All states › Kentucky › Horse Cave › Signature Healthcare of Hart County Rehab & Wellness
1505 South Dixie Street Horse Cave, KY 42749 · Hart County
CMS certification number 185381 · See this home on Medicare Care Compare
Is Signature Healthcare of Hart County Rehab & Wellness a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Signature Healthcare of Hart County Rehab & Wellness as of October 2026.
CMS rates it 5 out of 5 stars overall, above the Kentucky average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.83 hours per resident per day at Signature Healthcare of Hart County Rehab & Wellness, about the same as the Kentucky median of 3.75 (US median: 3.72). About 1.03 of those hours are from registered nurses. On weekends it falls to 3.19 hours, 17% below its all-week average. Ask how weekends are staffed. 42.7% of nursing staff left within a year (Kentucky median 44.3%).
About this nursing home
Paying for care at Signature Healthcare of Hart County Rehab & Wellness: Medicare and Medicaid
Signature Healthcare of Hart County Rehab & Wellness is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Kentucky's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on March 13, 2026 and found 0 deficiencies. In total, inspectors issued 5 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 5 citations at Signature Healthcare of Hart County Rehab & Wellness across 2 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 5 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were freedom from abuse, neglect, and exploitation (1) and nutrition and dietary (1). The most serious was cited under the CMS rule to "not hire anyone with a finding of abuse, neglect, exploitation, or theft" (tag F0606, level E, November 1, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.
November 1, 2024 · 2 citations
ENot hire anyone with a finding of abuse, neglect, exploitation, or theft.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
August 2, 2019 · 3 citations
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Questions to ask on a tour of Signature Healthcare of Hart County Rehab & Wellness
- CMS cited the home under its abuse and neglect rules on November 1, 2024. How are staff trained, and how are concerns reported?
- Weekend staffing is 17% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 5/5 | 4/5 | 3/5 | 5/5 |
| August 2026 | 5/5 | 4/5 | 2/5 | 5/5 |
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Location
Hospitals near Signature Healthcare of Hart County Rehab & Wellness
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 0.1 mi
-
10.3 mi
T J Samson Community Hospital GlasgowEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 14m for patients treated and sent home
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24.3 mi
Jane Todd Crawford Hospital GreensburgEmergency roomMedian ER visit 2h 14m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Signature Healthcare of Hart County Rehab & Wellness › All nursing homes in Horse Cave ›
Compare Signature Healthcare of Hart County Rehab & Wellness with the 3 closest homes side by side ›
Other Signature Healthcare nursing homes in Kentucky
- Prestonsburg Health Care Center · Prestonsburg · 5 stars
- Riverside Care & Rehabilitation Center · Calhoun · 5 stars
- Signature Healthcare of Monroe County Rehab and Wellness · Tompkinsville · 5 stars
- Hermitage Care and Rehabilitation Center · Owensboro · 5 stars
- Signature Healthcare at Jefferson Manor Rehab & Wellness · Louisville · 5 stars
- Signature Healthcare at Rockford Rehab & Wellness · Louisville · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 67 Signature Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.