Lawrenceburg, KY

Signature Healthcare at Heritage Hall Rehab & Well

1-star overall rating with 1-star inspections with $185,227 in total fines with 4 recent health deficiencies

331 South Main Street, Lawrenceburg, KY

(502) 839-7246

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

94

Certified beds

Average residents

83

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Signature Healthcare

Operator or chain grouping

Approved since

1991-05-16

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.87

Registered nurse staffing

LPN hours / resident day

0.97

Licensed practical nurse staffing

Aide hours / resident day

2.22

Nurse aide staffing

Weekend hours

3.44

Weekend nurse staffing

RN turnover

27%

Annual RN turnover

Total nurse turnover

40%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.6
1.9
0.3 pts better
1.9
0.3 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.1
2.2
0.1 pts better
1.8
0.3 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.2%
94.3%
3.9 pts better
93.4%
4.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.9%
96.2%
0.3 pts worse
95.5%
0.4 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 3.6%
3.8%
0.2 pts better
3.3%
0.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 1.2%
15.2%
14 pts better
11.4%
10.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 8.2%
6.7%
1.5 pts worse
5.4%
2.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 37.6%
29.6%
8 pts worse
19.6%
18 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 10.2%
17.6%
7.4 pts better
16.7%
6.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 20.9%
17.3%
3.6 pts worse
16.3%
4.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 17.1%
15.6%
1.5 pts worse
14.9%
2.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.7%
0.7 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.8%
1.7%
0.9 pts better
1.7%
0.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 17.4%
19.8%
2.4 pts better
19.8%
2.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 4.2%
5.5%
1.3 pts better
5.1%
0.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 92.2%
83.8%
8.4 pts better
81.7%
10.5 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 13.9%
13.9%
About the same
12.0%
1.9 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.7%
1.8%
0.1 pts better
1.6%
0.1 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 84.5%
83.6%
0.9 pts better
79.7%
4.8 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 24.4%
24.5%
0.1 pts better
23.9%
0.5 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-31 · Fire 2025-07-31

4 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2021-10-28 · Fire 2021-10-28

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2019-03-21 · Fire 2019-03-21

14 health deficiencies

Top issue: Resident Assessment and Care Planning (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2021-10-28

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2021-12-02

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-07-31

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-08-13

D · Potential for more than minimal harm 2025-07-31

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-08-13

D · Potential for more than minimal harm 2025-07-31

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-08-13

D · Potential for more than minimal harm 2025-07-31

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-08-13

J · Immediate jeopardy 2023-09-29

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2023-10-25

J · Immediate jeopardy 2023-09-29

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-10-25

J · Immediate jeopardy 2023-09-29

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-10-25

J · Immediate jeopardy 2023-09-29

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-10-25

J · Immediate jeopardy 2023-09-29

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2023-10-25

E · Potential for more than minimal harm 2023-09-29

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-10-25

D · Potential for more than minimal harm 2023-09-29

F550 · Resident Rights Deficiencies

Health

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

Corrected 2023-10-25

D · Potential for more than minimal harm 2023-09-29

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-10-25

D · Potential for more than minimal harm 2023-09-29

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-10-25

D · Potential for more than minimal harm 2021-10-28

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2021-12-02

D · Potential for more than minimal harm 2021-10-28

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-12-02

D · Potential for more than minimal harm 2019-03-21

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2019-04-30

D · Potential for more than minimal harm 2019-03-21

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2019-04-30

D · Potential for more than minimal harm 2019-03-21

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2019-04-30

D · Potential for more than minimal harm 2019-03-21

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2019-04-30

D · Potential for more than minimal harm 2019-03-21

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2019-04-30

Penalties and ownership

What sits behind the stars

$185,227 2023-09-29

Fine

Fine · fine $185,227

Fine

$0 2023-09-29

Payment Denial

Payment Denial · denial start 2023-10-04 · 21 days

21 day denial

Ownership

Shc LP Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 30 facilities 2015-12-01
Asbr Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 32 facilities 2018-05-01
Colllier, Lisa

W-2 Managing Employee · Individual

0% 1 facilities 2023-10-09
Harrison, John

Corporate Officer · Individual

0% 68 facilities 2007-11-01
Jjla LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 64 facilities 2015-12-01
Lpsnf LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 37 facilities 2015-12-01
Smedra, Ira

5% Or Greater Indirect Ownership Interest · Individual

0% 98 facilities 2015-12-01
Steier Iii, Elmer

5% Or Greater Indirect Ownership Interest · Individual

0% 66 facilities 2015-12-01
Wheaten LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 67 facilities 2015-12-01

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Staffing
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3-star overall rating with 2-star inspections with $4,147 in total fines with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

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Health
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Staffing
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Fines
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#3

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3-star overall rating with 2-star inspections with $12,529 in total fines with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
2 / 5
Staffing
3 / 5
Fines
$12,529

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