Signature Healthcare at North Hardin Rehab and Wellness Center

Nursing Home, Palliative Care, Respite Care & Skilled Nursing · Radcliff, KY

CMS overall rating

599 Rogersville Rd, Radcliff, KY 40160 View map

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Signature Healthcare at North Hardin Rehab and Wellness Center accepts Medicare, Medicaid, and private pay.

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Signature Healthcare at North Hardin Rehab and Wellness Center accepts Medicare, Medicaid, and private pay.

Overview of Signature Healthcare at North Hardin Rehab and Wellness Center

Signature Healthcare at North Hardin Rehab and Wellness Center is a 152-bed skilled nursing and rehabilitation facility operated by LP Radcliff, LLC at 599 Rogersville Road in Radcliff, Kentucky. It has some availability at 75 percent occupancy, below Kentucky’s 81.3 percent average. The facility in Hardin County accepts Medicare, Medicaid, and private pay, catering to a mix of short-term rehabilitation and long-term care residents averaging 95 days of stay.

CMS scores the facility 2 stars, 28.3 percent below Kentucky’s average, driven by health inspection and staffing sub-ratings running below state mean. Across 4 inspections since 2019, the community totaled 28 citations, all moderate in severity, with no critical or serious findings across seven years. A substantiated complaint in February 2025 found the facility failed to report an abuse allegation within required timeframes; staff were suspended and education was given. No fines or payment denials issued. Nurse hours reach 3h 39m per resident daily, 6 percent above Kentucky’s average, with physical therapist hours running 25 percent above state figure.

Services include on-site dialysis, memory care, respite care, and skilled nursing. There’s an active resident council.

The facility serves rehabilitation and long-term care residents in Radcliff. It has on-site dialysis as a distinctive service for those needing renal care in Hardin County.

Facility Direct Line (270) 351-2999

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 39m per day

vs avg

3 of 6 metrics below state avg

Standout metric Physical Therapist is +41% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	48m per day	▲ 4% State avg: 46m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	27m per day	▼ 44% State avg: 49m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 22m per day	▼ 3% State avg: 2h 26m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 13m per day	▼ 8% State avg: 3h 30m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	6m per day	▲ 41% State avg: 4m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	37m per day	▲ 18% State avg: 31m per day · National avg: 28m per day

Capacity and availability

95 days

152-bed community

A large-scale community that may provide a wide range of amenities, services, and structured programs.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 0 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

75%

Lower than the Kentucky average: 81.3%

Occupied beds

114 / 152

Average occupied beds in Kentucky homes 80 beds

Facility TypeLong Term Care (nursing Facility, Personal Care)

StatusActive

IssuanceJune 1, 2025

CountyHardin

License Number100570

CMS Certification Number185180

Signature Healthcare at North Hardin Rehab and Wellness Center is administered by Desirae Hawkins.

Owner NameLP Radcliff, LLC

Rehabilitation Services

Pets not allowed

Since 2019 · 7 years of data 37 deficiencies

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Kentucky state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2019 vs. Kentucky state average

Overall vs. KY average

Latest Inspection May 29, 2025 Routine

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	KY Average	vs. KY Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	37	6	This facility has 517% more total deficiencies than a typical Kentucky assisted living residence (37 vs. KY avg 6).↑ 517% worse
Deficiencies per year Average deficiencies per year since 2019.	5.3	0.9	This facility has 489% more deficiencies per year than a typical Kentucky assisted living residence (5.3 vs. KY avg 0.9).↑ 489% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

May 29, 2025 complaint investigation found seven deficiencies including medication errors, lack of ADL assistance, privacy breaches, and food safety issues, with corrective actions and staff education provided.
February 27, 2025 abbreviated survey cited failure to timely report an allegation of physical abuse by staff, violating required reporting timeframes.
The May 29, 2025 complaint investigation found no substantiated abuse or neglect and most allegations were unsubstantiated after review.

