Deficiency Index

Signature Healthcare of Hart County Rehab & Wellne

Horse Cave, Kentucky · CCN 185381

14 surveys since 2010. The first finding at harm level was recorded in 2015.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
62
Surveys
14
Harm or worse
3
Immediate jeopardy
0
The record, 2010–2024
’10’15’20’24
No harm recordedHarm or worseNot surveyed
Harm or worse3

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file12/14

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
104
Ownership
For profit - Corporation
Chain
SIGNATURE HEALTHCARE
County
Hart · rural
Medicare-certified since
1993

CMS ratings

Overall
5
Health inspection
4
Staffing
2
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=2, floor 20).

Last survey on record

Nov 1, 2024

738 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.803.59
Registered-nurse hours per resident day1.00—
Annual nurse turnover48.5%45.6%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD360.0%E240.0%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 5 of the 62 citations on record.

In the surveyor’s words

From the most serious findings on record at Signature Healthcare of Hart County Rehab & Wellne, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF606Nov 1, 2024

    Based on interview, personnel record review, and facility policy review, it was determined the facility failed to ensure contracted employees had a Kentucky Adult Caregiver Misconduct Registry check prior to employment as required by KRS 209.032 for 5 of 7 contracted employee files sampled. The facility provided an acceptable plan for the removal of this deficiency on 11/01/2024. This plan alleged the deficiency was corrected on 10/28/2024, prior to the initiation of the survey. The plan provided by the facility alleged the following: 1. On 10/28/2024 the Administrator audited all dietary and housekeeping contracted employees. Each employee had a Kentucky Adult Caregiver Misconduct Registry (KACMR) check completed. 2. […]

  • No harm, potential for more than minimal, patternF812Nov 1, 2024

    483.60 Based on observation, interview and record review, it was determined the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for one of two nourishment refrigerators. Observation revealed the nourishment refrigerator on the Dogwood unit had two bowls of applesauce unlabeled or undated. The findings include: Review of the facility's policy, Food: Preparation, revised 2/2023, revealed all refrigerated, ready to eat foods held for more than twenty four (24) hours at a temperature of forty one (41) degrees Fahrenheit (F) or less, would be labelled and dated with a prepare date (day one) and a use by date (day seven). […]

Read 23 findings in full →The most serious and the most recent: 23 of 62 on record.

Every survey on record

FindingsAt actual harm or above

  • Nov 1, 2024Standard2 findings
  • Dec 30, 2020Complaint1 finding
  • Aug 2, 2019Standard4 findings
  • May 17, 2018Standard7 findings
  • Apr 6, 2017Standard10 findings
  • Mar 31, 2016Standard10 findings
  • Feb 26, 2015Standard6 findings · 3 harm
  • Jan 9, 2014—5 findings
Show the 6 earlier surveys
  • Jul 17, 2013—1 finding
  • Feb 21, 2013—2 findings
  • Feb 8, 2012—1 finding
  • Dec 8, 2011—1 finding
  • Jul 21, 2011—1 finding
  • Sep 23, 2010—11 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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