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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Signature HealthCARE at Jackson Manor Rehabilitation and Wellness is a 51-bed facility at 96 Highway 3444 in Annville, Kentucky. Serving Jackson County, the center is operated by LP Annville, LLC and accepts Medicare and Medicaid.
The facility currently has no displayed CMS star rating, consistent with its newer status. Staffing is a relative strength; RN hours are 1 hour and 18 minutes per resident per day—70% above the Kentucky average, and physical therapy hours are 100% above the state benchmark. Conversely, LPN hours run 63% below the state average, and weekend total nursing coverage is 12% below average.
The Kentucky Cabinet for Health and Family Services oversees inspections. The facility maintains a citations-per-inspection rate of 1.7. While complaint investigations in early 2025 found no deficiencies, an April 2025 recertification survey cited five isolated deficiencies involving MDS documentation accuracy and Life Safety Code issues, such as door-latching failures and unapproved power strip usage. Occupancy is 90%, which is higher than the state average of 81.3%.
Service programs include skilled nursing, rehabilitation, memory care, and respite care. The facility’s model is organized around care navigation and life enrichment programming. Its smaller 51-bed scale typically supports higher staff-to-resident oversight. Since specific monthly pricing and ancillary fees are not included in public reports, families should request a current fee schedule during a facility tour.
Families seeking a facility with strong RN staffing and a clean complaint investigation record may find this environment appropriate. Those evaluating the center should confirm the current status of physical plant remediation following the 2025 recertification survey and conduct an in-person visit before making a placement decision.
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 90th out of 184 homes in Kentucky for nurse hours. 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 |
|---|---|---|
|
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.
| 1h 18m per day | ▲ 70% 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.
| 18m per day | ▼ 63% 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 10m per day | ▼ 11% 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 1m per day | ▼ 14% 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.
| 8m per day | ▲ 100% 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.
| 42m per day | ▲ 35% State avg: 31m per day · National avg: 28m per day |
Higher than the Kentucky average: 81.3%Signature Healthcare at Jackson Manor Reha and Welln is administrated by Melissa Mcconnell.
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
| This Facility | KY Average | vs. KY Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 24 | 6 | This facility has 300% more total deficiencies than a typical Kentucky nursing home (24 vs. KY avg 6).↑ 300% worse |
|
Deficiencies per year
Average deficiencies per year since 2019.
| 3.4 | 0.9 | This facility has 278% more deficiencies per year than a typical Kentucky nursing home (3.4 vs. KY avg 0.9).↑ 278% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Kentucky average 2.9
Last Health inspection on May 2025
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.
15 of 19 citations resulted from standard inspections; and 4 of 19 resulted from complaint investigations.
100% better than Kentucky averageKentucky average: 1.1
100% better than Kentucky averageKentucky average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
5% more staff per resident 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.
All 14 RN Staff are full-time employees. No contractors work on this role.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursAssists with medical care and medications.
All 6 LPN Staff are full-time employees. No contractors work on this role.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursHelps with daily care and mobility.
All 36 CNA Staff are full-time employees. No contractors work on this role.
36
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
49 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 36 | 0 | 36 | 9,388 | 92 | 100% | 9 |
| Registered Nurse | 14 | 0 | 14 | 3,311 | 92 | 100% | 9.3 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 2,040 | 66 | 72% | 8 |
| Licensed Practical Nurse | 6 | 0 | 6 | 1,095 | 81 | 88% | 9.5 |
| Medication Aide/Technician | 4 | 0 | 4 | 703 | 63 | 68% | 9 |
| Mental Health Service Worker | 1 | 0 | 1 | 586 | 72 | 78% | 8.1 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 577 | 65 | 71% | 5.8 |
| Dietitian | 1 | 0 | 1 | 506 | 61 | 66% | 8.3 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Speech Language Pathologist | 2 | 0 | 2 | 378 | 63 | 68% | 6 |
| Physical Therapy Assistant | 3 | 0 | 3 | 225 | 54 | 59% | 4 |
| Qualified Social Worker | 1 | 0 | 1 | 122 | 58 | 63% | 2.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 29 | 14 | 15% | 2.1 |
| Medical Director | 0 | 1 | 1 | 20 | 18 | 20% | 1.1 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
7.9
25% better than Kentucky averageKentucky average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.6
17% better than Kentucky averageKentucky 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
11.8%
30% better than Kentucky averageKentucky average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
15.8%
20% better than Kentucky averageKentucky average: 19.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.4%
6% better than Kentucky averageKentucky average: 20.5%
Percent of long-stay residents experiencing one or more falls with major injury
1.9%
50% better than Kentucky averageKentucky average: 3.8%
Percent of long-stay high risk residents with pressure ulcers
4.3%
25% better than Kentucky averageKentucky average: 5.8%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Kentucky averageKentucky average: 1.9%
Percent of long-stay residents who lose too much weight
5.8%
15% better than Kentucky averageKentucky average: 6.8%
Percent of long-stay residents who have depressive symptoms
47.5%
233% worse than Kentucky averageKentucky average: 14.3%
Percent of long-stay residents who received an antipsychotic medication
15.2%
In line with Kentucky averageKentucky average: 15.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
88.1%
6% worse than Kentucky averageKentucky average: 93.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.0%
In line with Kentucky averageKentucky average: 96.2%
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
78.0%
7% worse than Kentucky averageKentucky average: 83.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
18% better than Kentucky averageKentucky average: 1.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
84.0%
In line with Kentucky averageKentucky average: 83.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
43.2%
76% worse than Kentucky averageKentucky average: 24.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
4.7%
66% better than Kentucky averageKentucky average: 13.9%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Kentucky averageKentucky average: 0.8%
Rate of successful return to home or community from a skilled nursing facility.
