Nursing HomeMedicaid Needs closer review

Signature Healthcare of Elizabethtown

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

1850 Veteran's Way, Elizabethtown, KY 42701|124 beds|Licensed & active

2/5

Medicare

Inspection

Quality

Staffing

Google rating

4.7/5

based on 100 Google reviews

(270) 769-2363 Directions Website

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3flags

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Public Medicare Flags to Review

These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.

Low overall rating (2/5 stars)
Low health inspection rating (1/5 stars)
Above-median findings in the latest survey (3 vs median 2)

No Medicare penalties on record · 3 findings in latest survey

Source: Medicare data

What this means for your family

This facility has areas of concern that warrant careful consideration. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.

Google Reviews

104 public Google reviews available

Signature Healthcare of Elizabethtown is widely praised for its clean, modern facility and the exceptional efforts of its admissions director, Tonya Hawkins, who is frequently cited as a primary reason for families choosing and recommending the facility. While many reviewers describe a warm, family-like environment with attentive nursing and rehab staff, a subset of families reports serious concerns regarding neglect, slow response times to call lights, and poor communication from the social services department.

Quality Themes

Tap a score for details

Strengths

Highly responsive and compassionate admissions staff
Clean, modern, and well-maintained facility
Effective physical and occupational therapy programs
Warm, family-oriented atmosphere

Concerns

Slow response times to call lights and requests for assistance (mentioned by 4 reviewers)
Neglectful care or lack of basic hygiene assistance (mentioned by 3 reviewers)
Unprofessional or unresponsive social services department (mentioned by 3 reviewers)
Medication management errors or delays (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 104 analyzed

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 online feedback; how do you use that family input to continuously improve the daily resident experience?
2With the current staffing rating, what specific protocols do you have in place to ensure that call lights are answered promptly and residents receive timely assistance?
3Could you walk me through your process for medication management and how you ensure accuracy and consistency for residents who require daily assistance?
4What steps does your nursing team take to ensure that personal hygiene and daily care needs are consistently met for every resident?
5I see your therapy programs are highly regarded; how do you integrate those services into the daily social and activity schedule for residents?
6How does your social services department communicate with families regarding care plans, and what is the best way to stay in touch with them regarding my loved one's needs?

Personalized based on this facility's data

Key Review Excerpts

“The facility is clean and modern and very well maintained. But the admissions and marketing director, Tonya Hawkins makes the entire process Of getting your loved one settled in and welcome seamless.”

Family member · 2025★★★★★

“The noise level at all hours was difficult to live with, but management met this challenge wit a room change to a quieter area. Nursing care overall was excellent with just substitute nurses contracted from an agency creating the largest challenges.”

Rehab patient · 2024★★★★☆

“I don't know if it's because they're short staffed? Or they simply are willing to hire anyone(those whom do not enjoy caregiving), the caregiving is incredibly lackluster and to the point of neglect. Unless you're going to be with your loved one continuously please look into other options.”

Grandchild of resident · 2023★★☆☆☆

Source: 104 Google reviews in the current analysis set

Staffing

Staffing Hours

per resident/day · Medicare public data

RN Hours

0.93hrs

Registered nurses for medical care

Total Nursing

3.86hrs

94%

All nurses + aides combined

Staff Turnover

43%

Lower is better (< 30% = good)

RN Turnover

39%

Lower is better (< 30% = good)

Total nursing hours are below the EveryPlace reference benchmark, though RN coverage meets its reference level. Ask how aides are staffed for daily tasks such as bathing and mobility.

Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.

Quality Measures

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

Medicare Rating

5/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

Residents with depression symptoms

↓ Lower is better

This Facility34.7%

Worse than Avg

Here

34.7%

12.1%

16.5%

Hardin

28.9%

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

Residents whose walking got worse

↓ Lower is better

This Facility9.1%

Better than Avg

Here

9.1%

15.3%

15.5%

Hardin

23.4%

Residents vaccinated for pneumonia

↑ Higher is better

This Facility83.7%

Worse than Avg

Here

83.7%

93.4%

94.3%

Hardin

90.9%

Residents needing more daily help over time

↓ Lower is better

This Facility9.3%

Better than Avg

Here

9.3%

14.4%

14.7%

Hardin

19.3%

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility23.7%

Mixed vs Avgs

Here

23.7%

19.5%

29.6%

Hardin

21.7%

Residents vaccinated for the flu

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

95.5%

96.2%

Hardin

94.6%

Short-Stay Residents (Rehab / Post-Acute)

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility99.1%

Better than Avg

Here

99.1%

79.8%

83.6%

Hardin

82.9%

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility95.2%

Better than Avg

Here

95.2%

81.8%

83.9%

Hardin

81.9%

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.3%

Better than Avg

Here

0.3%

1.6%

1.7%

Hardin

1.0%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

Detailed Medicare record · up to 3-year lookback

20findings in history

Latest survey: 3 · near KY avg (3.4)

4 complaint-triggered findings

This facility has 18 deficiencies across multiple surveys, with families filing complaints that led to citations for resident rights violations and safety hazards. The most recurring issues involve fire safety systems, care planning, and resident rights protections. While all deficiencies show correction dates, the pattern includes serious concerns about background checks for staff and maintaining safe conditions, suggesting families should carefully evaluate current safety protocols.

Mar 25, 2026Complaint2 findings

0760Immediate jeopardy · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Oct 25, 2024Routine5 findings

0161Potential for harm · WidespreadCorrected

Construction Deficiencies

Use approved construction type or materials.

0606Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

0347Potential for harm · PatternCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

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

Nov 8, 2023Complaint2 findings

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jul 1, 2021Routine3 findings

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0271Potential for harm · IsolatedCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0781Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

May 31, 2019Routine8 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.

0657Potential for harm · PatternCorrected

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.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

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.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0761Potential for harm · IsolatedCorrected

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.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Signature Healthcare of Elizabethtown

Organization Type

for profit

Chain Affiliation

Chain Name

Signature Healthcare

Chain Size

68 facilities nationwide

Chain avg rating: 3.0/5 · Rank 1 of 70 (Highest rating)

Ownership & Management

Owners

Shc Ky Holdings LLC

Owner · Organization

100%

Asbr Holdings LLC