Nursing home · Top rated by CMS
Signature Healthcare of Monroe County Rehab and Wellness
706 North Magnolia Street, Tompkinsville, KY 42167 · Map
For profit - Corporation · Part of Signature Healthcare (71 facilities) · 104 certified beds
Signature Healthcare of Monroe County Rehab and Wellness is a Medicare-certified nursing home in Tompkinsville, Kentucky. CMS rates it 5 out of 5 stars overall (3/5 for staffing, 5/5 for health inspections). Nurse staffing is 3.86 hours per resident per day, below the Kentucky average of 4.01. Its most recent inspection on May 11, 2024 cited 1 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 Monroe County Rehab and 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) | 3.86 | 4.01 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.51 | 0.77 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.16 | 2.43 | 2.34 | below avg |
| Nursing staff turnover | 31.9% | 46.7% | 46.4% | below avg |
| Deficiencies cited, last inspection | 1.0 | 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.
- Every deficiency from the May 11, 2024 inspection was corrected by May 31, 2024
What inspectors found at Signature Healthcare of Monroe County Rehab and 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
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · May 11, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 18, 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
- 706 North Magnolia Street
Tompkinsville, KY 42167 - CMS certification #
- 185168
- Ownership
- For profit - Corporation
- Certified beds
- 104
- Avg residents/day
- 74.7
- Provider type
- Medicare and Medicaid
- First certified
- 1982-07-01
- 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 Monroe County Rehab and Wellness using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2020, 1 violation 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.
- Nov 19, 2020: fatality or catastrophe inspection, partial (health). Case closed Nov 18, 2025. 1 violation cited (1 other). Penalties: $1,950 proposed, $150 now. OSHA record. OSHA recorded the employer as 63283 - LP Tompkinsville LLC. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Other than serious: Injury and illness log forms (OSHA 300 and 301) (1904.29(b)(3)). Penalty $1,950 proposed, $150 now. To be fixed by May 17, 2021. Contested by the employer.
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
- Monroe County Medical Center, Tompkinsville. 0.6 miles away, straight line. CMS overall hospital rating: 1 of 5 stars.
- Nearest Medicare nursing home
- Red Boiling Springs TN Opco LLC, Red Boiling Springs. 14.7 miles away, straight line.
- Nearest home health agency office
- Lifeline Home Health, Tompkinsville. 0.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Pharmacy. 0.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 42167 as rural (rural area).
- Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 42167.
T J Samson Community Hospital Home Care Hospice, office in Glasgow, 24.4 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Pardeep Sharma, MD, Cookeville. 38.4 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 moderate. By hazard: hurricane relatively low, inland flooding relatively high, wildfire very low, tornado very high, heat wave relatively moderate, earthquake relatively low. 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 Monroe County Rehab and Wellness a good nursing home?
CMS gives Signature Healthcare of Monroe County Rehab and Wellness an overall rating of 5 out of 5 stars, including 3/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Signature Healthcare of Monroe County Rehab and Wellness staffed?
Signature Healthcare of Monroe County Rehab and Wellness reports 3.86 total nurse hours per resident per day, compared with the Kentucky average of 4.01.
Has Signature Healthcare of Monroe County Rehab and Wellness had inspection problems?
Its most recent CMS inspection cited 1 deficiencies.
How many beds does Signature Healthcare of Monroe County Rehab and Wellness have?
Signature Healthcare of Monroe County Rehab and Wellness is certified for 104 beds.