Occupancy rate
81%
In line with Kentucky averageMix 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.
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Memory Care in Owensboro
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 Hillcrest
Memory Care in Owensboro
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 Hillcrest
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
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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.
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
81.4%
Residents per day (avg)
124
Occupancy rate
81.4%
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
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$20.2M
Operating loss
-$2.2M
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$20.2M
Operating loss
-$2.2M
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
In line with Kentucky averageOccupied beds
127 / 156
Average residents
80 per day
Facility TypeLong Term Care (nursing Facility)
IssuanceMarch 1, 2025
ExpirationFebruary 28, 2026
CountyDAVIESS
License Number100090
CMS Certification Number185120
Signature Healthcare at Hillcrest is legally operated by Lp Owensboro Ii, Llc, and administrated by Bill.
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.
4 visits/inspections
Show Inspection Reports
Latest inspection
Date
April 18, 2025
Complaint Investigation11 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Kentucky average: 6 deficiencies
Inspection Report Summary for Signature Healthcare at Hillcrest
The most recent inspection on April 18, 2025, identified deficiencies related to residents' rights, specifically a failure to ensure informed consent and participation in treatment. Earlier inspections were not provided for comparison, so broader inspection patterns cannot be determined from the available information. The main issue involved residents’ rights and consent for physical contact, with no other types of deficiencies noted. There were no complaint investigations or enforcement actions such as fines or license suspensions listed in the available reports. Without additional historical data, it is unclear whether this reflects a new or ongoing concern.
Health Inspection History
Inspections
Total health inspections
2
Kentucky average 2.9
Last Health inspection on Apr 2025
Total health citations
7
Kentucky average 13.5
Citations per inspection
3.5
Kentucky average 4.4
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
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 18, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 18, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Apr 18, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Apr 18, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 15, 2018
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 15, 2018
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 15, 2018
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
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.
Compare Memory Care around Owensboro The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
Filter by care type
Signature Healthcare at Hillcrest
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.
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.
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).
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.
Owensboro
156
No
1
Private Rooms / Semi-Private Rooms
1
-
4
Twin Rivers Nursing And Rehab Center
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.
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).
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.
Owensboro
132
No
52
Private Rooms / Semi-Private Rooms
1
A+
3
Carmel Home
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.
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).
Owensboro
115
No
20
Private Rooms / Semi-Private Rooms
-
-
3
Fern Terrace Of Owensboro
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.
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).
Owensboro
68
No
42
Private Rooms / Semi-Private Rooms
-
-
0
Cedarhurst of Owensboro
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.
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.
Owensboro
56
Yes
9
Private Rooms / Semi-Private Rooms
-
-
0
Places of interest near Signature Healthcare at Hillcrest
3.3 miles from city center — 1.34 miles to nearest hospital (Caretenders)
Calculate Travel Distance to Signature Healthcare at Hillcrest
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
180
Employees
176
Contractors
4
Staff to resident ratio
1.42:1
19% worse than Kentucky averageKentucky average ratio: 1.75:1
Avg staff/day
62
Average shift
8.7 hours
0% compared with Kentucky averageKentucky average: 8.5 hours
Total staff hours (quarter)
49,238
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
21
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
13
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
77
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0.2%
98 contractor hours this quarter
Occupational Therapy Assistant: 2
Licensed Practical Nurse: 1
Medical Director: 1
Staff by category
| 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 |
77 Certified Nursing Assistant
% of Days
100%
21 Registered Nurse
% of Days
100%
13 Licensed Practical Nurse
% of Days
100%
12 Medication Aide/Technician
% of Days
100%
12 Clinical Nurse Specialist
% of Days
79%
7 Qualified Social Worker
% of Days
78%
2 Other Dietary Services Staff
% of Days
98%
6 Physical Therapy Aide
% of Days
73%
8 Speech Language Pathologist
% of Days
87%
7 Physical Therapy Assistant
% of Days
86%
5 Respiratory Therapy Technician
% of Days
86%
2 Mental Health Service Worker
% of Days
65%
1 Administrator
% of Days
65%
1 Dietitian
% of Days
64%
1 Nurse Practitioner
% of Days
62%
1 RN Director of Nursing
% of Days
46%
1 Dental Services Staff
% of Days
57%
2 Occupational Therapy Assistant
% of Days
25%
1 Medical Director
% of Days
13%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
127 residents
Residents by payment source
Medicare
17 residents (13.4%)
Medicaid
87 residents (68.5%)
Private pay or other
23 residents (18.1%)
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.
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.
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
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
-$2.2M
↑ ~$342.4K vs 2022
Total Payroll
$7.2M
↑ ~$397.2K vs 2022
Profit Margin
-11.1%
↑ 3.3pp vs 2022
Loading trend charts...
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