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Open data · chain profile
SIGNATURE HEALTHCARE
As identified by CMS (chain id 474). 67 nursing homes in 5 states carry this chain id in release v2026.08; the CMS chain file lists 67. Ownership below is what each facility disclosed to CMS on Form CMS-855A.
- 67 facilities · 7,586 certified beds
- Avg overall rating 3.1 (national 3.0)
- CMS August 2026 vintage · release v2026.08
At a glance
Averages from the CMS chain file for this chain and for all certified nursing homes (the file's national row). Descriptive only: they do not control for case mix, size or region.
- Overall rating, average3.1national 3.0
- Health inspection rating2.9national 2.8
- Staffing rating2.8national 2.9
- Nurse hours per resident day3.70national 3.90
- RN hours per resident day0.80national 0.70
- Nurse turnover45.6%national 45.8%
- Fines per facility, average$16,877national $31,081
- Facilities with any penalty29.9%20 of 67 in the release
- Special Focus Facilities0 + 0 candidatesnational 84 + 441
- Abuse icons3 (4.5%)national 9.7%
- For-profit share97.0%national 73.9%
- Meets all rescinded staffing floors3.0%reported hours vs the repealed 2024 minimums
Overall ratings of the 67 facilities
Care Compare overall star ratings of the facilities carrying this chain id in the release; 67 are rated.
Ownership as disclosed to CMS
From the PECOS SNF All Owners file for each facility's current enrollment: 67 of the 67 facilities matched a PECOS enrollment. An owner holds an ownership or control role (direct or indirect ownership interest, partnership interest, or operational/managerial control); a party is any other disclosable party, most often the landlord or a lender. A facility that discloses neither has not reported one; that is not a finding that it has none.
- Disclose a private-equity owner00.0% of facilities
- Private equity among other parties only00 in any role
- Disclose a REIT owner11.5% of facilities
- REIT among other parties only34 in any role
REIT owners named
REITs among other parties
Changes of ownership
0 of the 67 facilities have a PECOS change of ownership in the 36 months before the vintage, and Care Compare flags 0 as changed in the last 12 months. The table counts the PECOS Change of Ownership records of these facilities by effective year; 2019 is partial.
| Effective year | Changes of ownership |
|---|---|
| 2019 | 1 |
By state
| State | Facilities | Avg overall rating | SFF + candidates | Abuse icons | Fines, total | Disclose PE owner | Disclose REIT any role | Changed hands 36 mo |
|---|---|---|---|---|---|---|---|---|
| KY | 38 | 3.1 | 0 | 0 | $595,282 | 0 | 0 | 0 |
| TN | 21 | 3.4 | 0 | 2 | $452,120 | 0 | 0 | 0 |
| IN | 4 | 2.0 | 0 | 1 | $74,225 | 0 | 5 | 0 |
| NC | 3 | 2.7 | 0 | 0 | $9,110 | 0 | 0 | 0 |
| VA | 1 | 3.0 | 0 | 0 | $0 | 0 | 0 | 0 |
Facilities
Every facility in release v2026.08 carrying chain id 474, with its Care Compare ratings and flags, the penalties CMS lists over the three-year lookback, and its PECOS disclosures. Names link to the facility's page on this site where one exists.
