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Nursing HomeMedicaid

Signature Healthcare of Hart County Rehab & Wellne

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

1505 South Dixie Street, Horse Cave, KY 42749104 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.8/5

based on 62 Google reviews

5
4
3
2
1
Signature Healthcare of Hart County Rehab & Wellne Nursing Home in Horse Cave, KY — Street View
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What this means for your family

This facility is highly regarded for its effective rehabilitation therapy and compassionate nursing staff, making it a strong candidate for recovery. However, because multiple reviewers have raised concerns about staffing levels and meal consistency, we recommend asking the administration specifically about their current nurse-to-patient ratios and how they ensure timely meal service for all residents.

Google Reviews

Google Reviews

62 reviews analyzed
Signature Healthcare of Hart County receives overwhelmingly positive feedback from families, particularly regarding their rehabilitation services and the compassionate, professional nature of the nursing staff. While the vast majority of reviews are glowing, a small number of critical reports highlight significant concerns regarding understaffing, slow call-light response times, and inconsistent meal scheduling.

Quality Themes

Tap a score for details
Food4.0Staff9.0Clean9.0Activities8.0Meds9.0MemoryN/AComms8.0ValueN/A

Strengths

  • Highly effective rehabilitation therapy team
  • Compassionate and professional nursing staff
  • Clean and well-maintained facility
  • Warm, welcoming atmosphere for families

Concerns

  • Understaffing leading to slow response times (mentioned by 3 reviewers)
  • Inconsistent meal delivery and scheduling (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.22019(5)5.02021(6)4.92022(7)4.22023(5)4.92024(11)4.82025(20)5.02026(13)

Distribution

5
50
4
2
3
0
2
0
1
3

How They Respond to Reviews

88%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed the rehab team receives a lot of praise; how do you integrate their therapy goals into the resident's daily routine?
  • 2With the current staffing levels, what is your process for ensuring residents receive timely assistance when they use their call lights?
  • 3I see that you are very active in responding to feedback online; how do you use that family input to improve the day-to-day experience for residents?
  • 4Some families have mentioned inconsistencies with meal service; what steps are you taking to improve the dining experience and ensure residents receive their meals on a reliable schedule?
  • 5Given the facility's focus on a warm, welcoming atmosphere, what kind of social activities or events are planned to keep residents engaged throughout the week?
  • 6How does your nursing team coordinate with local hospitals or specialists if a resident experiences a sudden change in health status?

Personalized based on this facility's data


Key Review Excerpts

The rehab team works with him patiently and intentionally, and we’ve already seen such a positive improvement in his mobility.

Grandchild of rehab patient · 2026★★★★★

The therapist were over the top. They motivated her to try and kept the laughter going and made hard work fun.

Daughter of rehab patient · 2024★★★★★

The Doctors and staff communicate and keep you informed and up to date on their plans of care for your loved one.

Son of former resident · 2022★★★★★
Source: 62 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.72hrs
96%
Registered nurses for medical care
Total Nursing
3.67hrs
89%
All nurses + aides combined
Staff Turnover
47%
Lower is better (< 30% = good)
RN Turnover
39%
Lower is better (< 30% = good)

Both 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

Medicare Rating
3/ 5
Better Than Avg

12

measures

Worse Than Avg

5

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility52.2%
Worse than Avg
Here
52.2%
US
12.1%
KY
16.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility18.5%
Better than Avg
Here
18.5%
US
19.5%
KY
29.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.7%
Better than Avg
Here
8.7%
US
15.4%
KY
16.4%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility11.4%
Worse than Avg
Here
11.4%
US
5.3%
KY
6.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.4%
Better than Avg
Here
99.4%
US
93.4%
KY
94.3%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
KY
96.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.4%
Better than Avg
Here
98.4%
US
79.7%
KY
83.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.8%
Better than Avg
Here
96.8%
US
81.8%
KY
83.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
KY
1.7%
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)

This facility shows a positive trend with most recent issues corrected and no complaint-driven deficiencies. The main recurring problems involve care planning, medication management, and general quality of care standards. Earlier surveys in 2018-2019 identified multiple deficiencies including medication labeling, dementia care, and infection control, but these appear to have been addressed. The most recent 2024 survey found only issues with background checks and food safety, both corrected.

Mar 13, 2026Routine
2
0353MinorCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0374MinorCorrected

Smoke Deficiencies

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

Nov 1, 2024Routine
4
0606Moderate

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

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.

0606Moderate

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

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.

Aug 2, 2019Routine
6
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.

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.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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.

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.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

May 17, 2018Routine
7
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.

0658MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

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.

0744MinorCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

0757MinorCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Signature Healthcare of Hart County Rehab & Wellne

Organization Type

for profit

Chain Affiliation

Chain Name

Signature Healthcare

Chain Size

71 facilities nationwide

Chain avg rating: 3.0/5 · Rank 21 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

Cook, JasonW-2 Managing EmployeeHarrison, JohnOfficer / DirectorSignature Healthcare LLCManager
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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