Cycle 1
Health 2025-04-18 · Fire 2025-04-18
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Owensboro, KY
Signature Healthcare at Hillcrest
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
3740 Old Hartford Road, Owensboro, KY
(270) 684-7259
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
156
Certified beds
Average residents
125
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Signature Healthcare
Operator or chain grouping
Approved since
1972-09-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
71 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.00
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.30
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.37
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
3.67
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.30
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
3.21
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.66
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.95
CMS adjusted RN staffing hours
Adjusted total hours
3.49
CMS adjusted total nurse staffing hours
Case-mix index
1.44
Higher values indicate more complex resident acuity
RN turnover
31%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
45%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,761
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
10.63
Composite VBP score used to determine payment impact.
Payment multiplier
0.9809
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 18.71% · Performance 22.31% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.87% · Performance 8.77% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.35
Baseline 43.48% · Performance 50.00% · Measure score 3.35 · Achievement 3.35 · Improvement 0
Adjusted total nurse staffing
0.91
Baseline 3.73 hours · Performance 3.34 hours · Measure score 0.91 · Achievement 0.91 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.12% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 152 · Observed rate 8.55% · Lower 95% interval 6.93% |
| Discharge to community | 46.43% |
50.57%
4.1 pts worse
|
No Different than the National Rate · Eligible stays 146 · Observed rate 41.78% · Lower 95% interval 39.45% |
| Medicare spending per beneficiary | 1.31 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 97.79% |
95.27%
2.5 pts better
|
Numerator 133 · Denominator 136 |
| Falls with major injury | 1.47% |
0.77%
0.7 pts worse
|
Numerator 2 · Denominator 136 |
| Discharge self-care score | 44.09% |
53.69%
9.6 pts worse
|
Numerator 41 · Denominator 93 |
| Discharge mobility score | 37.63% |
50.94%
13.3 pts worse
|
Numerator 35 · Denominator 93 |
| Pressure ulcers or injuries, new or worsened | 2.21% |
2.29%
0.1 pts better
|
Numerator 3 · Denominator 136 · Adjusted rate 1.77% |
| Healthcare-associated infections requiring hospitalization | 8.77% |
7.12%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 109 · Observed rate 9.17% · Lower 95% interval 5.68% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 169 |
| Staff flu vaccination coverage | 7.01% |
42%
35 pts worse
|
Numerator 15 · Denominator 214 |
| Discharge function score | 40.86% |
56.45%
15.6 pts worse
|
Numerator 38 · Denominator 93 |
| Transfer of health information to provider | 69.23% |
95.95%
26.7 pts worse
|
Numerator 27 · Denominator 39 |
| Transfer of health information to patient | 85.42% |
96.28%
10.9 pts worse
|
Numerator 41 · Denominator 48 |
| Resident COVID-19 vaccinations up to date | 2.82% |
25.2%
22.4 pts worse
|
Numerator 2 · Denominator 71 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.5 |
1.9
0.6 pts worse
|
1.9
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.5 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.2 |
2.2
About the same
|
1.8
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.2 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.7% |
94.3%
0.6 pts worse
|
93.4%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 90.7% · Q2 92.0% · Q3 97.2% · Q4 95.1% · 4Q avg 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.4% |
96.2%
2.2 pts better
|
95.5%
2.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.2% |
3.8%
0.4 pts worse
|
3.3%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 4.4% · Q3 3.8% · Q4 2.9% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 11.5% |
15.2%
3.7 pts better
|
11.4%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 6.6% · Q3 6.9% · Q4 27.4% · 4Q avg 11.5% |
| Percentage of long-stay residents who lose too much weight | 7.5% |
6.7%
0.8 pts worse
|
5.4%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 10.2% · Q3 9.4% · Q4 7.5% · 4Q avg 7.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 31.2% |
29.6%
1.6 pts worse
|
19.6%
11.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.4% · Q2 31.1% · Q3 33.0% · Q4 28.3% · 4Q avg 31.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.1% |
17.6%
4.5 pts better
|
16.7%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 12.8% · Q3 14.3% · Q4 14.0% · 4Q avg 13.1% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 2.8% |
17.3%
14.5 pts better
|
16.3%
13.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 5.8% · Q3 0.0% · Q4 2.3% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.6% |
15.6%
12 pts better
|
14.9%
11.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 1.0% · Q3 2.0% · Q4 5.3% · 4Q avg 3.6% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.2% |
1.7%
0.5 pts better
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.9% · Q3 1.0% · Q4 1.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.5% |
19.8%
5.7 pts worse
|
19.8%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.3% · Q2 25.0% · Q3 24.4% · Q4 26.5% · 4Q avg 25.5% |
| Percentage of long-stay residents with pressure ulcers | 5.9% |
5.5%
0.4 pts worse
|
5.1%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 7.7% · Q3 5.0% · Q4 9.5% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.3% |
83.8%
4.5 pts better
|
81.7%
6.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 90.6% · Q2 86.0% · Q3 87.0% · Q4 89.3% · 4Q avg 88.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.7% |
13.9%
2.2 pts better
|
12.0%
0.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.7% · Observed 11.8% · Expected 11.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.8%
1.8 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.1% |
83.6%
3.5 pts better
|
79.7%
7.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.7% |
24.5%
4.8 pts better
|
23.9%
4.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.7% · Observed 18.2% · Expected 22.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2020-01-30 · Fire 2020-01-30
0 health deficiencies
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2018-11-15 · Fire 2018-11-15
5 health deficiencies
Top issue: Quality of Life and Care (3 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
2025-04-18
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-04-29
F · Potential for more than minimal harm
2020-01-30
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-03-13
D · Potential for more than minimal harm
2020-01-30
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2020-03-13
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-04-18
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-29
D · Potential for more than minimal harm
2025-04-18
F552 · Resident Rights Deficiencies
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-04-29
D · Potential for more than minimal harm
2018-11-15
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 2018-12-21
D · Potential for more than minimal harm
2018-11-15
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2018-12-21
D · Potential for more than minimal harm
2018-11-15
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2018-12-21
D · Potential for more than minimal harm
2018-11-15
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2018-12-21
D · Potential for more than minimal harm
2018-11-15
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2018-12-21
Penalties and ownership
What sits behind the stars
Ownership
Shc Ky Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Asbr Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Conley, William
Operational/Managerial Control · Individual
Conley, William
W-2 Managing Employee · Individual
Harrison, John
Corporate Officer · Individual
Jjla LLC
5% Or Greater Indirect Ownership Interest · Organization
Lpsnf LLC
5% Or Greater Indirect Ownership Interest · Organization
Shc LP Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Smedra, Ira
5% Or Greater Indirect Ownership Interest · Individual
Steier Iii, Elmer
5% Or Greater Indirect Ownership Interest · Individual
Wheaten LLC
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Wellington Parc of Owensboro
Owensboro, KY
4-star overall rating with 4-star inspections with 1 recent health deficiencies
#2
Carmel Home
Owensboro, KY
4-star overall rating with 4-star inspections with $40,173 in total fines with 8 fire-safety deficiencies in the latest cycle
#3
Chautauqua Health and Rehabilitation
Owensboro, KY
1-star overall rating with 1-star inspections with 2 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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