Show Inspection Reports

Inspections since 2019

Total health inspections 4

State average N/A

Last Health inspection on May 2025

Total health citations

State average N/A

Citations per inspection

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

26 of 28 citations resulted from standard inspections; 1 of 28 resulted from complaint investigations; and 1 of 28 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 7 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

28 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 7 years)

Nutrition moderate citation May 29, 2025

Corrected

Nutrition moderate citation May 29, 2025

Corrected

Pharmacy moderate citation May 29, 2025

Corrected

Pharmacy moderate citation May 29, 2025

Corrected

Total staff 184

Employees 174

Contractors 10

Staff to resident ratio 1.61 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 63

Average shift 8.5 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 49,339

Nursing staff breakdown

9.9 hours

8.9 hours

8.7 hours

Contractor staffing

812 contractor hours this quarter

Registered Nurse: 6 Occupational Therapy Assistant: 2 Speech Language Pathologist: 1 Medical Director: 1

Staff by category


Certified Nursing Assistant	74	0	74	22,125	92	100%	8.7
Registered Nurse	14	6	20	6,333	92	100%	9.9
Medication Aide/Technician	12	0	12	4,346	92	100%	9.1
Licensed Practical Nurse	15	0	15	3,810	92	100%	8.9
Clinical Nurse Specialist	12	0	12	2,048	90	98%	8.4
Other Dietary Services Staff	11	0	11	1,518	90	98%	8.5
Physical Therapy Aide	6	0	6	1,269	66	72%	6.5
RN Director of Nursing	3	0	3	1,264	74	80%	8.9
Physical Therapy Assistant	6	0	6	1,123	79	86%	6.9
Respiratory Therapy Technician	5	0	5	1,049	81	88%	6.4
Speech Language Pathologist	3	1	4	1,006	69	75%	6.4
Mental Health Service Worker	3	0	3	986	64	70%	8.1
Qualified Social Worker	5	0	5	869	74	80%	6.5
Nurse Practitioner	2	0	2	536	62	67%	8
Administrator	2	0	2	528	65	71%	8
Dietitian	1	0	1	393	56	61%	7
Occupational Therapy Assistant	0	2	2	91	14	15%	6.5
Medical Director	0	1	1	48	17	18%	2.8

