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Nursing HomeMedicaid Investigative

Signature Healthcare of Spencer County

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

625 Taylorsville Road, Taylorsville, KY 40071120 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 51 Google reviews

5
4
3
2
1
Signature Healthcare of Spencer County Nursing Home in Taylorsville, KY — Street View
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4/ 10
moderate 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)
  • Above-median deficiencies (7 vs median 2.0)
  • High staff turnover (57%)

Below average in KY · Meets national RN staffing standard · Below chain average · No penalties on record

Source: Medicare data

What this means for your family

This facility is highly regarded for its compassionate staff and effective rehab outcomes, making it a strong contender for recovery. However, given the serious reports regarding hygiene and staffing, we strongly recommend conducting an unannounced visit to observe the environment firsthand and asking management directly about their current staffing ratios and food service quality.

Google Reviews

Google Reviews

51 reviews analyzed
Signature Healthcare of Spencer County receives high praise for its dedicated, compassionate staff and effective physical therapy programs, with many families noting that their loved ones felt well-cared for and respected. However, there are serious, isolated reports regarding hygiene issues, understaffing, and inconsistent meal quality that prospective families should investigate thoroughly during their tour.

Quality Themes

Tap a score for details
Food4.0Staff9.0Clean7.0Activities8.0MedsN/AMemoryN/AComms8.0Value3.0

Strengths

  • Warm, attentive nursing and CNA staff
  • Effective physical therapy programs
  • Family-oriented, welcoming environment
  • Professional and responsive management

Concerns

  • Understaffing leading to overworked employees and neglect (mentioned by 3 reviewers)
  • Poor food quality and inconsistent meal service (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'18(1)'20(3)'22(2)'24(10)'26(2)

Distribution

5
25
4
1
3
0
2
1
1
2
11 reviews posted between May 4, 2025May 9, 2025 · 11 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 management team is very active in responding to family feedback online; how do you incorporate that family input into daily operational improvements?
  • 2With the current staffing levels, what specific protocols do you have in place to ensure residents receive timely assistance during peak hours?
  • 3We understand that dining is a major part of the resident experience; what steps are you taking to improve meal quality and the consistency of service in the dining room?
  • 4Given the recent health inspection findings, what specific changes or training programs have you implemented to address those areas of concern?
  • 5What does a typical daily activity schedule look like for a resident here, and how do you encourage social engagement among the 120 residents?
  • 6How is your medical team structured to handle urgent health changes or emergencies, especially during evening and weekend shifts?

Personalized based on this facility's data


Key Review Excerpts

The nurses, nurse aids, physical therapists, kitchen, to the people in the office, front desk and cleaning people... All exceptional!

Long-term resident's family · 2024★★★★★

Physical therapy got him back on track. The nurses, CNAs and all the staff were great with him. They treated him and me both with respect.

Rehab patient's spouse · 2025★★★★★

The team provides awesome communications with us as a family. We couldn't ask for better treatment of our mother.

Long-term resident's family · 2021★★★★★
Source: 51 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.07hrs
OK
Registered nurses for medical care
Total Nursing
3.66hrs
89%
All nurses + aides combined
Staff Turnover
57%
Lower is better (< 30% = good)
RN Turnover
41%
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
2/ 5
Better Than Avg

9

measures

Worse Than Avg

7

measures

Mixed Results

1

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility54.6%
Worse than Avg
Here
54.6%
US
93.4%
KY
94.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility24.2%
Worse than Avg
Here
24.2%
US
12.1%
KY
16.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.0%
Better than Avg
Here
7.0%
US
15.3%
KY
15.5%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility88.2%
Worse than Avg
Here
88.2%
US
95.5%
KY
96.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.8%
Better than Avg
Here
7.8%
US
14.4%
KY
14.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility23.8%
Mixed vs Avgs
Here
23.8%
US
19.5%
KY
29.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility53.7%
Worse than Avg
Here
53.7%
US
81.8%
KY
83.9%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility71.4%
Worse than Avg
Here
71.4%
US
79.7%
KY
83.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.6%
Better than Avg
Here
1.6%
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

7deficiencies
Well above state avg (3.4)
7 complaint-triggered

This facility has a concerning pattern of recurring infection control problems across all three surveys, plus families have filed complaints about food service and resident dignity that triggered inspections. The most frequent issues involve infection prevention, care planning, and fire safety systems. While all 19 deficiencies show correction dates, the repeated infection control violations suggest ongoing challenges in maintaining proper sanitation protocols that families should discuss directly with staff.

Jan 23, 2026Routine
4
0838ModerateCorrected

Administration Deficiencies

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

0657MinorCorrected

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.

0658MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Aug 2, 2024Routine
8
0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0922ModerateCorrected

Environmental Deficiencies

Have enough backup water supply for essential areas of the nursing home.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0922ModerateCorrected

Environmental Deficiencies

Have enough backup water supply for essential areas of the nursing home.

0689ModerateCorrected

Quality of Life and Care Deficiencies

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

0925ModerateCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0689ModerateCorrected

Quality of Life and Care Deficiencies

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

0925ModerateCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Aug 2, 2024Complaint
7
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.

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.

0584MinorCorrected

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.

0804MinorCorrected

Nutrition and Dietary Deficiencies

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

0584MinorCorrected

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.

0804MinorCorrected

Nutrition and Dietary Deficiencies

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

0550MinorCorrected

Resident Rights Deficiencies

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

May 31, 2019Routine
14
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.

0635MinorCorrected

Resident Assessment and Care Planning Deficiencies

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

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.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

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.

0353MinorCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0372MinorCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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.

0353MinorCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0372MinorCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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.

0635MinorCorrected

Resident Assessment and Care Planning Deficiencies

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

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.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Apr 5, 2018Routine
4
0604MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0657MinorCorrected

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.

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 Spencer County

Organization Type

for profit

Chain Affiliation

Chain Name

Signature Healthcare

Chain Size

71 facilities nationwide

Chain avg rating: 3.0/5 · Rank 45 of 70

Ownership & Management

Owners

Lp Cs Holdings LLC

Owner · Organization

100%

Agemo Holdings LLC

Owner (parent company) · Organization

Jjla LLC

Owner (parent company) · Organization

Lpsnf II LLC

Owner (parent company) · Organization

Wheaten LLC

Owner (parent company) · Organization

Steier III, Elmer

Owner (parent company)

Key personnel

Davis, MmicheleW-2 Managing EmployeeHarrison, JohnOfficer / 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

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