Nursing HomeMedicaid

Signature Healthcare at Hillcrest

Strong Medicare quality ratings; families often praise highly effective rehabilitation therapy team. Still worth an in-person visit.

3740 Old Hartford Road, Owensboro, KY 42303|156 beds|Licensed & Active

4/5

Medicare

Inspection

Quality

Staffing

Google rating

4.4/5

based on 115 Google reviews

(270) 684-7259 Directions Website

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What this means for your family

This facility's rehabilitation department is highly regarded, making it a potential option for short-term recovery. However, families should be aware of recurring reports regarding facility maintenance and inconsistent nursing responsiveness; we strongly recommend visiting in person to inspect the specific wing where your loved one would reside.

Google Reviews

115 reviews on Google

“Signature Healthcare at Hillcrest receives polarized feedback, with many families praising the rehabilitation department and individual staff members for their kindness and dedication. However, significant concerns persist regarding facility maintenance, inconsistent communication, and occasional neglectful care, particularly concerning hygiene and responsiveness to resident needs.”

Quality Themes

Tap a score for details

Strengths

Highly effective rehabilitation therapy team
Warm, attentive nursing and CNA staff
Clean and welcoming facility environment
Strong administrative responsiveness for many families

Concerns

Poor responsiveness and slow nursing care (mentioned by 4 reviewers)
Facility maintenance issues (clogged sinks, broken fixtures, dated rooms) (mentioned by 4 reviewers)
Inadequate hygiene and sanitation (mentioned by 3 reviewers)
Poor communication and unprofessional staff interactions (mentioned by 3 reviewers)
Substandard food quality and lack of dining assistance (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 119 analyzed

100

⚡12 reviews posted between Dec 8, 2025 – Dec 9, 2025 · 12 were 5-star

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

1I noticed your team is very active in responding to family feedback online; what is the best way for us to communicate with staff if we have a concern or need an update on our loved one's care?
2We understand that maintaining a facility of this size can be a challenge; what is your current process for addressing room maintenance requests like plumbing or fixture repairs?
3Since rehabilitation therapy is a noted strength here, how do you ensure that same level of attentiveness carries over into daily assistance with dining and hygiene?
4With medication management being such a critical part of daily life, could you walk us through how your nursing team tracks and administers medications to ensure accuracy?
5What steps are taken to ensure that residents receive consistent support during mealtimes, especially for those who may need a little extra help?
6How does your nursing team handle medical emergencies or urgent health changes during the evening and weekend hours when administrative staff may not be on-site?

Personalized based on this facility's data

Key Review Excerpts

“My mother had a small stroke, and needed some physical therapy before returning home. The entire staff were caring, professional, and kind.”

Rehab patient's family · 2025★★★★★

“Aside from the stench and peeling paint accented by the staff that have the personality of paste, I must say that the care my mother receives it utterly appalling. Her dignity has been stripped, privacy violated, sat in her own waste during dinner because no one would take her to the bathroom.”

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

“The facility is very dated. The bathroom sink faucet was not even attached to the sink, I literally could move it up and down. Mom fell and had to have 12 stitches while in the rehab portion.”

Rehab patient's family · 2022★☆☆☆☆

Source: 115 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

1.03hrs

Registered nurses for medical care

Total Nursing

3.63hrs

88%

All nurses + aides combined

Staff Turnover

41%

Lower is better (< 30% = good)

RN Turnover

43%

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

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

Medicare Rating

4/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

🚶

Residents whose walking got worse

↓ Lower is better

This Facility1.9%

Better than Avg

Here

1.9%

15.3%

15.5%

Daviess

15.6%

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility32.9%

Worse than Avg

Here

32.9%

19.5%

29.6%

Daviess

32.5%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility3.5%

Better than Avg

Here

3.5%

14.4%

14.7%

Daviess

15.3%

😔

Residents with depression symptoms

↓ Lower is better

This Facility19.4%

Worse than Avg

Here

19.4%

12.1%

16.5%

Daviess

11.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility13.8%

Better than Avg

Here

13.8%

15.5%

16.4%

Daviess

19.0%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility24.5%

Worse than Avg

Here

24.5%

19.4%

Daviess

21.1%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility87.1%

Mixed vs Avgs

Here

87.1%

79.8%

83.6%

Daviess

90.0%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility87.3%

Better than Avg

Here

87.3%

81.8%

83.9%

Daviess

86.2%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.0%

Better than Avg

Here

0.0%

1.6%

1.7%

Daviess

0.4%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

1deficiencies

Well below state avg (3.4)

1 complaint-triggered

This facility shows a mixed record with 10 deficiencies across three surveys, including one complaint from families regarding resident communication rights. Recent 2025 issues involved food safety and exit signage, while earlier problems centered on care planning, medication management, and basic care needs like nutrition and respiratory support. All deficiencies have correction dates, suggesting the facility addresses identified problems, though the pattern shows recurring regulatory compliance challenges over time.

Apr 18, 2025Routine2 findings

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

Apr 18, 2025Complaint1 finding

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

Jan 30, 2020Routine2 findings

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0374Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

Nov 15, 2018Routine5 findings

0656Potential for harm · IsolatedCorrected

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.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Signature Healthcare at Hillcrest

Organization Type

for profit

Chain Affiliation

Chain Name

Signature Healthcare

Chain Size

68 facilities nationwide

Chain avg rating: 3.0/5 · Rank 14 of 70

Ownership & Management

Owners

Shc Ky Holdings LLC

Owner · Organization

100%

Asbr Holdings LLC