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Nursing Home in Kentucky

CMS overall rating Info 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 North Hardin Rehab and Wellness Center

Nursing Home in Kentucky

CMS overall rating Info 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 North Hardin Rehab and Wellness Center

Overview of Signature Healthcare at North Hardin Rehab and Wellness Center
Signature HealthCARE at North Hardin offers a wide array of services that enables patients and residents to receive the medical care they need, the restorative therapy they require, and the support they and their families deserve. It is a family-based organization focused on revolutionizing the healthcare industry through resident-centered services and quality of life initiatives. The facility provides care for various patient needs, from short-term rehabilitation to long-term care.
(270) 351-2999

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
2/5
Kentucky average: 2.8/5
Health Inspection Info 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.
2/5
Kentucky average: 2.9/5
Staffing Info 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.
2/5
Kentucky average: 2.4/5
Quality Measures Info 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.
3/5
Kentucky average: 2.9/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 39m per day

This home provides 6% more nursing time per resident than the Kentucky average.

Kentucky average: 3h 27m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 152

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Kentucky average
Occupancy rate 75%
Residents per day (avg) 118
Occupancy rate
75%
Residents per day (avg)
118

Who this home usually serves

TYPE OF STAY

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.

Breakdown by payment type

Medicare

41% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

41% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

18% 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
$16.3M
Profit
$107.1K
Privately-owned community Operated by a partnership between two or more business owners.
Home revenue
$16.3M
Profit
$107.1K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.0M
24.7% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$12.2M
Total costs $16.2M
Bed community size
152-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.

About this community

Occupancy

Occupancy rate
75%
In line with Kentucky average
Occupied beds
114 / 152
Average residents 80 per day

License Details

Facility TypeLong Term Care (nursing Facility, Personal Care)
StatusActive
IssuanceJune 1, 2025
CountyHARDIN

Additional Licensing Details

License Number100570
CMS Certification Number185180

Ownership & Operating Entity

Signature Healthcare at North Hardin Rehab and Wellness Center is administrated by Desirae Hawkins.

Owner NameLP RADCLIFF, LLC

Therapy & Rehabilitation

1 service
Rehabilitation Services

Amenities & Lifestyle

0 amenities
Specific ProgramsClinical Services, Rehabilitation, Dialysis

Contact Signature Healthcare at North Hardin Rehab and Wellness Center

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.

2 visits/inspections

Latest inspection

Date May 29, 2025
Complaint Investigation

8 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 North Hardin Rehab and Wellness Center

The most recent inspection on May 29, 2025, found deficiencies related to medication administration, personal privacy, assistance with activities of daily living, and food safety. Earlier inspections showed mixed results, including a February 27, 2025, complaint investigation where the facility was cited for failing to report an allegation of abuse within required timeframes. The main themes of deficiencies involved resident care issues such as medication and ADL assistance, as well as food service and privacy concerns. Complaint investigations included a substantiated case of delayed abuse reporting, which led to staff suspension and education, but most other allegations were unsubstantiated. The facility has taken corrective actions and provided staff education, though deficiencies have appeared in recent inspections without a clear pattern of improvement or worsening.

Health Inspection History

Inspections
Total health inspections 4

Kentucky average 2.9


Last Health inspection on May 2025

Total health citations 28

Kentucky average 13.5

Citations per inspection
7

Kentucky average 4.4


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

26 of 28 citations resulted from standard inspections; 1 of 28 resulted from complaint investigations; and 1 of 28 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Kentucky average

Kentucky average: 1.1


Serious Health citations More info 0
100% better than Kentucky average

Kentucky average: 0.6

0 critical citations More info Kentucky average: 1.1

0 serious citations More info Kentucky average: 0.6

28 moderate citations More info Kentucky average: 11.6

0 minor citations More info Kentucky average: 0.1
Citations history (last 3 years)
Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. May 29, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. May 29, 2025
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. May 29, 2025
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. May 29, 2025
Corrected

Compare Nursing Homes around Kentucky The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.

5 facilities compared · CMS & KY Dept. of Health data · Updated Apr 2026

Filter by care type
Barren County Nursing 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.

Glasgow
94
82.7%
+2%
3.22
-36%
-14%
1
11
3.7
0
88
-
-
Herbstman, Moshe
$8.6M
$2.8M
32.7%
185229
Auburn Nursing and Rehabilitation 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.

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 North Hardin Rehab and 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.

