Signature Healthcare of Monroe County Rehab and Well

Nursing Home, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · Tompkinsville, KY

CMS overall rating

706 North Magnolia Street, Tompkinsville, KY 42167 View map

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Signature Healthcare of Monroe County Rehab and Well accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Signature Healthcare of Monroe County Rehab and Well accepts Medicare, Medicaid, and private pay.

Overview of Signature Healthcare of Monroe County Rehab and Well

Signature Healthcare of Monroe County Rehab and Well is a 104-bed skilled nursing and rehabilitation facility offering memory care, respite care, and a care navigation program at 706 North Magnolia Street in Tompkinsville, Kentucky. Accepting Medicare, Medicaid, and private pay, the facility, operated by LP Tompkinsville, LLC in Monroe County, serves a mix of short-term rehabilitation and long-term care residents averaging 93 days of stay.

CMS scores the facility 5 stars, 79.2 percent above Kentucky’s average, with all four sub-ratings above the state mean. Health inspection performance leads at 70.1 percent above Kentucky’s average, across 3 inspections since 2018, the facility recorded only 7 total citations, all low severity, with no critical or serious findings, complaint investigations, fines, and payment denials across eight years. Nurse hours reach 3h 52m per resident per day, 12 percent above Kentucky’s average, with LPN hours running 47 percent above the state figure. At 74.4 percent occupancy which is modestly below Kentucky’s 81.3 percent average, the facility has some availability.

Amenities feature an on-site chaplain, elder vacations, transportation to community events, and a small-neighborhoods care model. On-site nurse aide training and an active resident council exist.

With one of the cleanest inspection records in Kentucky, the community is suitable for residents seeking rehabilitation or long-term skilled nursing in rural Tompkinsville.

Facility Direct Line (270) 487-6135

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 52m per day

vs avg

4 of 6 metrics below state avg

Standout metric LPN / LVN is +47% above state avg

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.	36m per day	▼ 23% 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.	1h 12m per day	▲ 47% 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 5m per day	▼ 14% 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 13m per day	▼ 8% 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.	4m per day	▲ 3% 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.	14m per day	▼ 55% State avg: 31m per day · National avg: 28m per day

Capacity and availability

93 days

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.

Walk Score: 53 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

68%

Lower than the Kentucky average: 81.3%

Occupied beds

71 / 104

Average occupied beds in Kentucky homes 80 beds

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 administered by Candi Spears.

Owner NameLP Tompkinsville, LLC

Rehabilitation Services

Respite Care

Short-Term Rehab

24-Hour Staffing

Pets not allowed

Satellite Television

Concierge Services

Personalized Planning Of Care

On-Site Chaplain

Elder Vacations

Transportation To Community Events

Community Involvement

Small Neighborhoods

Touring HoursMonday-Friday: 9:00 AM - 9:00 PM, Saturday & Sunday: 10:00 AM - 6:30 PM

Since 2018 · 8 years of data 7 deficiencies 3 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, 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.

Since 2018 vs. Kentucky state average

Overall vs. KY average

Latest Inspection May 11, 2024 Routine

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	KY Average	vs. KY Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	7	6	This facility has 17% more total deficiencies than a typical Kentucky assisted living residence (7 vs. KY avg 6).↑ 17% worse
Deficiencies per year Average deficiencies per year since 2018.	0.9	0.8	This facility has 13% more deficiencies per year than a typical Kentucky assisted living residence (0.9 vs. KY avg 0.8).↑ 13% worse
Deficiencies per inspection Average deficiencies per inspection.	2.3	1.5	This facility has 53% more deficiencies per inspection than a typical Kentucky assisted living residence (2.3 vs. KY avg 1.5).↑ 53% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	KY Average	vs. KY Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	3	4	This facility has had 25% fewer total inspections than the Kentucky average (3 vs. KY avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↓ 25% fewer

Show Inspection Reports

Inspections since 2018

Total health inspections 3

State average N/A

Last Health inspection on May 2024

Total health citations

State average N/A

Citations per inspection

2.33

State average N/A

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 8 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

6 moderate citations State average: N/A

1 minor citation State average: N/A

Citations history (last 8 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

Total staff 126

Employees 122

Contractors 4

Staff to resident ratio 1.45 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 39

Average shift 8.4 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 30,089

Nursing staff breakdown

8.4 hours

9.1 hours

8.7 hours

Contractor staffing

93 contractor hours this quarter

Occupational Therapy Assistant: 2 Registered Nurse: 1 Medical Director: 1

Staff by category


Certified Nursing Assistant	47	0	47	12,480	92	100%	8.7
Licensed Practical Nurse	15	0	15	6,276	92	100%	9.1
Registered Nurse	11	1	12	1,846	90	98%	8.4
Clinical Nurse Specialist	9	0	9	1,565	63	68%	8.1
RN Director of Nursing	6	0	6	1,518	66	72%	8.6
Medication Aide/Technician	5	0	5	1,063	67	73%	10
Dietitian	2	0	2	701	74	80%	8.8
Physical Therapy Aide	4	0	4	610	72	78%	7.2
Mental Health Service Worker	1	0	1	529	65	71%	8.1
Speech Language Pathologist	3	0	3	473	63	68%	7.5
Dental Services Staff	1	0	1	458	58	63%	7.9
Physical Therapy Assistant	2	0	2	450	59	64%	7.4
Respiratory Therapy Technician	5	0	5	448	66	72%	6.3
Nurse Practitioner	1	0	1	440	55	60%	8
Administrator	1	0	1	416	52	57%	8
Qualified Social Worker	3	0	3	368	64	70%	5.4
Other Dietary Services Staff	6	0	6	363	58	63%	5.5
Occupational Therapy Assistant	0	2	2	53	12	13%	4.4
Medical Director	0	1	1	36	24	26%	1.5

