Signature Healthcare at North Hardin Rehab & Welln
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 105 Google reviews

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What this means for your family
This facility has a strong reputation for physical therapy and engaging activities, which can be excellent for short-term rehab. However, given the recurring reports of slow response times and communication gaps, we strongly advise families to visit frequently, especially during off-hours, and to maintain active involvement in the care planning process.
Google Reviews
Google Reviews
105 reviews analyzed“Signature Healthcare at North Hardin receives polarized feedback, with many families praising the dedicated therapy team and friendly nursing staff, while others report serious concerns regarding neglect and poor communication. While the facility is often described as clean and well-maintained with engaging activities, multiple reviewers have raised alarms about slow response times for basic care needs and inconsistent quality of medical attention.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy
- Clean and well-maintained facility grounds
- Engaging seasonal activities and community events
- Compassionate and attentive nursing staff
Concerns
- Slow response times for call lights and basic hygiene needs (mentioned by 5 reviewers)
- Poor communication with families regarding care plans and medication (mentioned by 4 reviewers)
- Inconsistent quality of care and medical oversight (mentioned by 6 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed your facility is very active with community events; what does a typical week of activities look like for a resident here?
- 2Given that you have a high response rate to online feedback, what is the best way for families to communicate directly with the care team regarding updates on a loved one's care plan?
- 3Since physical and occupational therapy are noted as strengths here, how do you integrate those sessions into a resident's daily routine?
- 4What protocols do you have in place to ensure that call lights are answered promptly and that residents receive timely assistance with their daily hygiene needs?
- 5How does your nursing team manage medication administration to ensure consistency and accuracy for residents?
- 6With the current staffing levels, how do you ensure that every resident receives the same quality of medical oversight and attention throughout the day and night?
Personalized based on this facility's data
Key Review Excerpts
“The Physical Therapy is top notch. They spend time working with Dad and listen.”
“The day we brought her there she was forgotten for dinner... She has lost a significant amount of weight bc the food is disgusting. Quesh and peanut butter is not dinner.”
“The first morning after he got there, we showed up to find him in a diaper (with very bad bed sores from his hospital stay) and the C-PAP equipment he needed to sleep with still s”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
8
measures
2
measures
Residents vaccinated for the flu
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a concerning pattern of recurring deficiencies across multiple years, with families filing complaints that triggered investigations. The most frequent problem areas involve nutrition and meal planning, care planning and resident assessments, and medication management. While all violations show correction dates, similar issues persist across surveys from 2019 to 2025, suggesting ongoing operational challenges that families should carefully consider.
May 29, 2025Routine8
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Jan 23, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
May 3, 2024Routine4
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Provide properly protected cooking facilities.
May 3, 2024Complaint1
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Jun 7, 2019Routine20
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Have exits that are accessible at all times.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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
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.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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.
Ownership & Operations
Who Operates This Facility
Signature Healthcare at North Hardin Rehab & Welln
for profit
Chain Affiliation
Signature Healthcare
71 facilities nationwide
Chain avg rating: 3.0/5 · Rank 37 of 70
Ownership & Management
Owners
Shc Lp Holdings LLC
Owner · Organization
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
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
105 reviews from families & visitors
Official Website
Visit shcatnorthhardin.com
Medicare data downloads
Original nursing home datasets
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