Show Inspection Reports
Total health inspections
2
Kentucky average 2.9
Last Health inspection on Apr 2025
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.
Signature Healthcare at Hillcrest
Memory Care Home
Signature Healthcare at Hillcrest
Memory Care Home
Located in Owensboro, Kentucky, Signature HealthCARE is an award-winning, family-based community dedicated to revolutionizing healthcare. They provide comprehensive solutions, offering short-term rehabilitative and long-term care. With a strong emphasis on service excellence, they focus on delivering quality care that promotes independence, restorative therapy, and the unwavering support for seniors. With 24/7 RN coverage and a comprehensive recovery care unit, they offer a range of physical, occupational, and speech therapies to aid in the healing journey.
This assisted living community with memory care services offers WiFi availability, outdoor courtyard and patio spaces, and more. Collaborating with physicians, their staff, including medical specialists, nurses, nutritionists, therapists, dietitians, and social workers, establishes personalized and comprehensive treatment plans aimed at maximizing recovery potential for each individual. Choose Signature HealthCARE for an exceptional healthcare experience, where compassionate care and dedication to patient well-being define their commitment to improving lives.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
LPN / LVN
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
156
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
77.6%
Residents per day (avg)
124
Occupancy rate
77.6%
Residents per day (avg)
124
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
29% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
54% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
16% of new residents, often for long-term daily care.
Typical stay
1 years
Finances and operations
Proprietary home
Partnership
Home revenue
$20.2M
Operating loss
-$2.2M
Proprietary home
Partnership
Home revenue
$20,236,333.00
Operating loss
$-2,240,723.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$17.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$22.5M
156-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: 1 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Occupancy Rate
81%
Occupied Beds
127 of 156
Percentage of available beds currently in use by residents.
Facility Type
Long Term Care (Nursing Facility)
License Date
March 1, 2025
License Expiration
February 28, 2026
Additional licensing details
License number:
100090
CMS Certification Number:
185120
County:
DAVIESS
Ownership & operating entity
Signature Healthcare at Hillcrest is legally operated by LP OWENSBORO II, LLC, and administrated by BILL.
Type Of Units
NF (Nursing Facility)
156 units
Total beds
156 units
What does this home offer?
Housing Options: Private Rooms / Semi-Private Rooms
Building Type: Single-story
Transportation Services
Fitness and Recreation
Types of Care at Signature Healthcare at Hillcrest
Nursing Home
Memory Care
Inspection History
In Kentucky, the Cabinet for Health and Family Services, Office of Inspector General is the regulatory authority that conducts inspections and investigates complaints in all long-term care homes.
Latest inspection
Date:April 18, 2025
Type:Abbreviated Survey
1 deficiency
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Compare Memory Care around Owensboro
The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
Signature Healthcare at Hillcrest
+13%
-5%
-5%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
RC
Respite Care
Owensboro
156
No
-
1
CONLEY, WILLIAM
77.6%
$20,210,021.00
$4,797,776.00
23.7%
123.90
3.5708
-
7
+13%-5%-5%Private Rooms / Semi-Private Rooms
Twin Rivers Nursing And Rehab Center
-23%
-10%
-17%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SNF
Nursing Homes 24/7 care needed
RC
Respite Care
Owensboro
132
No
A+
52
RAYMER, MYRA
67.8%
$9,016,347.00
$4,936,275.00
54.7%
101.70
3.3883
1
18
-23%-10%-17%Private Rooms / Semi-Private Rooms
Carmel Home
+18%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SNF
Nursing Homes 24/7 care needed
Owensboro
115
No
-
20
HEISLER, MARY
96.2%
$6,992,891.00
$3,972,443.00
56.8%
16.50
-
4
3
-
+18%Private Rooms / Semi-Private Rooms
Fern Terrace Of Owensboro
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SNF
Nursing Homes 24/7 care needed
