All states › Kentucky › Taylorsville › Signature Healthcare of Spencer County
625 Taylorsville Road Taylorsville, KY 40071 · Spencer County
CMS certification number 185327 · See this home on Medicare Care Compare
Is Signature Healthcare of Spencer County 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 Spencer County as of October 2026.
CMS rates it 2 out of 5 stars overall, below 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 3.81 hours per resident per day at Signature Healthcare of Spencer County, about the same as the Kentucky median of 3.75 (US median: 3.72). About 1.16 of those hours are from registered nurses. On weekends it falls to 3.09 hours, 19% below its all-week average. Ask how weekends are staffed. 48.9% of nursing staff left within a year (Kentucky median 44.3%).
About this nursing home
Paying for care at Signature Healthcare of Spencer County: Medicare and Medicaid
Signature Healthcare of Spencer County 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 January 23, 2026 and found 4 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 17 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 17 citations at Signature Healthcare of Spencer County across 4 inspection dates, 5 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 17 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were resident assessment and care planning (4) and infection control (3). The most serious was cited under the CMS rule to "conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies" (tag F0838, level F, January 23, 2026). 2 citations were under CMS's abuse, neglect and exploitation rules.
April 10, 2026 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
January 23, 2026 · 4 citations
FConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide and implement an infection prevention and control program.
August 2, 2024 · 8 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FProvide and implement an infection prevention and control program.
FHave enough backup water supply for essential areas of the nursing home.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
May 31, 2019 · 4 citations
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DProvide doctor's orders for the resident's immediate care at the time the resident was admitted.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Signature Healthcare of Spencer County
- CMS cited the home under its abuse and neglect rules on April 10, 2026. How are staff trained, and how are concerns reported?
- Weekend staffing is 19% below the all-week average. Who is on duty on Saturday nights?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- 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 | 2/5 | 2/5 | 4/5 | 4/5 |
| August 2026 | 2/5 | 2/5 | 4/5 | 4/5 |
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Location
Hospitals near Signature Healthcare of Spencer County
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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13.0 mi
Jewish Hospital - Shelbyville ShelbyvilleEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 1h 57m for patients treated and sent home
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15.8 mi
Flaget Memorial Hospital BardstownEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 29m for patients treated and sent home
- 19.9 mi
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 Spencer County › All nursing homes in Taylorsville ›
Compare Signature Healthcare of Spencer County with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Sanders Ridge Health Campus · Mount Washington · 5 stars · 9.2 mi
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 of Hart County Rehab & Wellness · Horse Cave · 5 stars
- Signature Healthcare at Jefferson Manor 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.