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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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 Heritage Hall redefines the standard of a premium nursing home and rehabilitation center. The nursing home focuses on conducting results-driven programs with cutting-edge technologies that specifically cater to the varying needs of the residents. Signature HealthCARE boasts a talented team of caregivers who help promote the warm and welcoming atmosphere it holds today.
Seniors can feel confident and comfortable and know they belong in a home that offers 24-hour nursing care with inpatient and outpatient care in a resort-like community with the utmost hospitality. They also provide patient intake, discharged residents, and inpatient care navigation support– all essentially placing the residents in the focus of the nursing services.
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.
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.
This home is ranked 38th out of 184 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
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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.
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52m per day | ▲ 13% State avg: 46m per day · National avg: 41m per day |
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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.
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58m per day | ▲ 18% State avg: 49m per day · National avg: 52m per day |
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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.
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2h 13m per day | ▼ 8% State avg: 2h 25m per day · National avg: 2h 21m per day |
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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.
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3h 23m per day | ▼ 3% State avg: 3h 29m per day · National avg: 3h 26m per day |
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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.
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4m per day | ■ Avg State avg: 4m per day · National avg: 4m per day |
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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.
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44m per day | ▲ 42% State avg: 31m per day · National avg: 29m per day |
Occupancy lower than 85% suggests more openings may be available.
Signature HealthCARE at Heritage Hall Rehab & Wellness Center is legally operated by Lp Lawrenceburg, Llc, and administrated by Lisa.
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.
This scorecard compares key inspection, citation, 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
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This Facility | KY Average | vs. KY Avg |
|---|---|---|---|
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Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
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32 | 6 | This facility has 433% more total deficiencies than a typical Kentucky nursing home (32 vs. KY avg 6).↑ 433% worse |
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Deficiencies per year
Average deficiencies per year since 2018.
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4 | 0.8 | This facility has 400% more deficiencies per year than a typical Kentucky nursing home (4 vs. KY avg 0.8).↑ 400% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on September 29, 2023, identified multiple deficiencies including failure to protect residents’ rights and dignity, abuse incidents, narcotic diversion by an impaired nurse, inaccurate assessments, and inadequate care planning, resulting in immediate jeopardy to resident health and safety. Earlier inspections showed a pattern of care plan and supervision issues, abuse concerns, and medication management problems, though none reached the level of immediate jeopardy found in 2023. Inspectors cited main themes such as resident abuse and neglect, failure to notify medical staff of significant events, and narcotic misappropriation. Complaint investigations were substantiated, particularly regarding abuse and narcotic diversion, with no fines or license actions listed in the available reports. The recent findings represent a worsening trend compared to prior reports, which noted deficiencies but did not identify immediate jeopardy or enforcement actions.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsKentucky average 2.9
Last Health inspection on Sep 2023
Kentucky average 13.5
Kentucky average 4.4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 23 citations resulted from standard inspections; and 9 of 23 resulted from complaint investigations.
355% worse than Kentucky average
Kentucky average: 1.1
100% better than Kentucky average
Kentucky average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
9% worse than Kentucky average
0% compared with Kentucky average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
This role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
No contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
No contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
91 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 52 | 0 | 52 | 14,897 | 92 | 100% | 9 |
| Licensed Practical Nurse | 21 | 0 | 21 | 6,690 | 92 | 100% | 9.7 |
| Registered Nurse | 17 | 1 | 18 | 3,623 | 92 | 100% | 8.5 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,661 | 69 | 75% | 7.9 |
| RN Director of Nursing | 2 | 0 | 2 | 963 | 81 | 88% | 7.2 |
| Physical Therapy Assistant | 6 | 0 | 6 | 885 | 74 | 80% | 7.1 |
| Medication Aide/Technician | 5 | 0 | 5 | 599 | 50 | 54% | 10.7 |
| Nurse Practitioner | 1 | 0 | 1 | 524 | 65 | 71% | 8.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 509 | 67 | 73% | 7.6 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Speech Language Pathologist | 4 | 0 | 4 | 474 | 66 | 72% | 6.6 |
| Physical Therapy Aide | 2 | 0 | 2 | 473 | 64 | 70% | 7.4 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 433 | 64 | 70% | 6.6 |
| Other Dietary Services Staff | 1 | 0 | 1 | 419 | 57 | 62% | 7.4 |
| Qualified Social Worker | 2 | 0 | 2 | 378 | 69 | 75% | 5.5 |
