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.
Signature Healthcare of Georgetown runs 65 certified beds under corporate ownership, and its nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average of 3.86. Weekends drop about 11% below what the home staffs on weekdays, and turnover runs 48.5% against a national 45.8%, so the aides and nurses your family sees may change often.
The current record carries 22 deficiencies, none flagged at harm or jeopardy level, though one is abuse-related. Inspectors were last in on July 10, 2025, and CMS gave the health inspection side 2 out of 5 stars while quality measures and staffing each earned 3. That combination, a recent inspection, a long deficiency list without serious harm findings, and thin weekend coverage, is what lands this home in the middle of the pack.
Signature Healthcare of Norfolk runs 169 beds under corporate ownership, and its nurse staffing sits at 3.41 hours per resident day, roughly 12% under the national average of 3.86. Weekends run about 10% thinner than weekdays, so coverage dips when families tend to visit. Turnover is 45.4%, basically level with the national rate, so that's not the differentiator here. What stands out is the inspection record: 47 deficiencies, three serious enough to involve harm or jeopardy, and one tied to abuse. The last inspection was July 2023, so that record has had time to age. Quality measures score well, but the staffing and inspection numbers are where the real story sits.
Signature Healthcare of Hart County runs 3.80 nurse hours per resident day, a hair under the national average, and weekends drop about 17% below what the home staffs on weekdays. That 2-out-of-5 staffing rating sits in the same building as a 4-out-of-5 inspection rating and a 5-out-of-5 quality measure rating, so the clinical picture and the workforce picture don't match up. Turnover is 48.5%, above the national 45.8%, and the current record carries five deficiencies, one tied to abuse, none at harm or jeopardy level. The last inspection was March 13, 2026. Corporate-owned, 104 beds, the numbers suggest care quality is holding even as the floor staff churns.
Bluegrass Care & Rehabilitation Center runs 124 certified beds under corporate for-profit ownership, and its inspection record is the strongest part of the picture: a four-out-of-five health inspection rating, with the most recent survey completed in July 2025. The 11 deficiencies on file include none at the harm or jeopardy level and none related to abuse. Staffing is where it thins out. At 3.34 nurse hours per resident day, this home sits roughly 13 percent under the national average of 3.86, and weekends drop about 11 percent below its own weekday coverage. Turnover, at 43 percent, is slightly better than the 45.8 percent national figure, so the concern isn't retention so much as how many hands are actually present on a given shift.
Signature Healthcare of Hartford sits in a small Kentucky county and runs 110 certified beds under for-profit LLC ownership. Its nurse staffing works out to 3.87 hours per resident day, essentially matching the national average of 3.86, but weekends drop about 17% below its own weekday coverage, so the hours your relative gets on a Saturday won't mirror a Tuesday. Staff turnover of 45.1% is right at the national rate, meaning roughly half the caregivers turn over in a year. The current record shows five deficiencies, none at harm or jeopardy level, though one is abuse-related. Inspectors were last on site in July 2025, so the record is recent enough to trust.
Signature Healthcare of Monteagle runs 150 certified beds in Grundy County under for-profit LLC ownership, and its nurse staffing sits at 3.54 hours per resident day, about 8% under the national average of 3.86. That shortfall gets worse on weekends, when coverage drops roughly 15% below the home's own weekday level, and annual turnover of 53.2% runs well above the 45.8% national figure. On inspections, the record shows a 2-out-of-5 rating and 21 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus $39,507 in fines across two penalties. The last inspection was September 17, 2025. Quality measures score a perfect 5, but the staffing and inspection numbers are what families should weigh.
Westmoreland Care & Rehab runs about 3.13 nurse hours per resident per day, roughly 19% under the national average of 3.86, and weekends dip another 12% below its own weekday numbers. That thin coverage shows up in the federal staffing rating, which sits at the low end. What keeps the picture from being worse: turnover is 38.7%, actually better than the 45.8% national rate, and the 11 deficiencies on record include none tied to harm, jeopardy, or abuse. The most recent inspection was in March 2026, so the findings are current. Quality measures score well; staffing is where the gaps are.