Owensboro
68
No
-
42
SIMPSON FAMILY HOLDINGS II, LLC
-
-
-
-
-
-
-
-
-
-
Private Rooms / Semi-Private Rooms
Cedarhurst of Owensboro
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Owensboro
56
Yes
-
9
-
-
-
-
-
-
-
-
-
-
-
Suite / 1 Bed / 2 Bed
Signature Healthcare at Hillcrest
Type of care:
AL
MC
SNF
RC
Community:
Owensboro
Bed Count:
156
Pets Allowed:
No
Operator:
CONLEY, WILLIAM
CCN:
185120
Occupancy:
77.6%
Home Revenue:
$20,210,021.00
Payroll Costs:
$4,797,776.00
Payroll %:
23.7%
Avg Residents/Day:
123.90
Overall Rating:
Adj Nurse Hours:
3.5708
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
7
RN share vs State Avg:
+13%
+13%
Staffing vs State Avg:
-5%
-5%
Occupancy vs State Avg:
-5%
-5%
Bed Options:
Private Rooms / Semi-Private Rooms
Twin Rivers Nursing And Rehab Center
Type of care:
AL
SNF
RC
Community:
Owensboro
Bed Count:
132
Pets Allowed:
No
Operator:
RAYMER, MYRA
CCN:
185087
Occupancy:
67.8%
Home Revenue:
$9,016,347.00
Payroll Costs:
$4,936,275.00
Payroll %:
54.7%
Avg Residents/Day:
101.70
Overall Rating:
Adj Nurse Hours:
3.3883
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
18
RN share vs State Avg:
-23%
-23%
Staffing vs State Avg:
-10%
-10%
Occupancy vs State Avg:
-17%
-17%
Bed Options:
Private Rooms / Semi-Private Rooms
Carmel Home
Type of care:
AL
SNF
Community:
Owensboro
Bed Count:
115
Pets Allowed:
No
Operator:
HEISLER, MARY
CCN:
185226
Occupancy:
96.2%
Home Revenue:
$6,992,891.00
Payroll Costs:
$3,972,443.00
Payroll %:
56.8%
Avg Residents/Day:
16.50
Overall Rating:
Health Insp Rating:
QM Rating:
Number of Fines:
4
Citations:
3
Occupancy vs State Avg:
+18%
+18%
Bed Options:
Private Rooms / Semi-Private Rooms
Places of interest near Signature Healthcare at Hillcrest
3.3 miles from city center — 1.34 miles to nearest hospital (Caretenders)
3740 Old Hartford Rd, Owensboro, KY 42303
Calculate Travel Distance to Signature Healthcare at Hillcrest
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
180
Total Staff
176
Employees
4
Contractors
49,238
Total Hours (Quarter)
62
Avg Staff/Day
8.7
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 21 | 10.2 | No |
| Licensed Practical Nurse | 13 | 10 | Yes |
| Certified Nursing Assistant | 77 | 9.2 | No |
Staff by Category
Administration ⓘ
2 staff
6.8hs shift avg
Nursing Staff ⓘ
124 staff
9.4hs shift avg
Physicians & Practitioners ⓘ
13 staff
8hs shift avg
Therapy Services ⓘ
28 staff
6hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
7 staff
6.7hs shift avg
Dietary Services ⓘ
3 staff
7.8hs shift avg
Other Services ⓘ
3 staff
7.8hs shift avg
Contractor Analysis
0.2%
of total hours from contractors
98 contractor hours this quarter
Licensed Practical Nurse: 1
Medical Director: 1
Occupational Therapy Assistant: 2
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 77 | 0 | 77 | 23,380 | 91 | 100% | 9.2 |
| Registered Nurse | 21 | 0 | 21 | 6,742 | 91 | 100% | 10.2 |
| Licensed Practical Nurse | 12 | 1 | 13 | 3,921 | 91 | 100% | 10 |
| Medication Aide/Technician | 12 | 0 | 12 | 3,875 | 91 | 100% | 8.7 |
| Clinical Nurse Specialist | 12 | 0 | 12 | 2,960 | 72 | 79% | 8 |
| Qualified Social Worker | 7 | 0 | 7 | 1,377 | 71 | 78% | 6.7 |
| Other Dietary Services Staff | 2 | 0 | 2 | 987 | 89 | 98% | 7.8 |
| Physical Therapy Aide | 6 | 0 | 6 | 952 | 66 | 73% | 7.1 |
| Speech Language Pathologist | 8 | 0 | 8 | 851 | 79 | 87% | 5.2 |
| Physical Therapy Assistant | 7 | 0 | 7 | 773 | 78 | 86% | 6.4 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 657 | 78 | 86% | 5.8 |
| Mental Health Service Worker | 2 | 0 | 2 | 533 | 59 | 65% | 8.2 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Dietitian | 1 | 0 | 1 | 458 | 58 | 64% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 444 | 56 | 62% | 7.9 |
| RN Director of Nursing | 1 | 0 | 1 | 384 | 42 | 46% | 9.1 |
| Dental Services Staff | 1 | 0 | 1 | 383 | 52 | 57% | 7.4 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 77 | 23 | 25% | 3.3 |
| Medical Director | 0 | 1 | 1 | 13 | 12 | 13% | 1.1 |
Health Inspection History
Inspections
Total health citations
7
Citations per inspection
3.5
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
6 of 7 citations resulted from standard inspections; and 1 of 7 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Kentucky averageKentucky average: 1.1
Serious Health citations
0
0
100% better than Kentucky averageKentucky average: 0.6
