Cycle 1
Health 2025-07-03 · Fire 2025-07-03
3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Hartford, KY
Signature Healthcare of Hartford Rehab & Wellness
4-star overall rating with 4-star inspections with 3 recent health deficiencies
114 McMurtry Avenue, Hartford, KY
(270) 298-7437
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
110
Certified beds
Average residents
83
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Signature Healthcare
Operator or chain grouping
Approved since
1991-10-01
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
0.96
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.44
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.50
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
3.90
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.40
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
3.18
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.68
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.93
CMS adjusted RN staffing hours
Adjusted total hours
3.78
CMS adjusted total nurse staffing hours
Case-mix index
1.41
Higher values indicate more complex resident acuity
RN turnover
65%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,555
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
32.48
Composite VBP score used to determine payment impact.
Payment multiplier
0.9871
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.82
Baseline 19.37% · Performance 20.12% · Measure score 2.82 · Achievement 2.82 · Improvement 0
Healthcare-associated infections
2.43
Baseline 6.10% · Performance 7.11% · Measure score 2.43 · Achievement 2.43 · Improvement 0
Total nurse turnover
5.85
Baseline 32.43% · Performance 39.76% · Measure score 5.85 · Achievement 5.85 · Improvement 0
Adjusted total nurse staffing
1.88
Baseline 3.92 hours · Performance 3.61 hours · Measure score 1.88 · Achievement 1.88 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.51% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 98 · Observed rate 11.22% · Lower 95% interval 8.07% |
| Discharge to community | 40.45% |
50.57%
10.1 pts worse
|
Worse than the National Rate · Eligible stays 92 · Observed rate 35.87% · Lower 95% interval 31.15% |
| Medicare spending per beneficiary | 1.24 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 97.96% |
95.27%
2.7 pts better
|
Numerator 48 · Denominator 49 |
| Falls with major injury | 2.04% |
0.77%
1.3 pts worse
|
Numerator 1 · Denominator 49 |
| Discharge self-care score | 63.16% |
53.69%
9.5 pts better
|
Numerator 24 · Denominator 38 |
| Discharge mobility score | 42.11% |
50.94%
8.8 pts worse
|
Numerator 16 · Denominator 38 |
| Pressure ulcers or injuries, new or worsened | 8.16% |
2.29%
5.9 pts worse
|
Numerator 4 · Denominator 49 · Adjusted rate 7.07% |
| Healthcare-associated infections requiring hospitalization | 7.11% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 46 · Observed rate 6.52% · Lower 95% interval 4.05% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 103 |
| Staff flu vaccination coverage | 5.56% |
42%
36.4 pts worse
|
Numerator 8 · Denominator 144 |
| Discharge function score | 60.53% |
56.45%
4.1 pts better
|
Numerator 23 · Denominator 38 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 95.24% |
96.28%
1 pts worse
|
Numerator 20 · Denominator 21 |
| Resident COVID-19 vaccinations up to date | 8% |
25.2%
17.2 pts worse
|
Numerator 2 · Denominator 25 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
1.9
0.2 pts better
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.7 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.3 |
2.2
1.1 pts worse
|
1.8
1.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 3.5 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 86.8% |
94.3%
7.5 pts worse
|
93.4%
6.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 86.8% · Q2 87.8% · Q3 87.1% · Q4 85.3% · 4Q avg 86.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.2% |
96.2%
About the same
|
95.5%
0.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.4% |
3.8%
0.6 pts worse
|
3.3%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 5.4% · Q3 4.3% · Q4 2.7% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.2% |
15.2%
7 pts better
|
11.4%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 1.4% · Q3 8.1% · Q4 17.1% · 4Q avg 8.2% |
| Percentage of long-stay residents who lose too much weight | 6.8% |
6.7%
0.1 pts worse
|
5.4%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 6.8% · Q3 10.1% · Q4 5.4% · 4Q avg 6.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.2% |
29.6%
4.4 pts better
|
19.6%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.7% · Q2 26.0% · Q3 24.3% · Q4 26.7% · 4Q avg 25.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.5% |
17.6%
3.1 pts better
|
16.7%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 10.2% · Q3 16.7% · Q4 18.8% · 4Q avg 14.5% · 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 | 21.0% |
17.3%
3.7 pts worse
|
16.3%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.6% · Q3 12.0% · Q4 12.9% · 4Q avg 21.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.7% |
15.6%
0.1 pts worse
|
14.9%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.0% · Q2 10.3% · Q3 10.9% · Q4 14.5% · 4Q avg 15.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
0.7%
0.1 pts worse
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 1.0% · Q4 1.1% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.4% |
1.7%
0.3 pts better
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · Q3 0.0% · Q4 2.7% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.1% |
19.8%
6.7 pts better
|
19.8%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 16.5% · Q3 13.0% · Q4 8.5% · 4Q avg 13.1% |
| Percentage of long-stay residents with pressure ulcers | 8.6% |
5.5%
3.1 pts worse
|
5.1%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.4% · Q2 11.3% · Q3 2.1% · Q4 8.3% · 4Q avg 8.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 61.0% |
83.8%
22.8 pts worse
|
81.7%
20.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 78.1% · Q2 67.5% · Q3 55.8% · Q4 44.2% · 4Q avg 61.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.2% |
13.9%
1.7 pts better
|
12.0%
0.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.2% · Observed 12.5% · Expected 11.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.8%
1.3 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 67.5% |
83.6%
16.1 pts worse
|
79.7%
12.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 67.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.9% |
24.5%
7.4 pts worse
|
23.9%
8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.9% · Observed 29.2% · Expected 21.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-04-15 · Fire 2021-04-15
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2019-02-14 · Fire 2019-02-14
2 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-07-03
F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-07-30
D · Potential for more than minimal harm
2025-07-03
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 2025-07-30
D · Potential for more than minimal harm
2025-07-03
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-07-30
D · Potential for more than minimal harm
2019-02-14
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 2019-03-11
D · Potential for more than minimal harm
2019-02-14
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-03-11
Penalties and ownership
What sits behind the stars
Ownership
Shc LP Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Asbr Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Daves, Trina
Operational/Managerial Control · Individual
Harrison, John
Corporate Officer · Individual
Jjla LLC
5% Or Greater Indirect Ownership Interest · Organization
Lpsnf LLC
5% Or Greater Indirect Ownership Interest · Organization
Signature Healthcare LLC
Operational/Managerial Control · 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
Beaver Dam Nursing & Rehab Center, Inc
Beaver Dam, KY
3-star overall rating with 3-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Fordsville Nursing and Rehabilitation Center
Fordsville, KY
4-star overall rating with 4-star inspections
#3
Morgantown Care & Rehabilitation Center
Morgantown, KY
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Jump out