| Dietitian | 3 | 0 | 3 | 152 | 22 | 24% | 6.9 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 49 | 10 | 11% | 4.9 |
| Medical Director | 0 | 1 | 1 | 36 | 13 | 14% | 2.8 |
Includes penalties issued in 2023
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)
194% higher than Kentucky average
Kentucky average: $63K
57% fewer fines than Kentucky average
Kentucky average: 2.3
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
206% more payment denials than Kentucky average
Kentucky average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 29, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Sep 29, 2023
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.0
15% worse than Kentucky average
Kentucky average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.4
8% worse than Kentucky average
Kentucky average: 18.9
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
21.8%
29% worse than Kentucky average
Kentucky average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
23.1%
18% worse than Kentucky average
Kentucky average: 19.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.3%
20% better than Kentucky average
Kentucky average: 20.5%
Percent of long-stay residents experiencing one or more falls with major injury
3.7%
In line with Kentucky average
Kentucky average: 3.8%
Percent of long-stay high risk residents with pressure ulcers
4.0%
31% better than Kentucky average
Kentucky average: 5.8%
Percent of long-stay residents with a urinary tract infection
0.4%
80% better than Kentucky average
Kentucky average: 1.9%
Percent of long-stay residents who lose too much weight
7.6%
12% worse than Kentucky average
Kentucky average: 6.8%
Percent of long-stay residents who have depressive symptoms
1.3%
91% better than Kentucky average
Kentucky average: 14.3%
Percent of long-stay residents who received an antipsychotic medication
4.8%
69% better than Kentucky average
Kentucky average: 15.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.4%
In line with Kentucky average
Kentucky average: 93.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.9%
In line with Kentucky average
Kentucky average: 96.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.63
13% better than Kentucky average
Kentucky average: 1.87
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.13
In line with Kentucky average
Kentucky average: 2.19
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.6%
7% better than Kentucky average
Kentucky average: 83.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
34% better than Kentucky average
Kentucky average: 1.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
84.5%
In line with Kentucky average
Kentucky average: 83.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.4%
In line with Kentucky average
Kentucky average: 24.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.9%
In line with Kentucky average
Kentucky average: 13.9%
Percentage of SNF residents who experience falls with major injury during their stay.
1.4%
83% worse than Kentucky average
Kentucky average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
40.8%
24% worse than Kentucky average
Kentucky average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
63.9%
26% better than Kentucky average
Kentucky average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
24% of new residents, usually for short-term rehab.
59% of new residents, often for short stays.
17% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
84
Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Signature HealthCARE at Heritage Hall Rehab & Wellness Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #87 / 188Payroll — State benchmarkedThis home is ranked 87th out of 188 homes in Kentucky. Shows total annual staff payroll benchmarked to the Kentucky average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
14.0 miles from city center
Estimated distance in miles from Lawrenceburg's city center to Signature HealthCARE at Heritage Hall Rehab & Wellness Center's address, calculated via Google Maps.
— 8.78 miles to nearest hospital (Frankfort Regional Medical Center)
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Signature HealthCARE at Heritage Hall Rehab & Wellness Center is located in Lawrenceburg, Kentucky.
Here are the financial assistance programs available to residents in Kentucky.
The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
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| Frankfort Care and 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.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary. |
Frankfort | 100 | 76.5% | -6% | 3.05 | +6% | -19% | $0 | 7 | 3.5 | - | 85 | 30 | Lexington Health Management LLC | $12.5M | $4.6M | 36.9% | 185159 | ||||
| The Homeplace at Midway |
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.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. |
Midway | 28 | 78.6% | -3% | 5.44 | +52% | +45% | $4.1k | 9 | 3.0 | - | 22 | 15 | Bruce Lucas | $5.2M | $2.6M | 50.2% | 185479 | ||||
| Bradford Square |
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. |
Frankfort | 100 | 86.5% | +6% | 3.20 | -29% | -15% | $13.6k | 18 | 4.5 | 1 | 91 | 43 | - | $13.4M | $5.9M | 43.8% | 185170 | ||||
| Signature HealthCARE at Heritage Hall Rehab & Wellness Center |
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.
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. |
Lawrenceburg | 94 | 77.1% | -5% | 3.84 | +27% | +2% | $185.2k | 23 | 5.8 | 5 | 83 | 58 | Lisa Colllier | $12.5M | $4.7M | 37.6% | 185277 |
Signature HealthCARE at Heritage Hall Rehab & Wellness Center is in the Lawrenceburg neighborhood of Lawrenceburg.
The legal owner and operator of Signature HealthCARE at Heritage Hall Rehab & Wellness Center is Lp Lawrenceburg, Llc.
Signature HealthCARE at Heritage Hall Rehab & Wellness Center has a walk score of 58. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to KY state health department records, Signature HealthCARE at Heritage Hall Rehab & Wellness Center's license number is 100431.
According to KY state health department records, Signature HealthCARE at Heritage Hall Rehab & Wellness Center's license expires on April 30, 2026.
Lisa is the administrator of Signature HealthCARE at Heritage Hall Rehab & Wellness Center.
Signature HealthCARE at Heritage Hall Rehab & Wellness Center has 94 beds.
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