Total health inspections
3
Kentucky average 2.9
Last Health inspection on May 2024
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.
Signature Healthcare of Monroe County Rehab and Well
Nursing Home
Signature Healthcare of Monroe County Rehab and Well
Nursing Home
Signature HealthCARE of Monroe County is a rehabilitation and wellness center located in Tompkinsville, KY. It offers a variety of services including clinical care, rehabilitation, and life enrichment programs. The facility is dedicated to providing personalized care and enhancing the quality of life for its residents.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
104
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
74.4%
Residents per day (avg)
76
Occupancy rate
74.4%
Residents per day (avg)
76
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
31% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
37% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
32% of new residents, often for long-term daily care.
Typical stay
7 - 8 months
Finances and operations
Proprietary home
Partnership
Home revenue
$10.4M
Operating loss
-$935.2K
Proprietary home
Partnership
Home revenue
$10,386,119.00
Operating loss
$-935,163.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.3M
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.
$8.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.3M
104-bed community
A larger shared setting that may offer more common spaces and organized community services.
1 year in operation
A newer community that may feature more recent facilities and programs.
About this community
License Status
ActiveFacility Type
Long Term Care (Nursing Facility)
License Date
March 1, 2025
Additional licensing details
License number:
100337
CMS Certification Number:
185168
County:
MONROE
Ownership & operating entity
Signature Healthcare of Monroe County Rehab and Well is administrated by CANDI SPEARS.
Owner name:
LP TOMPKINSVILLE, LLC
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
Amenities & Lifestyle
Programs & Activities
Specific Programs
Clinical Services, Rehabilitation, Care Navigation, Life Enrichment
Operating Hours
Monday-Friday: 9:00 AM - 9:00 PM, Saturday & Sunday: 10:00 AM - 6:30 PM
Compare Nursing Homes around Kentucky
The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
Signature Healthcare of Monroe County Rehab and Well
-61%
+3%
-8%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KY 42167
104
No
SPEARS, CANDI
74.4%
$10,373,960.00
$3,320,532.00
32%
76.00
3.8674
-
7
-61%+3%-8%
Barren County Nursing and Rehabilitation
-36%
-14%
+2%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KY 42141
94
No
HERBSTMAN, MOSHE
82.7%
$8,631,885.00
$2,825,267.00
32.7%
88.30
3.2236
1
11
-36%-14%+2%
Auburn Nursing and Rehabilitation Center
-49%
-62%
-24%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KY 42206
66
No
BOLSTER, NANCY
62.0%
$4,023,909.00
$1,805,984.00
44.9%
49.60
1.4392
-
13
-49%-62%-24%
Beaver Dam Nursing and Rehab Center, Inc
-7%
+4%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KY 42320
71
No
-
84.3%
$7,017,998.00
$3,361,771.00
47.9%
53.80
-
-
9
-7%
-
+4%
Bardstown Heatlh & Rehabilitation
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KY 40004
100
No
-
-
-
-
-
-
-
-
-
-
-
Signature Healthcare of Monroe County Rehab and Well
Type of care:
SNF
AL
Community:
KY 42167
Bed Count:
104
Pets Allowed:
No
Operator:
SPEARS, CANDI
CCN:
185168
Occupancy:
74.4%
Home Revenue:
$10,373,960.00
Payroll Costs:
$3,320,532.00
Payroll %:
32%
Avg Residents/Day:
76.00
Overall Rating:
Adj Nurse Hours:
3.8674
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
7
RN share vs State Avg:
-61%
-61%
Staffing vs State Avg:
+3%
+3%
Occupancy vs State Avg:
-8%
-8%
Barren County Nursing and Rehabilitation
Type of care:
SNF
AL
Community:
KY 42141
Bed Count:
94
Pets Allowed:
No
Operator:
HERBSTMAN, MOSHE
CCN:
185229
Occupancy:
82.7%
Home Revenue:
$8,631,885.00
Payroll Costs:
$2,825,267.00
Payroll %:
32.7%
Avg Residents/Day:
88.30
Overall Rating:
Adj Nurse Hours:
3.2236
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
11
RN share vs State Avg:
-36%
-36%
Staffing vs State Avg:
-14%
-14%
Occupancy vs State Avg:
+2%
+2%
Auburn Nursing and Rehabilitation Center
Type of care:
SNF
AL
Community:
KY 42206
Bed Count:
66
Pets Allowed:
No
Operator:
BOLSTER, NANCY
CCN:
185049
Occupancy:
62.0%
Home Revenue:
$4,023,909.00
Payroll Costs:
$1,805,984.00
Payroll %:
44.9%
Avg Residents/Day:
49.60
Overall Rating:
Adj Nurse Hours:
1.4392
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
13
RN share vs State Avg:
-49%
-49%
Staffing vs State Avg:
-62%
-62%
Occupancy vs State Avg:
-24%
-24%
Beaver Dam Nursing and Rehab Center, Inc
Type of care:
SNF
AL
Community:
KY 42320
Bed Count:
71
Pets Allowed:
No
CCN:
185334
Occupancy:
84.3%
Home Revenue:
$7,017,998.00
Payroll Costs:
$3,361,771.00
Payroll %:
47.9%
Avg Residents/Day:
53.80
Overall Rating:
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-7%
-7%
Occupancy vs State Avg:
+4%
+4%Places of interest near Signature Healthcare of Monroe County Rehab and Well
0.0 miles from city center
TOMPKINSVILLE, KY 42167
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
124
Total Staff
119
Employees
5
Contractors
31,017
Total Hours (Quarter)
40
Avg Staff/Day
8.5
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 5 | 8.8 | No |
| Licensed Practical Nurse | 19 | 9.2 | No |
| Certified Nursing Assistant | 44 | 8.8 | No |
Staff by Category
Administration ⓘ
3 staff
5.7hs shift avg