0 critical citations
0 serious citations
7 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Apr 18, 2025
Corrected
Resident Rights moderate citation
Apr 18, 2025
Corrected
Pharmacy moderate citation
Nov 15, 2018
Corrected
Quality of Care moderate citation
Nov 15, 2018
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Corporation
Part of: Signature Healthcare
Resident Census by Payment Source
127
Total Residents
Medicare
17
(13.4%)
ⓘ
Medicaid
87
(68.5%)
ⓘ
Private Pay/Other
23
(18.1%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.7
46% better than Kentucky averageKentucky average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.1
36% better than Kentucky averageKentucky average: 18.9
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
6.8%
Percent of long-stay residents whose need for help with daily activities has increased
6.8%
60% better than Kentucky averageKentucky average: 16.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
3.8%
Percent of long-stay residents whose ability to move independently worsened
3.8%
80% better than Kentucky averageKentucky average: 19.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.8%
26% worse than Kentucky averageKentucky average: 20.5%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.4%
Percent of long-stay residents experiencing one or more falls with major injury
6.4%
69% worse than Kentucky averageKentucky average: 3.8%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.7%
Percent of long-stay high risk residents with pressure ulcers
4.7%
19% better than Kentucky averageKentucky average: 5.8%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.9%
Percent of long-stay residents with a urinary tract infection
0.9%
50% better than Kentucky averageKentucky average: 1.9%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.8%
Percent of long-stay residents who lose too much weight
6.8%
In line with Kentucky averageKentucky average: 6.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
6.6%
Percent of long-stay residents who have depressive symptoms
6.6%
54% better than Kentucky averageKentucky average: 14.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
9.3%
Percent of long-stay residents who received an antipsychotic medication
9.3%
40% better than Kentucky averageKentucky average: 15.6%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.5%
In line with Kentucky averageKentucky average: 93.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.4%
In line with Kentucky averageKentucky average: 96.2%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.49
Number of hospitalizations per 1,000 long-stay resident days.
2.49
33% worse than Kentucky averageKentucky average: 1.87
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.23
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.23
In line with Kentucky averageKentucky average: 2.19
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.4%
7% better than Kentucky averageKentucky average: 83.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Kentucky averageKentucky average: 1.9%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.1%
In line with Kentucky averageKentucky average: 83.6%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.7%
20% better than Kentucky averageKentucky average: 24.5%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
11.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.7%
16% better than Kentucky averageKentucky average: 13.9%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.5%
Percentage of SNF residents who experience falls with major injury during their stay.
1.5%
91% worse than Kentucky averageKentucky average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
44.1%
Percentage of residents at or above expected ability to care for themselves at discharge.
44.1%
18% worse than Kentucky averageKentucky average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
46.4%
Rate of successful return to home or community from a skilled nursing facility.
46.4%
8% worse than Kentucky averageKentucky average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Signature Healthcare at Hillcrest based on CMS SNF Cost Reports.
Occupancy Rate
77.6%
↑ 3.8pp vs 2022
Net Income
-$2,240,723
↑ ~$342K vs 2022
Total Payroll
$7,243,685
↑ ~$397K vs 2022
Profit Margin
-11.1%
↑ 3.3pp vs 2022
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