Show Inspection Reports
Total health inspections
2
Kentucky average 2.9
Last Health inspection on Jul 2024
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 Colonial Rehab and Wellness
Nursing Home in Kentucky
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Signature Healthcare at Colonial Rehab and Wellness
Nursing Home in Kentucky
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Signature HealthCARE at Colonial is a healthcare facility located in Bardstown, KY. It offers a wide array of services that enable patients and residents to receive the medical care they need, restorative therapy, and support for their families. The facility focuses on creating a culture of resident-centered healthcare services and quality of life initiatives.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 90th out of 176 homes in Kentucky.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 90th out of 176 homes in Kentucky.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 19m per day
vs Kentucky avg
-4%
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
65
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
74.4%
Avg. Length of Stay
71 days
Occupancy rate
74.4%
Avg. Length of Stay
71 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
32% of new residents, usually for short-term rehab.
Typical stay
18 days
Private pay
41% of new residents, often for short stays.
Typical stay
26 days
Medicaid
28% of new residents, often for long-term daily care.
Typical stay
6 - 7 months
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$6.7M
Operating loss
-$794.5K
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$6.7M
Operating loss
-$794.5K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.1M
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.
$5.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$7.5M
65-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Facility TypeLong Term Care (nursing Facility)
StatusActive
IssuanceJuly 1, 2025
CountyNelson
License Number100347
CMS Certification Number185342
Signature Healthcare at Colonial Rehab and Wellness is administrated by Louis Hernandez-byrne.
Owner NameLP BARDSTOWN, LLC
Rehabilitation Services
Specific ProgramsClinical Services, Rehabilitation, Care Navigation, Life Enrichment
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.
Health Inspection History
Inspections
Total health citations
6
Kentucky average 13.5
Citations per inspection
3
Kentucky average 4.4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
3 of 6 citations resulted from standard inspections; and 3 of 6 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
3
3
173% worse than Kentucky averageKentucky average: 1.1
Serious Health citations
0
0
100% better than Kentucky averageKentucky average: 0.6
3 critical citations
0 serious citations
3 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect critical citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 11, 2024
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 11, 2024
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 11, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 11, 2024
Corrected
Pharmacy critical citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jul 11, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jul 11, 2024
Corrected
Care Planning critical citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jul 11, 2024
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jul 11, 2024
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.
Compare Nursing Homes around Kentucky The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
Filter by care type
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Auburn | 66 | 62.0% | -24% | 1.44 | -49% | -62% | 0 | 13 | 3.3 | 0 | 50 | - | - | Bolster, Nancy | $4.0M | $1.8M | 44.9% | 185049 | ||||
| Beaver Dam Nursing and Rehab Center, Inc |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Beaver Dam | 71 | 84.3% | +4% | - | -7% | - | 0 | 9 | 3.0 | 0 | 54 | - | - | - | $7.0M | $3.4M | 47.9% | 185334 | ||||
| Signature Healthcare at Colonial Rehab and Wellness |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Bardstown | 65 | 74.4% | -8% | 3.32 | +30% | -11% | 1 | 6 | 3.0 | 3 | 53 | - | - | Ononye, Obinna | $6.7M | $2.1M | 31.1% | 185342 | ||||
| Bardstown Heatlh & Rehabilitation | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Bardstown | 100 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - | - |
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
89
Employees
86
Contractors
3
Staff to resident ratio
1.75:1
0% compared with Kentucky averageKentucky average ratio: 1.75:1
Avg staff/day
29
Average shift
7.9 hours
7% worse than Kentucky averageKentucky average: 8.5 hours
Total staff hours (quarter)
20,911
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
12
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
40
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0.3%
63 contractor hours this quarter
Registered Nurse: 1