74 Certified Nursing Assistant

% of Days 100%

20 Registered Nurse

% of Days 100%

12 Medication Aide/Technician

% of Days 100%

15 Licensed Practical Nurse

% of Days 100%

12 Clinical Nurse Specialist

% of Days 98%

11 Other Dietary Services Staff

% of Days 98%

6 Physical Therapy Aide

% of Days 72%

3 RN Director of Nursing

% of Days 80%

6 Physical Therapy Assistant

% of Days 86%

5 Respiratory Therapy Technician

% of Days 88%

4 Speech Language Pathologist

% of Days 75%

3 Mental Health Service Worker

% of Days 70%

5 Qualified Social Worker

% of Days 80%

2 Nurse Practitioner

% of Days 67%

2 Administrator

% of Days 71%

1 Dietitian

% of Days 61%

2 Occupational Therapy Assistant

% of Days 15%

1 Medical Director

% of Days 18%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 14.8

41% worse than State average

State average: 10.5

Functional decline score 25.8

36% worse than State average

State average: 18.9

Long-stay resident measures

Above average State avg: 3.5

Need for Help with Daily Activities Increased 27.1%

61% worse than State average

State average: 16.8%

Walking Ability Worsened 31.7%

62% worse than State average

State average: 19.6%

Low Risk Residents with Bowel/Bladder Incontinence 18.5%

10% better than State average

State average: 20.5%

Falls with Major Injury 3.9%

In line with State average

State average: 3.8%

High Risk Residents with Pressure Ulcers 8.5%

48% worse than State average

State average: 5.8%

Urinary Tract Infection 0.3%

86% better than State average

State average: 1.9%

Lost Too Much Weight 2.7%

60% better than State average

State average: 6.8%

Depressive Symptoms 3.4%

76% better than State average

State average: 14.3%

Antipsychotic Use 16.9%

8% worse than State average

State average: 15.6%

Pneumococcal Vaccine 60.9%

35% worse than State average

State average: 93.9%

Influenza Vaccine 75.2%

22% worse than State average

State average: 96.2%

Hospitalizations per 1,000 days 0.77

59% better than State average

State average: 1.87

ED visits per 1,000 days 0.86

61% better than State average

State average: 2.19

Short-stay resident measures

Significantly above average State avg: 2.2

Pneumococcal Vaccine 29.8%

64% worse than State average

State average: 83.7%

Antipsychotic medication increase 0.6%

72% better than State average

State average: 1.9%

Influenza Vaccine 50.0%

40% worse than State average

State average: 83.6%

Re-hospitalized after SNF stay 15.3%

38% better than State average

State average: 24.5%

Emergency department visits 5.1%

63% better than State average

State average: 13.9%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 57.1%

6% better than State average

State average: 53.7%

Successful return to home or community 55.2%

9% better than State average

State average: 50.6%

Breakdown by payment type

Medicare

41% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

41% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

18% of new residents, often for long-term daily care.

Typical stay 1 years

Total residents 114

Medicare

10.5% of residents

Medicaid

73.7% of residents

Private pay or other

15.8% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Signature Healthcare at North Hardin Rehab and Wellness Center from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 69.1% ↑ 4.8pp vs 2022

Net Patient Income $86.2K ↑ ~$2.1M vs 2022

Payroll Costs $4.6M ↑ ~$132.2K vs 2022

Operating Margin 0.6% ↑ 18.5pp vs 2022

Metric	2011	2012	2013	2014	2017	2018	2019	2020	2021	2022	2023
Occupancy %	86.4%	79.0%	83.8%	84.9%	74.9%	70.1%	73.0%	69.3%	66.5%	64.3%	69.1%
Beds	176	176	164	164	164	164	164	164	164	164	152
Net Income	$1,121,967	$157,947	$291,293	$76,293	-$108,749	$802,495	-$99,599	-$298,166	$103,515	-$1,127,917	$107,053
Gross Revenue	$13,029,560	$12,934,306	$13,580,289	$14,260,008	$16,002,229	$14,291,197	$16,277,823	$15,156,402	$15,025,508	$14,523,793	$16,303,944
Operating Expenses	$10,603,211	$10,672,560	$10,657,433	$11,082,123	$11,691,013	$10,672,842	$12,116,043	$13,376,388	$12,383,272	$13,353,603	$13,895,827
Net Patient Income	$1,090,166	$126,144	$258,568	$53,974	-$109,259	$68,219	-$104,291	-$1,224,926	-$892,214	-$2,023,669	$86,241
Net Patient Revenue	$11,693,377	$10,798,704	$10,916,001	$11,136,097	$11,581,754	$10,741,061	$12,011,752	$12,151,462	$11,491,058	$11,329,934	$13,982,068
Payroll Costs	$5,694,034	$5,617,371	$5,570,890	$5,455,197	$4,647,625	$4,544,966	$5,554,082	$5,113,555	$4,914,659	$4,503,087	$4,635,244
Operating Margin %	9.3%	1.2%	2.4%	0.5%	-0.9%	0.6%	-0.9%	-10.1%	-7.8%	-17.9%	0.6%
Medicare %	13.2%	13.4%	14.3%	13.9%	15.5%	11.7%	14.6%	16.1%	11.2%	9.8%	14.0%
Medicaid %	46.2%	47.3%	53.9%	57.2%	68.7%	73.7%	71.8%	70.5%	75.6%	78.6%	70.2%
Private %	40.6%	39.3%	31.9%	28.9%	15.9%	14.6%	13.6%	13.5%	13.2%	11.6%	15.8%
Net Patient Revenue/Day	$211	$212	$218	$219	$258	$256	$275	$292	$289	$294	$351
Cost/Day	$191	$210	$212	$218	$261	$254	$277	$321	$311	$347	$349
Avg Length of Stay	132.6 days	127.6 days	107.3 days	117.0 days	178.6 days	149.9 days	98.6 days	100.5 days	107.6 days	149.7 days	94.6 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$14.0M

Net patient income

$86.2K

For-profit Operated by a single business entity.