Rockcastle Health & Rehabilitation Center runs 104 certified beds under corporate ownership, and the staffing numbers are the first thing worth noticing. At 3.56 nurse hours per resident day, it sits about 8% under the national average, and weekends drop roughly 17% below its own weekday coverage, so care thins out exactly when families tend to visit. Annual turnover of 48.5% runs slightly above the national figure, which usually means less continuity for residents who need consistent hands. The inspection record shows 20 deficiencies, including two at the harm level and one abuse-related, plus a $15,646 fine; its last inspection was August 2025.
Signature Healthcare of Spencer County runs 120 certified beds as a for-profit LLC, and its nurse staffing sits at 3.83 hours per resident day, just under the national average of 3.86. The bigger issue is consistency: weekend staffing drops roughly 18% below its own weekday level, and annual turnover hits 55.8% against a national average of 45.8%. The current record shows 17 deficiencies, none at harm or jeopardy level, but two tied to abuse. Inspectors were last in on January 23, 2026, and the health inspection rating came back 2 out of 5, even as quality measures scored 4. Families weighing this one should ask specifically who covers weekends and how abuse-related findings were resolved.
Signature Healthcare of Putnam County runs 175 certified beds under for-profit LLC ownership, and its staffing sits at 3.67 nurse hours per resident day, about 5% under the national average of 3.86. Weekends drop roughly 15% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 41.4%, a bit better than the 45.8% national figure, which matters for whether you see the same faces month to month. The bigger concern is the 1-out-of-5 health inspection rating, with 14 deficiencies on record, though none reached harm or jeopardy and none were abuse-related. The last inspection was May 2023.
Spring City Care and Rehabilitation Center runs 138 certified beds as a for-profit LLC, and its nurse staffing sits at 3.69 hours per resident day, about 4% under the national average of 3.86. Weekends drop roughly 17% below its own weekday level, so coverage thins exactly when families tend to visit. The inspection record is the bigger concern: 16 deficiencies, including one at the harm or jeopardy level and six tied to abuse, with the last health inspection dated March 1, 2023. Staff turnover, at 40.5%, is actually better than the 45.8% national figure. Quality measures score well; the staffing and inspection stars do not.
Signature Healthcare of Bremen is city/county-owned, which is unusual in this industry, and it holds 73 certified beds. The numbers that stand out are on the staffing side: 3.37 nurse hours per resident day sits about 13% under the national average of 3.86, weekend coverage drops another 13% below its own weekday levels, and turnover runs 50% against a national 45.8%, meaning the aides and nurses your family sees are cycling out faster than at the typical home. Inspections show 43 deficiencies on record, one serious enough to involve harm or jeopardy, though none tied to abuse, and the most recent inspection was May 2026.
Signature Healthcare of Bowling Green runs 176 certified beds under for-profit LLC ownership, and its inspection record is genuinely solid, a 4-out-of-5 health inspection rating, 13 deficiencies on the current record with none at the harm or jeopardy level and none abuse-related, and a survey as recent as September 2025. Staffing is where the picture dims. At 3.69 nurse hours per resident day, it sits about 5% under the national average, weekends drop roughly 10% below its own weekday level, and annual turnover of 52.2% runs well above the 45.8% national figure. Quality measures score 4 out of 5, so care outcomes look better than the staffing numbers alone would suggest, but thin weekend coverage and high turnover are the things to ask about directly.
Heritage Hall runs 94 certified beds in Lawrenceburg under individual for-profit ownership, and its numbers tell two different stories. Nurse staffing sits at 3.75 hours per resident day, about 3% under the national average, and weekends dip roughly 12% below what the home staffs on weekdays, so the coverage your family member gets on a Saturday isn't what they'd get on a Tuesday. Annual turnover of 43.8% is slightly better than the 45.8% national figure. What pulls the record down is the inspection side: 20 deficiencies on file, 5 of them at harm or jeopardy level, 4 tied to abuse, plus a single $185,227 fine and a July 2025 inspection. A 1-out-of-5 health inspection star against 4-out-of-5 for staffing.
Standing Stone runs a 115-bed for-profit operation in Monterey, and its staffing is the weak spot: 3.58 nurse hours per resident day, about 7% under the national average, with weekends roughly 12% thinner than weekdays. The 2-out-of-5 staffing rating reflects that, and turnover sits at 43.9%, actually a touch better than the national 45.8%, so retention isn't the problem; raw hours are. Inspections are the strong side: a 4-out-of-5 rating and a March 2025 visit, with 13 deficiencies on record, none at harm level, though four are abuse-related and worth asking about directly.
