Signature Healthcare of Spencer County
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 51 Google reviews

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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
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 detailsStrengths
- 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
Distribution
How They Respond to Reviews
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!”
“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.”
“The team provides awesome communications with us as a family. We couldn't ask for better treatment of our mother.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total 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
9
measures
7
measures
1
measures
Residents vaccinated for pneumonia
Residents with depression symptoms
Residents whose walking got worse
Residents vaccinated for the flu
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
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 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, 2026Routine4
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.
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Aug 2, 2024Routine8
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Have enough backup water supply for essential areas of the nursing home.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Have enough backup water supply for essential areas of the nursing home.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Aug 2, 2024Complaint7
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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
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.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
May 31, 2019Routine14
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.
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was 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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
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.
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was 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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Apr 5, 2018Routine4
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Ownership & Operations
Who Operates This Facility
Signature Healthcare of Spencer County
for profit
Chain Affiliation
Signature Healthcare
71 facilities nationwide
Chain avg rating: 3.0/5 · Rank 45 of 70
Ownership & Management
Owners
Lp Cs Holdings LLC
Owner · Organization
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
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
51 reviews from families & visitors
Official Website
Visit shcofspencercounty.com
Medicare data downloads
Original nursing home datasets
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