47 Certified Nursing Assistant

% of Days 100%

15 Licensed Practical Nurse

% of Days 100%

12 Registered Nurse

% of Days 98%

9 Clinical Nurse Specialist

% of Days 68%

6 RN Director of Nursing

% of Days 72%

5 Medication Aide/Technician

% of Days 73%

2 Dietitian

% of Days 80%

4 Physical Therapy Aide

% of Days 78%

1 Mental Health Service Worker

% of Days 71%

3 Speech Language Pathologist

% of Days 68%

1 Dental Services Staff

% of Days 63%

2 Physical Therapy Assistant

% of Days 64%

5 Respiratory Therapy Technician

% of Days 72%

1 Nurse Practitioner

% of Days 60%

1 Administrator

% of Days 57%

3 Qualified Social Worker

% of Days 70%

6 Other Dietary Services Staff

% of Days 63%

2 Occupational Therapy Assistant

% of Days 13%

1 Medical Director

% of Days 26%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 7.6

28% better than State average

State average: 10.5

Functional decline score 12.6

33% better than State average

State average: 18.9

Long-stay resident measures

Above average State avg: 3.5

Need for Help with Daily Activities Increased 12.2%

28% better than State average

State average: 16.8%

Walking Ability Worsened 9.2%

53% better than State average

State average: 19.6%

Low Risk Residents with Bowel/Bladder Incontinence 16.5%

20% better than State average

State average: 20.5%

Falls with Major Injury 3.4%

11% better than State average

State average: 3.8%

High Risk Residents with Pressure Ulcers 9.2%

60% worse than State average

State average: 5.8%

Urinary Tract Infection 0.8%

59% better than State average

State average: 1.9%

Lost Too Much Weight 3.9%

42% better than State average

State average: 6.8%

Depressive Symptoms 12.8%

11% better than State average

State average: 14.3%

Antipsychotic Use 19.5%

25% worse than State average

State average: 15.6%

Pneumococcal Vaccine 96.3%

In line with State average

State average: 93.9%

Influenza Vaccine 98.6%

In line with State average

State average: 96.2%

Hospitalizations per 1,000 days 2.51

34% worse than State average

State average: 1.87

ED visits per 1,000 days 1.71

22% better than State average

State average: 2.19

Short-stay resident measures

Above average State avg: 2.2

Pneumococcal Vaccine 72.3%

14% worse than State average

State average: 83.7%

Antipsychotic medication increase 1.3%

33% better than State average

State average: 1.9%

Influenza Vaccine 72.1%

14% worse than State average

State average: 83.6%

Re-hospitalized after SNF stay 23.5%

In line with State average

State average: 24.5%

Emergency department visits 7.1%

49% better than State average

State average: 13.9%

Falls with major injury 1.2%

56% worse than State average

State average: 0.8%

Ability to care for self at discharge 44.1%

18% worse than State average

State average: 53.7%

Successful return to home or community 42.7%

16% worse than State average

State average: 50.6%

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

Total residents 87

Medicare

21.8% of residents

Medicaid

72.4% of residents

Private pay or other

5.7% 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.

Financial Trends

Historical financial and operational data for Signature Healthcare of Monroe County Rehab and Well from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 74.4% ↓ 2.1pp vs 2022