Signature Healthcare of East Louisville runs 128 beds under for-profit limited liability ownership, and the staffing numbers are a mixed picture. Nurses provide 4.37 hours per resident day, about 13% above the national average, but weekends drop roughly 17% below the home's own weekday levels, and turnover sits at 55.4% against a national 45.8%. That churn matters more than the headline staffing figure.
The inspection record is where the real concern lives: 25 deficiencies, including two at harm or jeopardy level and one abuse-related, with two fines totaling $10,364. A 2/5 health inspection rating reflects that, even as quality measures score 4/5. The most recent inspection was February 2026, so the record is current. Ask about weekend coverage and that abuse citation specifically before deciding.
Signature Healthcare of Memphis runs a 140-bed for-profit home where the care record and the staffing numbers tell different stories. Inspectors gave it full marks on health inspections, with seven deficiencies on file and none at the harm or jeopardy level, though one is abuse-related, which is worth asking about directly. The catch is coverage: 3.40 nurse hours per resident day sits about 12% under the national average, and weekends drop roughly 16% below the home's own weekday staffing. Turnover at 44.3% is basically in line with the national figure, so the issue isn't retention so much as how many hands are on deck at a given hour.
Signature Healthcare of Fentress County runs 140 beds in Jamestown under for-profit LLC ownership, and its nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average of 3.86. That shortfall gets worse on weekends, when coverage drops about 18% below the home's own weekday level, so the thinnest shifts land when families tend to visit. Staff turnover comes in at 41.8%, a bit better than the 45.8% national figure, which suggests some stability in the workforce. The current record shows 23 deficiencies, including two tied to abuse, though none rose to harm or jeopardy level. The most recent inspection was January 7, 2026.
Signature Healthcare of Cleveland runs 100 beds under a for-profit LLC, and its nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average of 3.86. Weekends dip about 15% below what the home staffs on weekdays, and annual turnover is 47.2%, a bit above the 45.8% national figure. CMS gives it 2 out of 5 stars for both staffing and health inspections, though its quality measure score is 5 out of 5. The current record shows 11 deficiencies, none at the harm level and none abuse-related, with the last inspection dated February 19, 2026. The quality scores look strong; the staffing and inspection numbers are what pull against them.
Signature Healthcare of Chapel Hill runs 108 beds under corporate ownership, and its nurse staffing sits at 3.59 hours per resident day, roughly 7% under the national average of 3.86. Weekends dip about 14% below the home's own weekday coverage, which matters if your family tends to visit Saturday or Sunday. Annual turnover is 58.3%, well above the 45.8% national figure, so the aide or nurse your relative sees most may not stay long. The current record shows 20 deficiencies, none at harm or jeopardy level, though one is abuse-related. The last inspection was June 19, 2025, so the picture is reasonably current.
Mayfair Manor runs about 3.67 nurse hours per resident per day, roughly 5% under the national average, and weekend coverage drops another 17% below what the home staffs on weekdays. That thin weekend margin matters more when you look at the inspection record: 27 deficiencies, three of them serious enough to put residents in harm's way, plus two tied to abuse. Staff turnover sits at 48.2%, a few points above the national figure. The federal inspection rating is 1 out of 5, and the home has paid $33,602 across three fines. The most recent inspection was February 2026. Corporate-owned, 98 beds.
Signature Healthcare Of Glasgow runs 68 certified beds under a for-profit LLC, and its nurse staffing sits just above the national average, 3.88 hours per resident day against 3.86 nationally, a difference of about 1%. That thin margin matters because weekends drop roughly 18% below the home's own weekday coverage, and annual turnover hits 55.7% compared with a national average of 45.8%. On the inspection side, the record looks steady: five deficiencies, none at the harm or jeopardy level, none abuse-related, and the most recent inspection was June 18, 2025. The split in CMS ratings tells the story, four stars for health inspections, three for staffing, but only two for quality measures.
