All states › Kentucky › Tompkinsville › Signature Healthcare of Monroe County Rehab and Wellness
706 North Magnolia Street Tompkinsville, KY 42167 · Monroe County
CMS certification number 185168 · See this home on Medicare Care Compare
Is Signature Healthcare of Monroe County Rehab and 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 Monroe County Rehab and 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 3.95 hours per resident per day at Signature Healthcare of Monroe County Rehab and Wellness, above the Kentucky median of 3.75 (US median: 3.72). About 0.60 of those hours are from registered nurses. On weekends it falls to 3.17 hours, 20% below its all-week average. Ask how weekends are staffed. 37% of nursing staff left within a year (Kentucky median 44.3%).
About this nursing home
Paying for care at Signature Healthcare of Monroe County Rehab and Wellness: Medicare and Medicaid
Signature Healthcare of Monroe County Rehab and 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 November 20, 2025 and found 0 deficiencies. In total, inspectors issued 2 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 2 citations at Signature Healthcare of Monroe County Rehab and Wellness across 2 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 2 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). Most citations were in infection control (1). The most serious was cited under the CMS rule to "provide safe and appropriate respiratory care for a resident when needed" (tag F0695, level D, May 11, 2024).
May 11, 2024 · 1 citation
DProvide safe and appropriate respiratory care for a resident when needed.
April 18, 2019 · 1 citation
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Signature Healthcare of Monroe County Rehab and Wellness
- Weekend staffing is 20% below the all-week average. Who is on duty on Saturday nights?
- CMS rates short-stay quality 2 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 | 5/5 | 5/5 | 4/5 | 2/5 |
| August 2026 | 5/5 | 5/5 | 4/5 | 2/5 |
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Location
Hospitals near Signature Healthcare of Monroe County Rehab and Wellness
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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0.7 mi
Monroe County Medical Center TompkinsvilleEmergency room ★☆☆☆☆ Medicare overall 1 of 5Median ER visit 2h 8m for patients treated and sent home
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18.5 mi
Cumberland County Hospital BurkesvilleEmergency roomMedian ER visit 1h 33m for patients treated and sent home
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22.8 mi
Macon County General Hospital LafayetteEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 1h 48m 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 Monroe County Rehab and Wellness › All nursing homes in Tompkinsville ›
Other Signature Healthcare nursing homes in Kentucky
- Prestonsburg Health Care Center · Prestonsburg · 5 stars
- Riverside Care & Rehabilitation Center · Calhoun · 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
- 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.