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Signature Healthcare of Spencer County

All states › Kentucky › Taylorsville › Signature Healthcare of Spencer County

625 Taylorsville Road Taylorsville, KY 40071 · Spencer County

(502) 477-8838

Accepts Medicare Accepts Medicaid 120 certified beds For profit

CMS certification number 185327 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

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. Inspectors issued 17 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 1 out of 5; for long-term residents, 5 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

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%).

Nursing care per resident per day 3.81 hours
Above the Kentucky median of 3.75 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 1.16 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.09 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 48.9% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 33.3% a year Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds120
Residents per day 87 About 72% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceMarch 1992
Part of a chainSignature Healthcare
Legal business nameLP TAYLORSVILLE LLC

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.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Past Non-Compliance (Mar 30, 2026)

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.

Potential for more than minimal harm · Administration Deficiencies · Tag F0838 · Deficient, Provider has date of correction (Feb 21, 2026)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Feb 21, 2026)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Feb 21, 2026)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Feb 21, 2026)

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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Complaint inspection · Deficient, Provider has date of correction (Aug 28, 2024)

FProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Aug 30, 2024)

FHave enough backup water supply for essential areas of the nursing home.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0922 · Deficient, Provider has date of correction (Aug 28, 2024)

EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Aug 30, 2024)

EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0925 · Deficient, Provider has date of correction (Aug 28, 2024)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Complaint inspection · Deficient, Provider has date of correction (Aug 28, 2024)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Complaint inspection · Deficient, Provider has date of correction (Aug 28, 2024)

DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Complaint inspection · Deficient, Provider has date of correction (Aug 30, 2024)

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.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Deficient, Provider has date of correction (Jul 6, 2019)

DProvide doctor's orders for the resident's immediate care at the time the resident was admitted.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0635 · Deficient, Provider has date of correction (Jul 6, 2019)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jul 6, 2019)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jul 6, 2019)

Questions to ask on a tour of Signature Healthcare of Spencer County

  1. CMS cited the home under its abuse and neglect rules on April 10, 2026. How are staff trained, and how are concerns reported?
  2. Weekend staffing is 19% below the all-week average. Who is on duty on Saturday nights?
  3. 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?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. 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 monthOverallInspectionStaffingQuality
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.

  • 13.0 mi
    Jewish Hospital - Shelbyville Shelbyville
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 1h 57m for patients treated and sent home
  • 15.8 mi
    Flaget Memorial Hospital Bardstown
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 29m for patients treated and sent home
  • 19.9 mi
    Central State Hospital Louisville
    No ER listed in Medicare data

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Sanders Ridge Health Campus Mount Washington · 9.2 mi away ★★★★★ Inspection 4/5 · Staffing 4/5 56 beds · Medicaid
Green Meadows Health & Rehabilitation Mount Washington · 12.1 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 122 beds · Medicaid
Crestview Healthcare and Rehabilitation Shelbyville · 12.8 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 58 beds · Medicaid
Glen Ridge Health Campus Louisville · 13.8 mi away ★★★☆☆ Inspection 2/5 · Staffing 3/5 70 beds · Medicaid
Maple Grove Senior Living Shelbyville · 14.3 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 90 beds · Medicaid

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 ›

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Other Signature Healthcare nursing homes in Kentucky

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.

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https://www.nursinghomesineachstate.com/kentucky/taylorsville/signature-healthcare-of-spencer-county/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.