Net Patient Income -$947.3K ↑ ~$923.9K vs 2022

Payroll Costs $3.8M ↓ ~$84.4K vs 2022

Operating Margin -11.0% ↑ 13.1pp vs 2022

Metric	2011	2012	2013	2014	2017	2018	2019	2020	2021	2022	2023
Occupancy %	88.2%	93.7%	94.4%	93.7%	86.7%	90.2%	92.8%	90.9%	79.9%	76.5%	74.4%
Beds	108	108	108	108	104	104	104	104	104	104	104
Net Income	$358,892	$314,197	$470,056	$126,975	-$153,455	$845,655	-$28,525	-$6,344	$17,855	-$1,162,168	-$935,163
Gross Revenue	$7,943,608	$8,221,506	$8,227,786	$8,477,131	$11,305,295	$12,285,585	$11,848,686	$11,142,939	$10,344,250	$10,204,165	$10,373,960
Operating Expenses	$7,067,899	$6,886,761	$6,811,234	$7,191,380	$8,646,513	$8,870,732	$9,041,666	$9,563,208	$9,211,175	$9,651,135	$9,556,610
Net Patient Income	$346,966	$296,437	$459,121	$117,794	-$155,231	$181,436	-$28,765	-$325,941	-$987,830	-$1,871,184	-$947,322
Net Patient Revenue	$7,414,865	$7,183,198	$7,270,355	$7,309,174	$8,491,282	$9,052,168	$9,012,901	$9,237,267	$8,223,345	$7,779,951	$8,609,288
Payroll Costs	$3,713,911	$3,646,338	$3,646,038	$3,806,065	$3,347,899	$3,628,195	$3,916,461	$3,940,555	$3,953,361	$3,864,049	$3,779,625
Operating Margin %	4.7%	4.1%	6.3%	1.6%	-1.8%	2.0%	-0.3%	-3.5%	-12.0%	-24.1%	-11.0%
Medicare %	12.8%	11.7%	10.0%	11.7%	16.1%	15.9%	13.0%	16.9%	14.3%	13.0%	10.9%
Medicaid %	75.9%	74.7%	77.9%	76.6%	74.3%	68.9%	75.2%	74.3%	76.3%	77.3%	76.7%
Private %	11.3%	13.5%	12.1%	11.7%	9.6%	15.2%	11.8%	8.9%	9.4%	9.7%	12.4%
Net Patient Revenue/Day	$202	$194	$195	$198	$257	$264	$256	$267	$271	$268	$305
Cost/Day	$193	$186	$183	$195	$261	$259	$257	$276	$304	$332	$338
Avg Length of Stay	162.5 days	136.6 days	151.8 days	135.9 days	197.1 days	179.2 days	167.7 days	189.1 days	166.6 days	123.1 days	92.6 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$8.6M

Net patient income

-$947.3K

For-profit Operated by a single business entity.

Net patient revenue

$8.6M

Net patient income

-$947.3K

Other income

$12.2K

Payroll costs

$3.8M 43.9% of net patient revenue

Other operating costs

$5.8M

Total costs

$9.6M

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.

New residents most often arrive under private pay (37% of admissions), and a typical private pay stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 31%

Private pay 37%

Medicaid 32%

Coverage residents most often leave under.

Medicare 19%

Private pay 26%

Medicaid 55%

0.0 miles from city center Estimated distance in miles from Tompkinsville's city center to Signature Healthcare of Monroe County Rehab and Well's address, calculated via Google Maps.

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


Westport Place Health Campus	NH AL RC SNF	Louisville	-	22	-	47	Studio
Hermitage Care & Rehabilitation Center	NH SNF	Owensboro	-	92	A+	49	-
Twin Rivers Nursing And Rehab Center	NH HOS PC RC SNF	Owensboro	-	132	-	52	Private Rooms / Semi-Private Rooms
Hopkins Center	NH SNF	Woodburn	-	50	-	7	Private Rooms / Semi-Private Rooms
Signature Healthcare of Monroe County Rehab and Well	NH HOS PC RC SNF	Tompkinsville	-	104	-	53	-

Nursing Home Explorer

Who is the owner of Signature Healthcare of Monroe County Rehab and Well?

Signature Healthcare of Monroe County Rehab and Well is legally operated by LP Tompkinsville, LLC, and administered by Candi Spears.

Is Signature Healthcare of Monroe County Rehab and Well in a walkable area?

Signature Healthcare of Monroe County Rehab and Well has a walk score of 53. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Signature Healthcare of Monroe County Rehab and Well?

According to KY state health department records, Signature Healthcare of Monroe County Rehab and Well's license number is 100337.

What is the occupancy rate at Signature Healthcare of Monroe County Rehab and Well?

Signature Healthcare of Monroe County Rehab and Well's occupancy is 68%.

Are pets allowed at Signature Healthcare of Monroe County Rehab and Well?

No, Signature Healthcare of Monroe County Rehab and Well has a no-pet policy.

Does Signature Healthcare of Monroe County Rehab and Well operate as a for-profit or non-profit?

Signature Healthcare of Monroe County Rehab and Well is registered as a for-profit in KY.

Who is the administrator of Signature Healthcare of Monroe County Rehab and Well?

Candi Spears is the administrator of Signature Healthcare of Monroe County Rehab and Well.

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Signature Healthcare of Monroe County Rehab and Well

Overview of Signature Healthcare of Monroe County Rehab and Well

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Additional Policies & Features

Amenities & Lifestyle

Contact Signature Healthcare of Monroe County Rehab and Well

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, 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 Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Health Inspection History

Inspections since 2018

Breakdown of citation severity (last 8 years)

Citations history (last 8 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

47 Certified Nursing Assistant

15 Licensed Practical Nurse

12 Registered Nurse

9 Clinical Nurse Specialist

6 RN Director of Nursing

5 Medication Aide/Technician

2 Dietitian

4 Physical Therapy Aide

1 Mental Health Service Worker

3 Speech Language Pathologist

1 Dental Services Staff

2 Physical Therapy Assistant

5 Respiratory Therapy Technician

1 Nurse Practitioner

1 Administrator

3 Qualified Social Worker

6 Other Dietary Services Staff

2 Occupational Therapy Assistant

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

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