| Facility | City | State | Beds | Overall | Staffing | Flags | Fines | Denials | Disclosed to CMS | Changed hands |
|---|---|---|---|---|---|---|---|---|---|---|
| SIGNATURE HEALTHCARE OF BREMEN CCN 155474 · Government | BREMEN | IN | 73 | 1 | 3 | — | — | REIT party | — | |
| SIGNATURE HEALTHCARE AT PARKWOOD CCN 155378 · For profit | LEBANON | IN | 106 | 5 | 2 | $8,018 (1) | 1 | REIT party | — | |
| SIGNATURE HEALTHCARE OF MUNCIE CCN 155242 · For profit | MUNCIE | IN | 140 | 1 | 1 | Abuse icon | — | — | REIT party | — |
| SIGNATURE HEALTHCARE OF TERRE HAUTE CCN 155426 · For profit | TERRE HAUTE | IN | 176 | 1 | 2 | $66,207 (2) | 1 | REIT owner | — | |
| Clinton County Care and Rehabilitation Center CCN 185315 · For profit | Albany | KY | 52 | 4 | 3 | — | — | None | — | |
| Signature Healthcare at Jackson Manor Rehab and We CCN 185249 · For profit | Annville | KY | 51 | 3 | 2 | — | — | None | — | |
| Signature Healthcare at Colonial Rehab & Wellness CCN 185342 · For profit | Bardstown | KY | 65 | 1 | 4 | $67,987 (1) | — | None | — | |
| Lee County Care & Rehabilitation Center CCN 185337 · For profit | Beattyville | KY | 109 | 3 | 3 | — | — | None | — | |
| Signature Healthcare of Bowling Green CCN 185089 · For profit | Bowling Green | KY | 176 | 4 | 2 | — | — | None | — | |
| Rockcastle Health & Rehabilitation Center CCN 185246 · For profit | Brodhead | KY | 104 | 2 | 2 | $15,646 (1) | — | None | — | |
| Riverside Care & Rehabilitation Center CCN 185209 · For profit | Calhoun | KY | 79 | 5 | 4 | — | — | None | — | |
| Oakview Nursing & Rehabilitation Center CCN 185195 · For profit | Calvert City | KY | 100 | 2 | 2 | $15,646 (2) | — | None | — | |
| Signature Healthcare of Carrollton Rehab & Wellnes CCN 185205 · For profit | Carrollton | KY | 78 | 4 | 2 | — | — | None | — | |
| Signature Healthcare at Summit Manor Rehab & Welln CCN 185052 · For profit | Columbia | KY | 104 | 4 | 3 | — | — | None | — | |
| Danville Centre for Health & Rehabilitation CCN 185127 · For profit | Danville | KY | 106 | 1 | 3 | $12,444 (2) | — | None | — | |
| Signature Healthcare of Elizabethtown CCN 185118 · For profit | Elizabethtown | KY | 124 | 2 | 3 | — | — | None | — | |
| Signature Healthcare of Georgetown CCN 185141 · For profit | Georgetown | KY | 65 | 2 | 3 | — | — | None | — | |
| Signature Healthcare of Glasgow Rehab & Wellness C CCN 185340 · For profit | Glasgow | KY | 68 | 4 | 3 | — | — | None | — | |
| Harrodsburg Health & Rehabilitation Center CCN 185287 · For profit | Harrodsburg | KY | 112 | 3 | 2 | $6,682 (1) | — | None | — | |
| Signature Healthcare of Hartford Rehab & Wellness CCN 185275 · For profit | Hartford | KY | 110 | 4 | 3 | — | — | None | — | |
| Sunrise Manor Nursing Home CCN 185057 · For profit | Hodgenville | KY | 137 | 1 | 3 | — | — | None | — | |
| Signature Healthcare of Hart County Rehab & Wellne CCN 185381 · For profit | Horse Cave | KY | 104 | 5 | 2 | — | — | None | — | |
| Signature Healthcare at Heritage Hall Rehab & Well CCN 185277 · For profit | Lawrenceburg | KY | 94 | 1 | 4 | $185,227 (1) | 1 | None | — | |
| Bluegrass Care & Rehabilitation Center CCN 185446 · For profit | Lexington | KY | 124 | 4 | 3 | — | — | None | — | |
| Mayfair Manor CCN 185069 · For profit | Lexington | KY | 98 | 1 | 3 | $33,602 (3) | — | None | — | |
