Nursing HomeMedicaid Investigative

Fountain Circle Care & Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

200 Glenway Road, Winchester, KY 40391|147 beds|Licensed & Active

2/5

Medicare

Inspection

Quality

Staffing

Google rating

4.1/5

based on 94 Google reviews

(859) 744-1800 Directions Website

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3/ 10

moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Low overall rating (2/5 stars)
Above-median deficiencies (4 vs median 2.0)

Below average in KY · Below recommended RN staffing · Below chain average · No penalties on record

Source: Medicare data

What this means for your family

While the facility's physical therapy team is highly regarded for helping patients recover, the recurring, serious reports of neglect and medication management errors are significant red flags. If you choose this facility, ensure you have a family member present frequently to monitor care, and specifically ask management how they address response times for basic assistance and medication administration.

Google Reviews

94 reviews analyzed

“Fountain Circle Care & Rehabilitation Center receives highly polarized feedback, with many reviewers praising the physical therapy department and specific staff members, while others report serious concerns regarding patient safety and neglect. Families considering this facility should be aware of recurring reports of poor communication, slow response times for basic assistance, and issues with medication management. While some residents find the environment welcoming and clean, others describe a facility that struggles to provide consistent, high-quality care.”

Quality Themes

Tap a score for details

Strengths

Highly effective physical therapy and rehab team
Warm, welcoming front desk reception
Some staff members noted for being compassionate and attentive
Clean, well-maintained facility environment

Concerns

Negligence and lack of assistance with basic needs (toileting, mobility) (mentioned by 8 reviewers)
Medication management errors or delays (mentioned by 4 reviewers)
Understaffing leading to slow response times (mentioned by 3 reviewers)
Poor communication with families regarding patient status (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

Distribution

How They Respond to Reviews

90%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

1I noticed your team is very active in responding to online feedback; what is your preferred process for keeping families updated on their loved one's daily status and health changes?
2Given the facility's focus on physical therapy and rehabilitation, how do you ensure that residents receive consistent assistance with mobility and toileting throughout the day?
3With your current staffing levels, what is the protocol for ensuring medication is administered on time, and how do you handle situations where a resident might experience a delay?
4I see your facility is well-maintained and clean; what types of daily social or recreational activities are available to keep residents engaged outside of their therapy sessions?
5How does your nursing team coordinate with the rehab staff to ensure that a resident’s health needs are being met while they are actively participating in their recovery program?
6In the event of a medical concern or an emergency, what is your communication timeline for notifying family members, and who is the primary point of contact for these updates?

Personalized based on this facility's data

Key Review Excerpts

“The physical therapy team is unbelievable. I want to thank Kim, Brad, Tina and Tracy. Without you I wouldn't be able to have made the amazing recovery I did.”

Rehab patient · 2024★★★★★

“My grandmother wasn’t there a whole 24 hours, before she fell making her injury worse. The whole purpose of her being there was to learn to walk on a walker, after an injury. Which was made clear to the staff.”

Memory care family member · 2024★☆☆☆☆

“The FIRST DAY they refused to give my mother her pain medication. She has stage 4 breast cancer that has spread into her bones. Specifically her SPINE.”

Long-term resident's family · 2025★☆☆☆☆

Source: 94 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.62hrs

82%

Registered nurses for medical care

Total Nursing

3.85hrs

94%

All nurses + aides combined

Staff Turnover

41%

Lower is better (< 30% = good)

RN Turnover

40%

Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

3/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility56.9%

Worse than Avg

Here

56.9%

93.4%

94.3%

Clark

92.5%

💉

Residents vaccinated for the flu

↑ Higher is better

This Facility71.7%

Worse than Avg

Here

71.7%

95.5%

96.2%

Clark

91.5%

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility31.7%

Worse than Avg

Here

31.7%

19.5%

29.6%

Clark

23.9%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility9.2%

Better than Avg

Here

9.2%

15.4%

16.4%

Clark

14.4%

⚖️

Residents who lost too much weight

↓ Lower is better

This Facility11.8%

Worse than Avg

Here

11.8%

5.3%

6.7%

Clark

6.0%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility10.9%

Better than Avg

Here

10.9%

15.3%

15.5%

Clark

11.8%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility77.1%

Worse than Avg

Here

77.1%

79.7%

83.6%

Clark

77.1%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility84.2%

Better than Avg

Here

84.2%

81.8%

83.9%

Clark

80.5%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.9%

Better than Avg

Here

0.9%

1.6%

1.7%

Clark

1.1%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies

Above state avg (3.4)

This facility has a pattern of recurring deficiencies across medication management, infection control, and fire safety systems, with medication labeling issues appearing in all three surveys from 2018 to 2025. While all 19 deficiencies have been corrected by the facility, the repeated violations in these critical care areas suggest ongoing operational challenges that families should discuss during their visit.

Mar 6, 2025Routine4 findings

0576ModerateCorrected

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

0761ModerateCorrected

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 drugs.

0623ModerateCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Dec 19, 2019Routine7 findings

0363MinorCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0374MinorCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0741MinorCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0558MinorCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0640MinorCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0761MinorCorrected

Pharmacy Service Deficiencies

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Nov 14, 2018Routine8 findings

0004ModerateCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0761ModerateCorrected

Pharmacy Service Deficiencies

0865ModerateCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0347MinorCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0353MinorCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363MinorCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0912MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0697MinorCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Fountain Circle Care & Rehabilitation Center

Organization Type

for profit

Chain Affiliation

Chain Name

Signature Healthcare

Chain Size

71 facilities nationwide

Chain avg rating: 3.0/5 · Rank 47 of 70

Ownership & Management

Owners

Shc Ky Holdings LLC

Owner · Organization

100%

Asbr Holdings LLC