Signature Healthcare of Elizabethtown

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 of Elizabethtown

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.

Overview of Signature Healthcare of Elizabethtown

Signature HealthCARE of Elizabethtown is a provider of rehabilitation and skilled nursing services conveniently located just a quarter mile from Hardin Memorial Hospital. The center offers 24 hour, 7 day a week admissions and a coordinated interdisciplinary approach to care. Residents receive individualized healthcare assessments and plans of care.
(270) 769-2363

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.
5/5 ▲ 2.2 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.
4/5 ▲ 1.1 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.
3/5 ▲ 0.6 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.
5/5 ▲ 2.1 Kentucky average: 2.9/5

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Kentucky state averages

Total nursing care / resident Info This home is ranked 53rd 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 34m per day
This facility Kentucky avg (3h 27m per day)
vs Kentucky avg
+3%

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 124

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the Kentucky average: 81.3%
Occupancy rate 86.8%
Avg. Length of Stay 62 days
Occupancy rate
86.8%
Avg. Length of Stay
62 days

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

37% of new residents, usually for short-term rehab.

Typical stay 21 days

Private pay

57% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

6% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$14.8M
Profit
$494.0K
Privately-owned community Operated by a partnership between two or more business owners.
Home revenue
$14.8M
Profit
$494.0K
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
26.8% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$10.4M
Total costs $14.3M
Bed community size
124-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

License Details

Facility TypeLong Term Care (nursing Facility)
StatusActive
IssuanceDecember 1, 2025
CountyHardin
License Number100162
CMS Certification Number185118

Ownership & Operating Entity

Signature Healthcare of Elizabethtown is administrated by Weslene Dillard.

Owner NameLP E-TOWN, LLC

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Staffing & Medical

2 services
Skilled Nursing
24-Hour Staffing

Additional Services

1 service
Rehabilitation

Amenities & Lifestyle

0 amenities
Specific ProgramsIn Home Care, Levels of Care, Financial Advice, Senior Services, Facilities & Services
Operating Hours24 hours a day, 7 days a week

Contact Signature Healthcare of Elizabethtown

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 Info Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.

Latest inspection

Date April 9, 2025
Complaint Investigation

Inspection Report Summary for Signature Healthcare of Elizabethtown

The most recent inspection on April 9, 2025, found the facility in substantial compliance with no deficiencies related to the complaint investigated. Earlier complaint investigations in January 2025 also found the facility in substantial compliance, with no deficiencies or substantiated complaints. Inspectors did not cite any issues or deficiencies in these recent complaint surveys. There were no enforcement actions, fines, or license suspensions listed in the available reports. This pattern suggests consistent compliance with regulatory requirements during the period covered.

Health Inspection History

Inspections
Total health inspections 4

Kentucky average 2.9


Last Health inspection on Oct 2024

Total health citations 11

Kentucky average 13.5

Citations per inspection
2.75

Kentucky average 4.4


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

9 of 11 citations resulted from standard inspections; and 2 of 11 resulted from complaint investigations.

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

11 moderate citations More info Kentucky average: 11.6

0 minor citations More info Kentucky average: 0.1
Citations history (last 3 years)
Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Oct 25, 2024
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Nov 08, 2023
Corrected

Resident Rights moderate citation Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. Nov 08, 2023
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Jul 01, 2021
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
Signature Healthcare of Elizabethtown
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.

Elizabethtown112 86.8% +7%3.56 +19%-5%0112.80117--Dillard, Weslene$14.8M$4.0M26.8%185118
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.

Glasgow94 82.7% +2%3.22 -36%-14%1113.7088--Herbstman, Moshe$8.6M$2.8M32.7%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.

Auburn66 62.0% -24%1.44 -49%-62%0133.3050--Bolster, Nancy$4.0M$1.8M44.9%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 Dam71 84.3% +4%- -7%-093.0054---$7.0M$3.4M47.9%185334
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.

Bardstown100--------000.00--------

Financial Assistance for
Nursing Home in Kentucky

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Home and Community Based Waiver

Kentucky Medicaid HCB Waiver

Age 65+ or disabled
General Kentucky resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
KY

Rural focus; waitlists possible.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Homemaker services Home modifications

Hart-Supported Living Program

KY Hart-Supported Living

Age 65+ or disabled
General Kentucky resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
KY

Competitive grants; limited availability.

Benefits
In-home support (up to 10 hours/week) Respite (varies) Adaptive equipment (~$500 avg.)