Nursing Staff ⓘ
79 staff
8.9hs shift avg
Physicians & Practitioners ⓘ
8 staff
7.9hs shift avg
Therapy Services ⓘ
17 staff
7.2hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
3 staff
4.9hs shift avg
Dietary Services ⓘ
10 staff
7.7hs shift avg
Other Services ⓘ
4 staff
7.7hs shift avg
Contractor Analysis
0.8%
of total hours from contractors
235 contractor hours this quarter
Qualified Social Worker: 1
Occupational Therapy Assistant: 3
Medical Director: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 44 | 0 | 44 | 12,715 | 91 | 100% | 8.8 |
| Licensed Practical Nurse | 19 | 0 | 19 | 7,323 | 91 | 100% | 9.2 |
| RN Director of Nursing | 4 | 0 | 4 | 1,588 | 75 | 82% | 8.2 |
| Medication Aide/Technician | 7 | 0 | 7 | 1,522 | 76 | 84% | 9.6 |
| Clinical Nurse Specialist | 7 | 0 | 7 | 1,209 | 67 | 74% | 7.8 |
| Registered Nurse | 5 | 0 | 5 | 1,067 | 77 | 85% | 8.8 |
| Physical Therapy Aide | 4 | 0 | 4 | 957 | 68 | 75% | 7.9 |
| Other Dietary Services Staff | 9 | 0 | 9 | 787 | 79 | 87% | 7.7 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 523 | 68 | 75% | 7 |
| Physical Therapy Assistant | 2 | 0 | 2 | 515 | 65 | 71% | 7.9 |
| Speech Language Pathologist | 3 | 0 | 3 | 492 | 61 | 67% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 475 | 61 | 67% | 7.8 |
| Dietitian | 1 | 0 | 1 | 456 | 58 | 64% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Dental Services Staff | 3 | 0 | 3 | 312 | 41 | 45% | 7.6 |
| Administrator | 2 | 0 | 2 | 304 | 38 | 42% | 8 |
| Qualified Social Worker | 2 | 1 | 3 | 237 | 46 | 51% | 4.9 |
| Occupational Therapy Assistant | 0 | 3 | 3 | 62 | 25 | 27% | 2.3 |
| Medical Director | 0 | 1 | 1 | 36 | 22 | 24% | 1.6 |
Health Inspection History
Inspections
Total health citations
7
Citations per inspection
2.33
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 7 citations resulted from standard inspections.
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
6 moderate citations
1 minor citation
Citations history (last 3 years)
Quality of Care moderate citation
May 11, 2024
Corrected
Infection Control moderate citation
Apr 18, 2019
Corrected
Infection Control moderate citation
Mar 08, 2018
Corrected
Nursing Services minor citation
Mar 08, 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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Corporation
Part of: Signature Healthcare
Resident Census by Payment Source
87
Total Residents
Medicare
19
(21.8%)
ⓘ
Medicaid
63
(72.4%)
ⓘ
Private Pay/Other
5
(5.7%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Nurse Aide Training
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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.
7.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.6
28% 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.
12.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.6
33% better than Kentucky averageKentucky average: 18.9
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
12.2%
Percent of long-stay residents whose need for help with daily activities has increased
12.2%
28% better than Kentucky averageKentucky average: 16.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
9.2%
Percent of long-stay residents whose ability to move independently worsened
9.2%
53% 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
16.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.5%
20% better than Kentucky averageKentucky average: 20.5%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.4%
Percent of long-stay residents experiencing one or more falls with major injury
3.4%
11% better than Kentucky averageKentucky average: 3.8%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
9.2%
Percent of long-stay high risk residents with pressure ulcers
9.2%
60% worse than Kentucky averageKentucky average: 5.8%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.8%
Percent of long-stay residents with a urinary tract infection
0.8%
59% better than Kentucky averageKentucky average: 1.9%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.9%
Percent of long-stay residents who lose too much weight
3.9%
42% better than Kentucky averageKentucky average: 6.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
12.8%
Percent of long-stay residents who have depressive symptoms
12.8%
11% better than Kentucky averageKentucky average: 14.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
19.5%
Percent of long-stay residents who received an antipsychotic medication
19.5%
25% worse than Kentucky averageKentucky average: 15.6%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.3%
In line with Kentucky averageKentucky average: 93.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.6%
In line with Kentucky averageKentucky average: 96.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
72.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
72.3%
14% worse than Kentucky averageKentucky average: 83.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
33% better than Kentucky averageKentucky average: 1.9%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
72.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
72.1%
14% worse than Kentucky averageKentucky average: 83.6%
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 of Monroe County Rehab and Well based on CMS SNF Cost Reports.
Occupancy Rate
74.4%
↓ 2.1pp vs 2022
Net Income
-$935,163
↑ ~$227K vs 2022
Total Payroll
$4,308,017
↓ ~$158K vs 2022
Profit Margin
-9.0%
↑ 2.4pp vs 2022
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