Nursing HomeInspections

Signature Healthcare of Hart County Rehab & Wellne

Nursing home in Horse Cave, KY

Medicare & Medicaid certified5★ overall (CMS)

Call (270) 786-2200Send a messageMap ↗

Public-record details

Address
1505 South Dixie Street, Horse Cave, KY 42749
Phone
(270) 786-2200
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
185381
Overall star rating
5 of 5 ★★★★★
Health inspection rating
4 of 5
Staffing rating
2 of 5
Quality measures rating
5 of 5
Certified beds
104
Average residents per day
95
Ownership
For-profit, corporation
Legal business name
LP Horse Cave LLC
Chain
Signature Healthcare (67 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 16, 1993
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 185381. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 13, 2026. CMS lists 5 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 2, 2019 to Nov 1, 2024): 0 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Nov 1, 2024Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Freedom from Abuse, Neglect, and Exploitation		E
Potential for more than minimal harm, pattern
Nov 1, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Aug 2, 2019Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 2, 2019Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Aug 2, 2019Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.80 hours
Registered nurse (RN) time per resident per day
1.00 hours
Nurse aide time per resident per day
2.23 hours
Total nurse staffing on weekends
3.15 hours
Nursing staff turnover (yearly)
49%
RN turnover (yearly)
33%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.