Kentucky Homecare Program

Kentucky Homecare Program

Age 60+
General Kentucky resident, at risk of nursing home placement, not eligible for Medicaid waivers.
Income Limits (2025) No strict limit; prioritizes low-income ~$24,980/year individual
Asset Limits Not assessed; need-based focus.
KY

15 AAAs; rural focus; not in nursing homes.

Benefits
Personal care (4-6 hours/day) Respite (5 days/year) Chore services Meal delivery ($7/meal) Minor home repairs

Medicare Savings Program (MSP)

Kentucky Medicare Savings Program

Age 65+ or disabled
General Kentucky resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
KY

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

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

National Family Caregiver Support Program (NFCSP) Respite

Kentucky NFCSP Respite Care

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; Kentucky resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
KY

15 AAAs; prioritizes low-income, rural caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($55/day) Caregiver training Supplies (~$500/year)

Kentucky Family Caregiver Program

Kentucky Family Caregiver Program

Age
General Grandparents (often 55+) as primary caregivers to grandchildren under 18, Kentucky resident, not on Kinship Care.
Income Limits (2025) ~$31,225/year (individual); varies by AAA.
Asset Limits Not strictly assessed; need-based.
KY

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

Benefits
Grants (~$500-$1,500/year) for respite Supplies Care costs; counseling Training

Senior Community Service Employment Program (SCSEP)

Kentucky SCSEP

Age 55+
General unemployed, low-income, Kentucky resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified; income-focused.
KY

Priority for veterans, rural residents.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

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

Kentucky VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Kentucky resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
KY

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Places of interest near Signature Healthcare of Elizabethtown

Address 0.0 miles from city center Info Estimated distance in miles from ELIZABETHTOWN's city center to Signature Healthcare of Elizabethtown's address, calculated via Google Maps.

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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 220
Employees 208
Contractors 12
Staff to resident ratio 1.93:1
10% better than Kentucky average

Kentucky average ratio: 1.75:1

Avg staff/day 67
Average shift 8.2 hours
0% compared with Kentucky average

Kentucky average: 8.5 hours

Total staff hours (quarter) 50,286
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 27
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.3 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 28
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 87
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

1.3%

635 contractor hours this quarter

Registered Nurse: 6 Occupational Therapy Assistant: 4 Respiratory Therapy Technician: 1 Medical Director: 1
Staff by category
Certified Nursing Assistant8708720,30991100%8.3
Licensed Practical Nurse280287,19791100%8.6
Registered Nurse216276,06091100%9.3
Medication Aide/Technician130133,99491100%8.8
Clinical Nurse Specialist9092,4186571%7.9
RN Director of Nursing4041,5117077%8.1
Qualified Social Worker5051,3597178%7.3
Speech Language Pathologist5051,1517380%6.9
Physical Therapy Aide7071,1487077%8
Other Dietary Services Staff8089778796%7.7
Physical Therapy Assistant8088507582%6.7
Respiratory Therapy Technician8198107077%6.3
Dental Services Staff1015076369%8
Dietitian1014816369%7.6
Nurse Practitioner1014725965%8
Mental Health Service Worker1014645864%8
Administrator1014485662%8
Occupational Therapy Assistant044982831%3.1
Medical Director011353640%1
87 Certified Nursing Assistant
% of Days 100%
28 Licensed Practical Nurse
% of Days 100%
27 Registered Nurse
% of Days 100%
13 Medication Aide/Technician
% of Days 100%
9 Clinical Nurse Specialist
% of Days 71%
4 RN Director of Nursing
% of Days 77%
5 Qualified Social Worker
% of Days 78%
5 Speech Language Pathologist
% of Days 80%
7 Physical Therapy Aide
% of Days 77%
8 Other Dietary Services Staff
% of Days 96%
8 Physical Therapy Assistant
% of Days 82%
9 Respiratory Therapy Technician
% of Days 77%
1 Dental Services Staff
% of Days 69%
1 Dietitian
% of Days 69%
1 Nurse Practitioner
% of Days 65%
1 Mental Health Service Worker
% of Days 64%
1 Administrator
% of Days 62%
4 Occupational Therapy Assistant
% of Days 31%
1 Medical Director
% of Days 40%

Facility Characteristics

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

Total residents 114
Medicare
22
19.3% of residents
Medicaid
64
56.1% of residents
Private pay or other
28
24.6% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

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. 8.1
23% better 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. 16.3
14% better 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 13.6%
19% better than Kentucky average

Kentucky average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 16.3%
17% better 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 19.1%
7% 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 3.3%
14% better than Kentucky average

Kentucky average: 3.8%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.4%
42% better than Kentucky average

Kentucky average: 5.8%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.3%
84% better than Kentucky average

Kentucky average: 1.9%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.0%
41% better than Kentucky average

Kentucky average: 6.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.3%
91% better than Kentucky average

Kentucky average: 14.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 12.9%
17% better than Kentucky average

Kentucky average: 15.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 82.3%
12% worse than Kentucky average

Kentucky average: 93.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with 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 95.5%
14% better than Kentucky average

Kentucky average: 83.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.7%
62% better than Kentucky average

Kentucky average: 1.9%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 99.1%
19% better than Kentucky average

Kentucky average: 83.6%

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