58.0%
15% better 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.
24% of new residents, usually for short-term rehab.
47% of new residents, often for short stays.
30% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
46Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, 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 Jackson Manor Reha and Welln 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 #174 / 188Payroll — State benchmarkedThis home is ranked 174th out of 188 homes in Kentucky for payroll. 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.
0.0 miles from city center
Estimated distance in miles from Annville's city center to Signature Healthcare at Jackson Manor Reha and Welln's address, calculated via Google Maps.
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Signature Healthcare at Jackson Manor Reha and Welln is located in ANNVILLE, 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.
| Wellington Parc of Owensboro |
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. | Owensboro | 80
Facility
80
KY AVG
83
Rank
#168 / 341 | 52.5% | -35% | 7.74 | -8% | +106% | $0 | 14 | 4.7 | - | 40 | - |
52
Facility
52
KY AVG
41
Rank
#147 / 423 | Jack T Wells Estate | $7.5M | $3.7M | 49.8% | 185436 | ||||
| Signature Healthcare at Hillcrest |
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.
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.
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
Facility
156
KY AVG
83
Rank
#18 / 341 | 81.4% | 0% | 3.57 | +47% | -5% | $0 | 7 | 3.5 | - | 127 | - |
1
Facility
1
KY AVG
41
Rank
#404 / 423 | William Conley | $20.2M | $7.2M | 35.8% | 185120 | ||||
| Twin Rivers Nursing And Rehab 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. | Owensboro | 132
Facility
132
KY AVG
83
Rank
#36 / 341 | 72.7% | -11% | 3.39 | -6% | -10% | $9.4k | 18 | 9.0 | - | 96 | A+ |
52
Facility
52
KY AVG
41
Rank
#147 / 423 | Myra Raymer | $9.2M | $6.5M | 71.2% | 185087 | ||||
| Sayre Christian Village |
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.
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. | Lexington (Belleau Wood) | 164
Facility
164
KY AVG
83
Rank
#16 / 341 | 98.8% | +22% | 4.42 | -17% | +18% | $7.9k | 20 | 5.0 | 2 | 159 | - |
43
Facility
43
KY AVG
41
Rank
#206 / 423 | Christian Benevolent Outreach, Inc. | $19.0M | $11.8M | 61.8% | 185248 | ||||
| Signature Healthcare at Jackson Manor Reha and Welln |
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. | Annville | 51
Facility
51
KY AVG
83
Rank
#256 / 341 | 90.2% | +11% | 3.27 | +57% | -13% | $0 | 19 | 3.8 | - | 46 | - |
10
Facility
10
KY AVG
41
Rank
#368 / 423 | Sarah Dodd | $5.7M | $2.3M | 41.2% | 185249 |
The legal owner and operator of Signature Healthcare at Jackson Manor Reha and Welln is Lp Annville, Llc.
Signature Healthcare at Jackson Manor Reha and Welln has a walk score of 10. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to KY state health department records, Signature Healthcare at Jackson Manor Reha and Welln's license number is 100602.
According to KY state health department records, Signature Healthcare at Jackson Manor Reha and Welln's license expires on February 28, 2026.
Signature Healthcare at Jackson Manor Reha and Welln's occupancy is 90%.
Melissa Mcconnell is the administrator of Signature Healthcare at Jackson Manor Reha and Welln.
Signature Healthcare at Jackson Manor Reha and Welln has 51 beds.
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