Radcliff
152
69.1%
-15%
3.65
-28%
-3%
0
28
7.0
0
118
-
-
-
$16.3M
$4.0M
24.7%
185180
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
-
-
-
-
-
-
-
-

Places of interest near Signature Healthcare at North Hardin Rehab and Wellness Center

Address 1.5 miles from city center

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 213
Employees 202
Contractors 11
Staff to resident ratio 1.87:1
7% better than Kentucky average

Kentucky average ratio: 1.75:1

Avg staff/day 61
Average shift 8.6 hours
0% compared with Kentucky average

Kentucky average: 8.5 hours

Total staff hours (quarter) 47,635
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 16
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.7 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 17
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 89
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

3.6%

1,714 contractor hours this quarter

Speech Language Pathologist: 3 Registered Nurse: 3 Occupational Therapy Assistant: 3 Respiratory Therapy Technician: 1 Medical Director: 1
Staff by category
Certified Nursing Assistant8908920,97591100%8.9
Registered Nurse133164,59791100%9.7
Licensed Practical Nurse170174,46091100%9.4
Medication Aide/Technician160164,04391100%8.7
Clinical Nurse Specialist170172,0698897%8.1
RN Director of Nursing4041,9678189%9.2
Other Dietary Services Staff170171,6778998%8.5
Physical Therapy Assistant4041,2488189%7.1
Physical Therapy Aide6061,0926875%6.9
Respiratory Therapy Technician5161,0907886%7.1
Speech Language Pathologist1341,0646875%6.4
Qualified Social Worker3038876875%7
Dental Services Staff3036126369%8.8
Administrator1014966268%8
Dietitian1014505864%7.8
Nurse Practitioner1014425763%7.7
Mental Health Service Worker3033144347%7.3
Occupational Therapy Assistant033941618%5.6
Medical Director011481820%2.7
Nurse Aide in Training1011233%3.9
89 Certified Nursing Assistant
% of Days 100%
16 Registered Nurse
% of Days 100%
17 Licensed Practical Nurse
% of Days 100%
16 Medication Aide/Technician
% of Days 100%
17 Clinical Nurse Specialist
% of Days 97%
4 RN Director of Nursing
% of Days 89%
17 Other Dietary Services Staff
% of Days 98%
4 Physical Therapy Assistant
% of Days 89%
6 Physical Therapy Aide
% of Days 75%
6 Respiratory Therapy Technician
% of Days 86%
4 Speech Language Pathologist
% of Days 75%
3 Qualified Social Worker
% of Days 75%
3 Dental Services Staff
% of Days 69%
1 Administrator
% of Days 68%
1 Dietitian
% of Days 64%
1 Nurse Practitioner
% of Days 63%
3 Mental Health Service Worker
% of Days 47%
3 Occupational Therapy Assistant
% of Days 18%
1 Medical Director
% of Days 20%
1 Nurse Aide in Training
% of Days 3%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
114 residents
Residents by payment source
Medicare
12 residents (10.5%)
Medicaid
84 residents (73.7%)
Private pay or other
18 residents (15.8%)
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.

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 14.8
41% worse than Kentucky average

Kentucky average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 25.8
36% worse than Kentucky average

Kentucky average: 18.9

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 27.1%
61% worse than Kentucky average

Kentucky average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 31.7%
62% worse than Kentucky average

Kentucky average: 19.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 18.5%
10% better than Kentucky average

Kentucky average: 20.5%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.9%
In line with Kentucky average

Kentucky average: 3.8%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 8.5%
48% worse than Kentucky average

Kentucky average: 5.8%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.3%
86% better than Kentucky average

Kentucky average: 1.9%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.7%
60% better than Kentucky average

Kentucky average: 6.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 3.4%
76% better than Kentucky average

Kentucky average: 14.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 16.9%
8% worse than Kentucky average

Kentucky average: 15.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 60.9%
35% worse than Kentucky average

Kentucky average: 93.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 75.2%
22% worse than Kentucky average

Kentucky average: 96.2%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 29.8%
64% worse than Kentucky average

Kentucky average: 83.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.6%
72% better than Kentucky average

Kentucky average: 1.9%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 50.0%
40% worse than Kentucky average

Kentucky average: 83.6%

Guides for Better Senior Living

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Financial Aid for Kentucky Seniors

Get financial aid guidance

Home and Community Based Waiver

Kentucky Medicaid HCB Waiver

Age 65+ or disabled, Kentucky resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; waitlists possible.

Hart-Supported Living Program

KY Hart-Supported Living

Age 65+ or disabled, Kentucky resident.

No strict limit; prioritizes low-income.

Not applicable.

Competitive grants; limited availability.

Kentucky Homecare Program

Kentucky Homecare Program

Age 60+, Kentucky resident, at risk of nursing home placement, not eligible for Medicaid waivers.

No strict limit; prioritizes low-income (~$24,980/year individual).

Not assessed; need-based focus.

15 AAAs; rural focus; not in nursing homes.

Medicare Savings Program (MSP)

Kentucky Medicare Savings Program

Age 65+ or disabled, Kentucky resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; auto Extra Help for Part D.

National Family Caregiver Support Program (NFCSP) Respite

Kentucky NFCSP Respite Care

Caregivers of 60+ needing care or 55+ caregivers of others; Kentucky resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

15 AAAs; prioritizes low-income, rural caregivers.

Kentucky Family Caregiver Program

Kentucky Family Caregiver Program

Grandparents (often 55+) as primary caregivers to grandchildren under 18, Kentucky resident, not on Kinship Care.

~$31,225/year (individual); varies by AAA.

Not strictly assessed; need-based.

Max $1,500/year; statewide via AAAs.

Senior Community Service Employment Program (SCSEP)

Kentucky SCSEP

Age 55+, unemployed, low-income, Kentucky resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Kentucky VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Kentucky resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.