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Nursing HomeMedicaid Investigative

Signature Healthcare at Jackson Manor Rehab and We

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

96 Highway 3444, Annville, KY 4040251 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 44 Google reviews

5
4
3
2
1
Signature Healthcare at Jackson Manor Rehab and We Nursing Home in Annville, KY — Street View
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5/ 10
high 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)
  • Low staffing rating (1/5 stars)
  • High staff turnover (74%)
  • High RN turnover (79%)

Below average in KY · Meets national RN staffing standard · Very high staff turnover · Below chain average · No penalties on record · Very few deficiencies

Source: Medicare data

What this means for your family

This facility is highly regarded for its cleanliness and engaging activities, making it a pleasant environment for many residents. However, families should be aware of recent reports regarding inconsistent meal quality and potential staffing shortages; we recommend verifying current staffing ratios and dietary oversight during your tour.

Google Reviews

Google Reviews

44 reviews analyzed
Signature Healthcare at Jackson Manor receives high praise for its clean environment, friendly staff, and engaging activities. However, some families have raised concerns regarding organizational issues, staffing shortages, and poor meal quality.

Quality Themes

Tap a score for details
Food4.0Staff8.0Clean9.0Activities9.0MedsN/AMemoryN/AComms5.0Value2.0

Strengths

  • Clean, well-maintained facility
  • Compassionate and attentive nursing staff
  • Engaging activities and events
  • Excellent physical therapy team

Concerns

  • Staffing shortages leading to poor care quality (mentioned by 2 reviewers)
  • Poor meal quality and inadequate nutrition (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.0'17(1)5.04.4'19(13)5.03.4'22(5)5.03.0'24(2)5.0'25(3)

Distribution

5
27
4
2
3
0
2
0
1
3
13 reviews posted between Oct 1, 2019Oct 4, 2019 · average 4.4

How They Respond to Reviews

53%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given the facility's smaller size of 51 residents, how do you ensure consistent, personalized attention for each individual throughout the day?
  • 2I noticed that staffing levels are a primary focus for your team; how do you manage daily care tasks to ensure residents' needs are met promptly during peak hours?
  • 3I've read that your physical therapy team is highly regarded; could you explain how they coordinate with the nursing staff to support a resident's recovery plan?
  • 4Some families have shared feedback regarding the dining experience; what steps are you taking to improve meal variety and ensure residents are receiving the nutrition they need?
  • 5I appreciate that you actively engage with families online; how do you typically communicate with us regarding any changes in a resident's health or daily wellbeing?
  • 6With your active calendar of events, what are some of the most popular activities that help residents stay connected and social within the community?

Personalized based on this facility's data


Key Review Excerpts

The entire staff-food service, housekeeping, all levels of care nurses were friendly and helpful but most important they talk to the patients.

Rehab patient's family · 2023★★★★★

I am very disappointed at what I have seen at this facility in the last 30 days. I would hope that there can be An improvement, I don't know if it is because of the facility is short on staff, but I feel that there must be improvement and quickly!

Long-term resident's family · 2022☆☆☆☆

They bring my dad a piece of toast with a spoon full of syrup for breakfast. And for dinner they have home one hotdog Wiener and a piece of bread

Long-term resident's family · 2024☆☆☆☆
Source: 44 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.30hrs
OK
Registered nurses for medical care
Total Nursing
3.77hrs
92%
All nurses + aides combined
Staff Turnover
74%
Lower is better (< 30% = good)
RN Turnover
79%
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
4/ 5
Better Than Avg

10

measures

Worse Than Avg

7

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility74.6%
Worse than Avg
Here
74.6%
US
12.1%
KY
16.5%
Jackson
17.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility51.3%
Worse than Avg
Here
51.3%
US
19.5%
KY
29.6%
Jackson
23.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
15.3%
KY
15.5%
Jackson
17.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility4.0%
Better than Avg
Here
4.0%
US
14.4%
KY
14.7%
Jackson
16.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
KY
94.3%
Jackson
90.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility21.8%
Worse than Avg
Here
21.8%
US
15.4%
KY
16.4%
Jackson
19.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.4%
Better than Avg
Here
96.4%
US
81.8%
KY
83.9%
Jackson
78.3%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility84.0%
Better than Avg
Here
84.0%
US
79.7%
KY
83.6%
Jackson
79.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.1%
Worse than Avg
Here
3.1%
US
1.6%
KY
1.7%
Jackson
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
Near state avg (3.4)
4 complaint-triggered

This facility shows recurring problems with nursing staffing and food safety across multiple years, though families have filed complaints about resident protection and accident prevention. The most persistent issues involve inadequate nursing coverage, food handling violations, and care planning deficiencies that have reappeared in surveys from 2019 to 2025. While all violations show correction dates, the pattern of repeated staffing and dietary problems suggests ongoing operational challenges that families should discuss directly with administrators.

May 2, 2025Routine
5
0920ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0321MinorCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0363MinorCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

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.

Dec 21, 2023Complaint
1
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.

Apr 20, 2023Complaint
3
0559MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

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.

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.

Sep 25, 2020Routine
7
0725ModerateCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

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.

0690MinorCorrected

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.

0759MinorCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 28, 2019Routine
6
0725ModerateCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0802ModerateCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0804ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0550MinorCorrected

Resident Rights Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Signature Healthcare at Jackson Manor Rehab and We

Organization Type

for profit

Chain Affiliation

Chain Name

Signature Healthcare

Chain Size

71 facilities nationwide

Chain avg rating: 3.0/5 · Rank 51 of 70

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

Dodd, SarahW-2 Managing EmployeeHarrison, JohnOfficer / DirectorSteier III, ElmerOfficer / 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.

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