Nursing home
Signature Healthcare of Hart County Rehab & Wellness
1505 South Dixie Street, Horse Cave, KY 42749 · Map
For profit - Limited Liability company · Part of Signature Healthcare (71 facilities) · 104 certified beds
Signature Healthcare of Hart County Rehab & Wellness is a Medicare-certified nursing home in Horse Cave, Kentucky. CMS rates it 4 out of 5 stars overall (2/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.67 hours per resident per day, below the Kentucky average of 4.01. Its most recent inspection on Nov 1, 2024 cited 2 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Signature Healthcare of Hart County Rehab & Wellness compares
This facility vs. the Kentucky and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Kentucky avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.67 | 4.01 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.72 | 0.77 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.26 | 2.43 | 2.34 | below avg |
| Nursing staff turnover | 47.4% | 46.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 2.0 | 3.4 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Signature Healthcare of Hart County Rehab & Wellness
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Nov 1, 2024 · Full report (PDF) - Potential for harm
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Nov 1, 2024 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Aug 2, 2019 - Potential for harm
Develop 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 Deficiencies · Aug 2, 2019 - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Aug 2, 2019
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1505 South Dixie Street
Horse Cave, KY 42749 - CMS certification #
- 185381
- Ownership
- For profit - Limited Liability company
- Certified beds
- 104
- Avg residents/day
- 95.4
- Provider type
- Medicare and Medicaid
- First certified
- 1993-07-16
- Chain
- Signature Healthcare (71 facilities)
- Setting
- Rural
Part of Signature Healthcare
Signature Healthcare operates 71 nursing facilities across the United States. View all Signature Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Signature Healthcare of Hart County Rehab & Wellness using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2022, no violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Jan 31, 2022: referral inspection, partial (safety). Case closed May 20, 2022. No violations cited. OSHA record. OSHA recorded the employer as 64632 - Signature Healthcare LLC. Matched by street address; the name OSHA recorded differs from the community's.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Caverna Memorial Hospital, Horse Cave. 0.0 miles away, straight line.
- Nearest Medicare nursing home
- NHC Healthcare, Glasgow, Glasgow. 10.0 miles away, straight line.
- Nearest home health agency office
- T. J. Samson Comm Hosp Home Care Program, Glasgow. 10.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Cave City Prescription Center. 2.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 42749 as rural (rural area).
- Dialysis within 15 miles
- Fmc - Glasgow Kidney Center, Glasgow, 10.4 miles away, straight line (CMS rating 1 of 5 stars)
Davita Barren County Dialysis, Glasgow, 10.7 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 42749.
T J Samson Community Hospital Home Care Hospice, office in Glasgow, 10.3 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Owensboro Health Medical Group Inc, Leitchfield. 29.5 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding very high, wildfire very low, tornado very high, heat wave relatively moderate, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Signature Healthcare of Hart County Rehab & Wellness a good nursing home?
CMS gives Signature Healthcare of Hart County Rehab & Wellness an overall rating of 4 out of 5 stars, including 2/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Signature Healthcare of Hart County Rehab & Wellness staffed?
Signature Healthcare of Hart County Rehab & Wellness reports 3.67 total nurse hours per resident per day, compared with the Kentucky average of 4.01.
Has Signature Healthcare of Hart County Rehab & Wellness had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does Signature Healthcare of Hart County Rehab & Wellness have?
Signature Healthcare of Hart County Rehab & Wellness is certified for 104 beds.