Federal inspection record · CMS data as of October 1, 2026
Signature Healthcare at North Hardin Rehab & Welln
599 Rogersville Road, Radcliff, KY · (270) 351-2999
- Certified beds
- 136
- Residents per day
- 122
- Ownership
- For-Profit
- Chain
- Signature Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 21, 1986
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Kentucky.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Kentucky homes
Signature Healthcare at North Hardin Rehab & Welln carries 19 inspection points. That is fewer than 46% of Kentucky's 265 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kentucky: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–2 pts
- 4★ 2–11 pts
- 3★ 11–22 pts
- 2★ 22–45 pts
- 1★ over 45 pts
Bars show every rated home in Kentucky by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
12 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Nutrition and Dietary4F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- F
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care2D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Assist a resident in gaining access to vision and hearing services.
Pharmacy Service2D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
Nursing and Physician Services1D
- D
Post nurse staffing information every day.
Resident Rights1D
- D
Keep residents' personal and medical records private and confidential.
Resident Assessment and Care Planning1D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspection history
2026-07-10
1 health deficiencies · 4 fire-safety deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
2025-05-29
9 health deficiencies · 0 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2024-05-03
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 55 min of nursing staff time a day, 51 min of it from a registered nurse.
This home
3 h 55 min
Kentucky average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 45% of nursing staff and 33% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.8 pts better | 1.1 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.5 pts better | 0.5 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine10.3 pts worse | 83.8% | 94.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.8 pts better | 100.0% | 96.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injuryAbout the same | 3.8% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.6 pts worse | 24.5% | 18.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.7 pts worse | 7.3% | 6.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.3 pts better | 23.6% | 29.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.9 pts worse | 17.1% | 16.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened15.2 pts worse | 27.5% | 12.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.2 pts worse | 22.4% | 13.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 0.5% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts better | 0.5% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.2 pts worse | 19.5% | 18.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcersAbout the same | 4.7% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine23.9 pts worse | 60.6% | 84.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3 pts better | 10.2% | 13.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts better | 1.2% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.6 pts worse | 76.1% | 83.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission9.9 pts better | 14.0% | 23.9% | 23.4% |
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Who owns and runs it
8 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Shc LP Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 29 facilities |
| Asbr Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 32 facilities |
| Harrison, John | Corporate Officer · Individual | 0% | 67 facilities |
| Jjla LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 66 facilities |
| Lpsnf LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 38 facilities |
| Steier Iii, Elmer | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 66 facilities |
| Strasburger, Joshua | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Wheaten LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 64 facilities |
·
Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous3F
- D
Have simulated fire drills held at unexpected times.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have simulated fire drills held at unexpected times.
Smoke2E
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems2F
- D
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
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Other homes nearby
-
Baptist Health Hardin
Elizabethtown, KY
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 8 h 28 min
- Fines
- $0
-
Radcliff Veterans Center
Radcliff, KY
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 5 h 13 min
- Fines
- $9,331
-
Signature Healthcare of Elizabethtown
Elizabethtown, KY · Signature Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 53 min
- Fines
- $0