Signature Healthcare of Hart County Rehab & Wellne – Horse Cave, KY

CMS Verified | 2026-03-01

Signature Healthcare Of Hart County Rehab & Wellne

1505 South Dixie Street, Horse Cave, KY 42749
(270) 786-2200
104 beds
All Horse Cave facilities
4.0*
Overall
4.0*
Health Inspection
3.0*
Quality Care
2.0*
Staffing
71.85
Score /100
#7414
National Rank

#7414
of 14703 facilities
National
49.6% position
#121
of 268 in KY
State Rank
#1
of 1 in Hart
County Rank
#1
of 1 in Horse Cave
City Rank
#1
of 1 in ZIP 42749
ZIP Rank






About Signature Healthcare Of Hart County Rehab & WellneSignature Healthcare Of Hart County Rehab & Wellne is located at 1505 South Dixie Street, Horse Cave, KY, reachable at (270) 786-2200. This For profit – Limited Liability company facility operates 104.0 certified beds and serves an average of 95 residents per day. It is part of the Signature Healthcare network (71 facilities nationwide). Medicare and Medicaid services have been provided since 1993-07-16. The facility currently holds a above average (4-star) overall rating from the Centers for Medicare & Medicaid Services (CMS).
Facility

Signature Healthcare Of Hart County Rehab & Wellne

Address

1505 South Dixie Street, Horse Cave, KY 42749

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 104 Certified Beds
  • Ownership: For profit – Limited Liability company
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: SIGNATURE HEALTHCARE

Quick Verdict

Overall Quality
✅ Above Average (4★) overall rating
Health Inspection
✅ Above Average (4★) health inspection
Staffing
⚠️ Below Average (2★) staffing rating
Quality of Care
⚠️ Average (3★) quality of care
Compliance
✅ Zero fines across all 5 years
5-Year Trend
Improving over 5 years
71.85
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#7414 of 14703 nationally – #121 of 268 in Kentucky

Who Is This Facility Best For?

Signature Healthcare Of Hart County Rehab & Wellne is a strong choice for families in the Horse Cave, KY area seeking a well-inspected, high-quality care environment. It is particularly well-suited for long-term residents based on its Quality Measure scores. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 2 out of 5. Its clean five-year compliance record adds confidence for families making this important decision.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

4 / 5
Health Inspection

4 / 5
Staffing Rating

2 / 5
Quality Measures (QM)

3 / 5
Long-Stay QM Rating

4 / 5
Short-Stay QM Rating

3 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightSignature Healthcare Of Hart County Rehab & Wellne currently provides 3 hours 40 minutes of total nurse staffing per resident per day, including 43 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover stands at 47.4% — above the national average of ~35%.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 40 minutes
Nurse Aide Hours2 hours 16 minutes
Licensed Practical Nurse (LPN) Hours41 minutes
Registered Nurse (RN) Hours43 minutes
Physical Therapist Hours3 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours 6 minutes
Weekend Registered Nurse (RN) Hours21 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummarySignature Healthcare Of Hart County Rehab & Wellne has received zero fines across all five years of available data (2022–2026), reflecting a strong regulatory compliance record. No substantiated complaints have been recorded in the available data.
Number of Fines (current period) 0
Total Fines Amount $0.0
Payment Denials 0
Total Penalties 0
Abuse Flag on Record N
Total Weighted Health Survey Score 15.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#7,414
of 14,703
National
Bottom 50%
#121
of 268
KY State
Top 45% in KY
#1
of 1
️ Hart County
Best in county
#1
of 1
️ Horse Cave
Best in city
#1
of 1
ZIP 42749
Best in ZIP

Nationally, Signature Healthcare Of Hart County Rehab & Wellne ranks 7414th out of 14,703 facilities (composite score: 71.8/100), placing it in the below average nationwide. Within KY, it ranks 121st out of 268 nursing homes. For 2026 staffing: total nurse hours rank #7,489 nationally and RN hours rank #4,690 nationally (#101 in KY).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank KY State Rank Note
2022 3.49 #7,933 / 14,703 #144 / 268 Below average
2023 3.56 #7,331 / 14,703 #145 / 268 Above average
2024 3.51 #8,115 / 14,703 #170 / 268 Below average
2025 3.53 #8,524 / 14,703 #172 / 268 Below average
2026 3.67 #7,489 / 14,703 #148 / 268 Below average

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank KY State Rank Note
2022 0.64 #6,152 / 14,703 #120 / 268 Above average
2023 0.70 #4,572 / 14,703 #88 / 268 Above average
2024 0.65 #5,360 / 14,703 #112 / 268 Above average
2025 0.55 #7,346 / 14,703 #162 / 268 Above average
2026 0.72 #4,690 / 14,703 #101 / 268 Above average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Signature Healthcare Of Hart County Rehab & Wellne is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1993-07-16. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (270) 786-2200 or your local Medicaid office to verify current eligibility.

Signature Healthcare Of Hart County Rehab & Wellne holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (4★), Staffing (2★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 71.8/100, placing it #7414 of 14703 facilities nationally and #121 of 268 in Kentucky. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Signature Healthcare Of Hart County Rehab & Wellne receives a reported average of 3 hours 40 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 43 minutes; Licensed Practical Nurse (LPN) — 41 minutes; Nurse Aide — 2 hours 16 minutes. On weekends, total nurse staffing is 3 hours 6 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 47.4%. Families are encouraged to ask about current staffing schedules during their facility visit.

Signature Healthcare Of Hart County Rehab & Wellne has received zero fines across all five years of available data (2022–2026), reflecting a strong regulatory compliance record. No substantiated complaints have been recorded in the available data. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 15.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Signature Healthcare Of Hart County Rehab & Wellne ranks 7414th out of 14,703 facilities (composite score: 71.8/100), placing it in the below average nationwide. Within KY, it ranks 121st out of 268 nursing homes. For 2026 staffing: total nurse hours rank #7,489 nationally and RN hours rank #4,690 nationally (#101 in KY). Our composite quality score of 71.8/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Horse Cave, visit: https://nursinghomesnearme.org/kentucky/horse-cave/

Contact and Location

ADR
Address

1505 South Dixie Street, Horse Cave, KY 42749
Get directions on Google Maps

TEL
LLC
Legal Name

LP HORSE CAVE LLC

MAP
Browse by Location

All Kentucky ·
Hart County ·
Horse Cave ·
ZIP 42749

Facility Details

Number of Certified Beds 104
Average Residents / Day 95 (92% occupancy)
Ownership Type For profit – Limited Liability company
Provider Type Medicare and Medicaid
County Hart County, KY
City Horse Cave, KY
ZIP Code 42749
Approved Since July 16, 1993
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 185381
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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