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Nursing HomeMedicaid Investigative

Signature Healthcare at Heritage Hall Rehab & Well

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

331 South Main Street, Lawrenceburg, KY 4034294 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 86 Google reviews

5
4
3
2
1
Signature Healthcare at Heritage Hall Rehab & Well Nursing Home in Lawrenceburg, KY — Street View
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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 (1/5 stars)
  • Above-median deficiencies (4 vs median 2.0)

Bottom 25% in KY · Meets national RN staffing standard · Above average staffing · Worst in SIGNATURE HEALTHCARE chain · $185,227 in fines

Source: Medicare data

What this means for your family

While the facility has a strong reputation for rehabilitation and therapy, the recent reports of medical neglect and poor weekend oversight are significant red flags. We strongly advise families to conduct unannounced visits during weekends and to maintain a very active role in monitoring medication and health status.

Google Reviews

Google Reviews

86 reviews analyzed
Signature Healthcare at Heritage Hall receives polarized feedback, with many reviewers praising the staff's warmth and the effectiveness of the therapy department. However, recent negative reviews highlight serious concerns regarding medical neglect, including delayed response to stroke symptoms, medication management issues, and poor communication during weekends. Families should carefully weigh the positive testimonials about daily care against these critical reports of safety and oversight failures.

Quality Themes

Tap a score for details
Food4.0Staff6.0Clean9.0Activities10.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Effective rehabilitation and therapy team
  • Warm, family-oriented atmosphere
  • Engaging activities and quality of life programming
  • Clean and well-maintained facility

Concerns

  • Serious medical neglect and delayed response to health emergencies (mentioned by 3 reviewers)
  • Medication management and theft issues (mentioned by 2 reviewers)
  • Poor weekend staffing and lack of communication (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'19(52)'21(4)'23(7)'25(4)'26(2)

Distribution

5
74
4
4
3
1
2
0
1
7
49 reviews posted between Sep 30, 2019Oct 5, 2019 · 48 were 5-star

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed the facility has a strong reputation for therapy and activities; could you walk me through a typical week of programming for residents?
  • 2Given that medication management is a top priority for our family, what specific protocols do you have in place to ensure accuracy and prevent any potential issues?
  • 3I see that you are quite active in responding to family feedback online; how do you typically handle communication with families when a resident has a change in health status or a medical concern?
  • 4With the CMS health inspection ratings being lower than the staffing ratings, what specific improvements or changes have you implemented recently to address the clinical care environment?
  • 5Since some families have expressed concerns about response times during weekends, could you explain how your staffing levels and oversight differ on Saturdays and Sundays compared to the rest of the week?
  • 6How does your nursing team coordinate with the rehab staff to ensure that medical emergencies are identified and addressed promptly, especially during non-peak hours?

Personalized based on this facility's data


Key Review Excerpts

The staff and therapy team worked together to get her out of her wheelchair and walking with a walker in less than 3 weeks.

Long-term resident's family · 2024★★★★★

My grandpa was a long term patient here and suffered a stroke on a SUNDAY and was left untreated for 5 DAYS until he was sent to the hospital on FRIDAY.

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

Nursing staff is great to my mom and that's all that matters but they need a new cook

Long-term resident's family · 2025★★★★
Source: 86 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.87hrs
OK
Registered nurses for medical care
Total Nursing
4.06hrs
99%
All nurses + aides combined
Staff Turnover
40%
Lower is better (< 30% = good)
RN Turnover
27%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

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

Medicare Rating
3/ 5
Better Than Avg

8

measures

Worse Than Avg

7

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility39.8%
Worse than Avg
Here
39.8%
US
19.5%
KY
29.6%
Anderson
25.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.2%
Better than Avg
Here
1.2%
US
12.1%
KY
16.5%
Anderson
5.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.7%
Better than Avg
Here
6.7%
US
15.4%
KY
16.4%
Anderson
12.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.2%
Better than Avg
Here
98.2%
US
93.4%
KY
94.3%
Anderson
88.6%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility95.9%
Mixed vs Avgs
Here
95.9%
US
95.5%
KY
96.2%
Anderson
89.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility19.6%
Worse than Avg
Here
19.6%
US
15.3%
KY
15.5%
Anderson
17.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility92.8%
Better than Avg
Here
92.8%
US
81.8%
KY
83.9%
Anderson
77.1%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility84.5%
Better than Avg
Here
84.5%
US
79.7%
KY
83.6%
Anderson
74.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.1%
Worse than Avg
Here
2.1%
US
1.6%
KY
1.7%
Anderson
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
2penalties
Above state avg (3.4)
9 complaint-triggered
$185,227 in fines

This facility has a concerning pattern of family complaints that triggered serious deficiency findings in 2023, including issues with resident protection and care planning. The most recurring problems involve care planning and assessment, medication management, and resident protection from abuse or neglect. While all deficiencies show correction dates, the facility has faced multiple complaints from families reporting safety and care concerns, suggesting potential ongoing challenges with quality oversight.

Jul 31, 2025Routine
4
0655MinorCorrected

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

0759MinorCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761MinorCorrected

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.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Sep 29, 2023Complaint
9
0602SevereCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0610SevereCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0656SevereCorrected

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.

0684SevereCorrected

Quality of Life and Care Deficiencies

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

0835SevereCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0600ModerateCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0580MinorCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Oct 28, 2021Routine
3
0911MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0656MinorCorrected

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.

0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Mar 21, 2019Routine
5
0600MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656MinorCorrected

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.

0761MinorCorrected

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.

Federal Penalties

Fine

Sep 29, 2023

$185,227

Payment Denial

Sep 29, 2023

21-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Signature Healthcare at Heritage Hall Rehab & Well

Organization Type

for profit

Chain Affiliation

Chain Name

Signature Healthcare

Chain Size

71 facilities nationwide

Chain avg rating: 3.0/5 · Rank 70 of 70 (Worst)

Ownership & Management

Owners

Shc Lp Holdings LLC

Owner · Organization

100%

Asbr Holdings LLC

Owner (parent company) · Organization

Jjla LLC

Owner (parent company) · Organization

Lpsnf LLC

Owner (parent company) · Organization

Wheaten LLC

Owner (parent company) · Organization

Steier III, Elmer

Owner (parent company)

Key personnel

Colllier, LisaW-2 Managing EmployeeHarrison, JohnOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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