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.
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Nursing Home in Kentucky
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 of Monroe County Rehab and Well
Nursing Home in Kentucky
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 of Monroe County Rehab and Well
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
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.
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
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$10.4M
Operating loss
-$935.2K
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$10.4M
Operating loss
-$935.2K
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
Facility TypeLong Term Care (nursing Facility)
StatusActive
IssuanceMarch 1, 2025
CountyMONROE
License Number100337
CMS Certification Number185168
Signature Healthcare of Monroe County Rehab and Well is administrated by Candi Spears.
Owner NameLP TOMPKINSVILLE, LLC
Rehabilitation Services
Respite Care
Short-Term Rehab
24-Hour Staffing
Private Rooms
Satellite Television
Concierge Services
Personalized Planning Of Care
On-Site Chaplain
Elder Vacations
Transportation To Community Events
Community Involvement
Small Neighborhoods
Specific ProgramsClinical Services, Rehabilitation, Care Navigation, Life Enrichment
Operating HoursMonday-Friday: 9:00 AM - 9:00 PM, Saturday & Sunday: 10:00 AM - 6:30 PM
Health Inspection History
Inspections
Total health citations
7
Kentucky average 13.5
Citations per inspection
2.33
Kentucky average 4.4
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
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
May 11, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
May 11, 2024
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 18, 2019
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 18, 2019
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 08, 2018
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 08, 2018
Corrected
Nursing Services minor citation
Issues related to the availability and quality of nursing staff and the care they provide.
Mar 08, 2018
Issues related to the availability and quality of nursing staff and the care they provide.
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.
Compare Nursing Homes around Kentucky The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
Filter by care type
Signature Healthcare of Monroe County Rehab and Well
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.
Tompkinsville
104
74.4%
-8%
3.87
+3%
0
7
2.3
0
76
-
-
Spears, Candi
$10.4M
$3.3M
32%
185168
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
-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
-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%
-
-
0
9
3.0
0
54
-
-
-
$7.0M
$3.4M
47.9%
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.
Bardstown
100
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
124
Employees
119
Contractors
5
Staff to resident ratio
1.43:1
19% worse than Kentucky averageKentucky average ratio: 1.75:1
Avg staff/day
40
Average shift
8.5 hours
0% compared with Kentucky averageKentucky average: 8.5 hours
Total staff hours (quarter)
31,017
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
19
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.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
44
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0.8%
235 contractor hours this quarter
Occupational Therapy Assistant: 3
Qualified Social Worker: 1
Medical Director: 1
Staff by category
| 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 |
44 Certified Nursing Assistant
% of Days
100%
19 Licensed Practical Nurse
% of Days
100%
4 RN Director of Nursing
% of Days
82%
7 Medication Aide/Technician
% of Days
84%
7 Clinical Nurse Specialist
% of Days
74%
5 Registered Nurse
% of Days
85%
4 Physical Therapy Aide
% of Days
75%
9 Other Dietary Services Staff
% of Days
87%
5 Respiratory Therapy Technician
% of Days
75%
2 Physical Therapy Assistant
% of Days
71%
3 Speech Language Pathologist
% of Days
67%
1 Mental Health Service Worker
% of Days
67%
1 Dietitian
% of Days
64%
1 Nurse Practitioner
% of Days
60%
3 Dental Services Staff
% of Days
45%
2 Administrator
% of Days
42%
3 Qualified Social Worker
% of Days
51%
3 Occupational Therapy Assistant
% of Days
27%
1 Medical Director
% of Days
24%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
87 residents
Residents by payment source
Medicare
19 residents (21.8%)
Medicaid
63 residents (72.4%)
Private pay or other
5 residents (5.7%)
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.
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.
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
-$935.2K
↑ ~$227.0K vs 2022
Total Payroll
$4.3M
↓ ~$157.9K vs 2022
Profit Margin
-9.0%
↑ 2.4pp vs 2022
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