3 tied to abuse, with two fines totaling $12,444 and the most recent inspection in August 2025. The quality measure rating sits at 4 of 5, but the 1-of-5 inspection rating tells you regulators have found real problems here.