Nurse staffing at this 165-bed for-profit home runs 3.98 hours per resident day, slightly above the national average of 3.86, but weekends drop roughly 17% below its own weekday level, so coverage thins out exactly when families tend to visit. The bigger issue is the inspection record: 28 deficiencies, five serious enough to put residents in harm's way, and two fines totaling $182,488, all as of a May 2025 visit. Staff turnover sits at 64.7% against a national 45.8%, meaning nearly two-thirds of the caregiver workforce turns over each year. Strong quality-measure scores don't offset that kind of churn and oversight history.
Lee County Care & Rehabilitation Center runs 109 certified beds in Beattyville under corporate, for-profit ownership. Its last health inspection, in August 2024, came back clean enough for a five-star rating, and the current record shows just two deficiencies, neither at the harm level and none tied to abuse, that's a genuinely strong inspection picture. The staffing side is thinner. At 3.43 nurse hours per resident day, the home sits about 11% under the national average, and weekends drop roughly another 11% below its own weekday coverage. Turnover, at 39.4%, is actually better than the 45.8% national figure, which suggests some stability. What holds the overall picture back is quality measures, where the home earns two stars.
Signature Healthcare of Kinston runs 106 certified beds under for-profit limited liability ownership, and its staffing sits just under the national mark, 3.73 nurse hours per resident day against 3.86 nationally. Weekends drop roughly 14% below the home's own weekday coverage, and turnover lands at 46.7%, slightly above the 45.8% national average. What stands out most on the current record is the deficiency count: 21 total, including one at the harm or jeopardy level and four tied to abuse. The health inspection rating is 3 out of 5, while quality measures and staffing each come in at 2. The last inspection was December 9, 2025, so the record is recent.
Signature Healthcare of Greeneville runs 154 certified beds under for-profit LLC ownership, and its staffing sits at 3.71 nurse hours per resident day, roughly 4% under the national average, with weekends about 12% thinner than its own weekdays. Turnover is 37.6%, better than the 45.8% national figure, which matters for continuity. What pulls the record down is the inspection history: 10 deficiencies on file, including one at the harm level and three tied to abuse, plus a $9,419 fine. The most recent inspection was March 18, 2026. If you're weighing this one, ask directly how the abuse-related findings were resolved and how weekend coverage is filled.
Signature Healthcare at Jackson Manor runs 4.04 nurse hours per resident day, a bit above the national average, but that cushion thins out on weekends, when staffing drops roughly 17 percent from weekday levels. The bigger issue is turnover: 75 percent of staff left over the past year, well above the 45.8 percent national figure, which means caregivers are constantly new to residents who need consistency. Inspectors cited 16 deficiencies on the current record, including one abuse-related finding, though none rose to harm or jeopardy level, and the last visit was in May 2025. For-profit corporate ownership, a two-star staffing rating, and that churn are what pull the overall picture down.
Signature Healthcare of Carrollton runs on thinner staffing than most homes nationally, 3.61 nurse hours per resident day against a 3.86 average, and weekends drop about 12% below its own weekday coverage. That's the kind of gap families notice when a call light takes longer to answer on a Sunday. Turnover sits at 44.8%, roughly in line with the national figure, so the concern here isn't retention so much as how few hands are on deck at any given time. Ten deficiencies appear on the current record, none at harm or jeopardy level, though two are abuse-related and worth asking about directly. The last inspection was June 2025, so the picture is reasonably current.
The ownership is a for-profit limited liability company, and its 165 beds are staffed at 3.36 nurse hours per resident day, roughly 13 percent under the national average, with weekends dropping about 18 percent below its own weekday coverage. That thinner weekend schedule matters because the inspection record shows 14 deficiencies, including two at the harm or jeopardy level and four tied to abuse, plus $20,050 in fines. The quality measure score is strong and turnover sits well below the national rate, so there are real strengths here, but the recent October 2024 inspection and the harm-level findings are what a family should ask about directly before deciding.
Liberty Care & Rehabilitation Center runs 97 certified beds under for-profit LLC ownership, and the numbers worth knowing are on the inspection side. Seventeen deficiencies sit on the current record, six of them serious enough to involve harm or jeopardy, plus two tied to abuse. Three fines add up to $65,196. Staffing lands at 3.47 nurse hours per resident day against a national average of 3.86, and weekend coverage drops about 16% below the home's own weekday level. Annual turnover of 55.8% runs well above the 45.8% national figure. The quality measure score looks strong, but quality measures rely on self-reported data, the inspection history and the thin weekend staffing are the parts a family can't argue with.