Occupational Therapy Assistant: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 40 | 0 | 40 | 10,172 | 91 | 100% | 8.3 |
| Registered Nurse | 11 | 1 | 12 | 3,021 | 91 | 100% | 9.1 |
| Licensed Practical Nurse | 9 | 0 | 9 | 1,591 | 83 | 91% | 9.4 |
| Clinical Nurse Specialist | 9 | 0 | 9 | 1,315 | 65 | 71% | 7.8 |
| Medication Aide/Technician | 4 | 0 | 4 | 947 | 77 | 85% | 9 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 705 | 65 | 71% | 6.5 |
| Dietitian | 1 | 0 | 1 | 536 | 67 | 74% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 490 | 65 | 71% | 7.5 |
| Administrator | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 412 | 51 | 56% | 8.1 |
| Qualified Social Worker | 1 | 0 | 1 | 352 | 65 | 71% | 5.4 |
| Other Dietary Services Staff | 1 | 0 | 1 | 285 | 52 | 57% | 5.5 |
| Physical Therapy Aide | 2 | 0 | 2 | 275 | 59 | 65% | 4.7 |
| Speech Language Pathologist | 1 | 0 | 1 | 274 | 55 | 60% | 5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 30 | 16 | 18% | 1.9 |
| Medical Director | 0 | 1 | 1 | 30 | 13 | 14% | 2.3 |
| Physical Therapy Assistant | 1 | 0 | 1 | 12 | 3 | 3% | 4.1 |
40 Certified Nursing Assistant
% of Days
100%
12 Registered Nurse
% of Days
100%
9 Licensed Practical Nurse
% of Days
91%
9 Clinical Nurse Specialist
% of Days
71%
4 Medication Aide/Technician
% of Days
85%
3 Respiratory Therapy Technician
% of Days
71%
1 Dietitian
% of Days
74%
1 Mental Health Service Worker
% of Days
71%
1 Administrator
% of Days
64%
1 Nurse Practitioner
% of Days
56%
1 Qualified Social Worker
% of Days
71%
1 Other Dietary Services Staff
% of Days
57%
2 Physical Therapy Aide
% of Days
65%
1 Speech Language Pathologist
% of Days
60%
1 Occupational Therapy Assistant
% of Days
18%
1 Medical Director
% of Days
14%
1 Physical Therapy Assistant
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
51
Medicare
3
5.9% of residents
Medicaid
39
76.5% of residents
Private pay or other
9
17.6% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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.
8.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.4
20% 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.
13.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.3
30% 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
17.5%
Percent of long-stay residents whose need for help with daily activities has increased
17.5%
In line with Kentucky averageKentucky average: 16.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
5.8%
Percent of long-stay residents whose ability to move independently worsened
5.8%
70% 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
16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.6%
19% better than Kentucky averageKentucky average: 20.5%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.8%
Percent of long-stay residents experiencing one or more falls with major injury
5.8%
55% worse than Kentucky averageKentucky average: 3.8%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.6%
Percent of long-stay high risk residents with pressure ulcers
6.6%
14% worse than Kentucky averageKentucky average: 5.8%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.6%
Percent of long-stay residents with a urinary tract infection
0.6%
68% better than Kentucky averageKentucky average: 1.9%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.0%
Percent of long-stay residents who lose too much weight
6.0%
11% better than Kentucky averageKentucky average: 6.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
31.3%
Percent of long-stay residents who have depressive symptoms
31.3%
120% worse than Kentucky averageKentucky average: 14.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
6.2%
Percent of long-stay residents who received an antipsychotic medication
6.2%
60% better than Kentucky averageKentucky average: 15.6%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
6% better than Kentucky averageKentucky average: 93.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Kentucky averageKentucky average: 96.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.2%
7% better than Kentucky averageKentucky average: 83.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
59% 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%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$68K
8% higher than Kentucky averageKentucky average: $63K
Number of fines
1
57% fewer fines than Kentucky averageKentucky average: 2.3
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Kentucky averageKentucky average: 0.3
Fines amount comparison
Fines amount comparison
This facility
$68K
Kentucky average
$63K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 11, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 11, 2024
$68K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Signature Healthcare at Colonial Rehab and Wellness based on CMS SNF Cost Reports.
Occupancy Rate
74.4%
↓ 5.8pp vs 2022
Net Income
-$794.5K
↓ ~$2.4K vs 2022
Total Payroll
$2.7M
↑ ~$238.6K vs 2022
Profit Margin
-11.9%
↑ 0.2pp vs 2022
Loading trend charts...
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