Net patient revenue

$14.0M

Net patient income

$86.2K

Other income

$20.8K

Payroll costs

$4.6M 33.2% of net patient revenue

Other operating costs

$9.3M

Total costs

$13.9M

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

New residents most often arrive under Medicare (41% of admissions), and a typical Medicare stay runs around 1 months.

Coverage residents most often arrive under.

Medicare 41%

Private pay 41%

Medicaid 18%

Coverage residents most often leave under.

Medicare 34%

Private pay 37%

Medicaid 29%

1.5 miles from city center Estimated distance in miles from Radcliff's city center to Signature Healthcare at North Hardin Rehab and Wellness Center's address, calculated via Google Maps.

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The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.


Westport Place Health Campus	NH AL RC SNF	Louisville	-	22	-	47	Studio
Hermitage Care & Rehabilitation Center	NH SNF	Owensboro	-	92	A+	49	-
Twin Rivers Nursing And Rehab Center	NH HOS PC RC SNF	Owensboro	-	132	-	52	Private Rooms / Semi-Private Rooms
Hopkins Center	NH SNF	Woodburn	-	50	-	7	Private Rooms / Semi-Private Rooms
Signature Healthcare at North Hardin Rehab and Wellness Center	NH PC RC SNF	Radcliff	-	152	-	0	-

Nursing Home Explorer

Who is the owner of Signature Healthcare at North Hardin Rehab and Wellness Center?

Signature Healthcare at North Hardin Rehab and Wellness Center is legally operated by LP Radcliff, LLC, and administered by Desirae Hawkins.

What is the license number of Signature Healthcare at North Hardin Rehab and Wellness Center?

According to KY state health department records, Signature Healthcare at North Hardin Rehab and Wellness Center's license number is 100570.

What is the occupancy rate at Signature Healthcare at North Hardin Rehab and Wellness Center?

Signature Healthcare at North Hardin Rehab and Wellness Center's occupancy is 75%.

Are pets allowed at Signature Healthcare at North Hardin Rehab and Wellness Center?

No, Signature Healthcare at North Hardin Rehab and Wellness Center has a no-pet policy.

Does Signature Healthcare at North Hardin Rehab and Wellness Center operate as a for-profit or non-profit?

Signature Healthcare at North Hardin Rehab and Wellness Center is registered as a for-profit in KY.

Who is the administrator of Signature Healthcare at North Hardin Rehab and Wellness Center?

Desirae Hawkins is the administrator of Signature Healthcare at North Hardin Rehab and Wellness Center.

How many beds does Signature Healthcare at North Hardin Rehab and Wellness Center have?

Signature Healthcare at North Hardin Rehab and Wellness Center has 152 beds.

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Signature Healthcare at North Hardin Rehab and Wellness Center

Overview of Signature Healthcare at North Hardin Rehab and Wellness Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Additional Policies & Features

Amenities & Lifestyle

Contact Signature Healthcare at North Hardin Rehab and Wellness Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Kentucky state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

74 Certified Nursing Assistant

20 Registered Nurse

12 Medication Aide/Technician

15 Licensed Practical Nurse

12 Clinical Nurse Specialist

11 Other Dietary Services Staff

6 Physical Therapy Aide

3 RN Director of Nursing

6 Physical Therapy Assistant

5 Respiratory Therapy Technician

4 Speech Language Pathologist

3 Mental Health Service Worker

5 Qualified Social Worker

2 Nurse Practitioner

2 Administrator

1 Dietitian

2 Occupational Therapy Assistant

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

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