| Liberty Care & Rehabilitation Center CCN 185408 · For profit | Liberty | KY | 97 | 1 | 3 | $65,196 (3) | 1 | None | — | |
| Signature Healthcare at Jefferson Manor Rehab & We CCN 185169 · For profit | Louisville | KY | 100 | 5 | 4 | — | — | None | — | |
| Signature Healthcare at Jefferson Place Rehab & We CCN 185349 · For profit | Louisville | KY | 96 | 4 | 4 | — | — | None | — | |
| Signature Healthcare at Rockford Rehab & Wellness CCN 185311 · For profit | Louisville | KY | 110 | 5 | 2 | — | — | None | — | |
| Signature Healthcare at Summerfield Rehab & Wellne CCN 185300 · For profit | Louisville | KY | 165 | 2 | 3 | $182,488 (2) | — | None | — | |
| Signature Healthcare of East Louisville CCN 185350 · For profit | Louisville | KY | 128 | 2 | 3 | $10,364 (2) | — | None | — | |
| Signature Healthcare of South Louisville CCN 185335 · For profit | Louisville | KY | 100 | 4 | 4 | — | — | None | — | |
| Morgantown Care & Rehabilitation Center CCN 185006 · For profit | Morgantown | KY | 122 | 3 | 4 | — | — | None | — | |
| Hermitage Care and Rehabilitation Center CCN 185346 · For profit | Owensboro | KY | 92 | 5 | 4 | — | — | None | — | |
| Signature Healthcare at Hillcrest CCN 185120 · For profit | Owensboro | KY | 156 | 3 | 4 | — | — | None | — | |
| Signature Healthcare of McCreary County Rehab and CCN 185211 · For profit | Pine Knot | KY | 60 | 2 | 4 | — | — | None | — | |
| Prestonsburg Health Care Center CCN 185304 · For profit | Prestonsburg | KY | 56 | 5 | 4 | — | — | None | — | |
| Riverview Health Care Center CCN 185151 · For profit | Prestonsburg | KY | 121 | 5 | 3 | — | — | None | — | |
| Signature Healthcare at North Hardin Rehab & Welln CCN 185180 · For profit | Radcliff | KY | 136 | 2 | 4 | — | — | None | — | |
| Signature Healthcare of Spencer County CCN 185327 · For profit | Taylorsville | KY | 120 | 2 | 4 | — | — | None | — | |
| Signature Healthcare of Monroe County Rehab and We CCN 185168 · For profit | Tompkinsville | KY | 104 | 5 | 4 | — | — | None | — | |
| Fountain Circle Care & Rehabilitation Center CCN 185146 · For profit | Winchester | KY | 147 | 2 | 3 | — | — | None | — | |
| Signature Healthcare of Chapel Hill CCN 345225 · For profit | Chapel Hill | NC | 108 | 3 | 3 | — | — | None | — | |
| Signature Healthcare of Kinston CCN 345365 · For profit | Kinston | NC | 106 | 3 | 2 | — | — | None | — | |
| Signature Healthcare of Roanoke Rapids CCN 345336 · For profit | Roanoke Rapids | NC | 108 | 2 | 1 | $9,110 (1) | — | None | — | |
| PICKETT CARE AND REHABILITATION CENTER CCN 445390 · For profit | BYRDSTOWN | TN | 69 | 3 | 4 | — | — | None | — | |
| SIGNATURE HEALTHCARE OF CLARKSVILLE CCN 445448 · For profit | CLARKSVILLE | TN | 120 | 2 | 2 | $63,105 (1) | — | None | — | |
| SIGNATURE HEALTHCARE OF CLEVELAND CCN 445369 · For profit | CLEVELAND | TN | 100 | 3 | 2 | — | — | None | — | |
| SIGNATURE HEALTHCARE OF PUTNAM COUNTY CCN 445136 · For profit | COOKEVILLE | TN | 175 | 1 | 2 | — | — | None | — | |
| SIGNATURE HEALTHCARE OF ELIZABETHTON REHAB & WELLN CCN 445217 · For profit | ELIZABETHTON | TN | 94 | 5 | 3 | — | — | None | — | |
| SIGNATURE HEALTHCARE OF ERIN CCN 445377 · For profit | ERIN | TN | 164 | 1 | 2 | $147,898 (1) | — | None | — | |
| SIGNATURE HEALTHCARE OF GREENEVILLE CCN 445351 · For profit | GREENEVILLE | TN | 154 | 4 | 2 | $9,419 (1) | — | None | — | |
| SIGNATURE HEALTHCARE OF FENTRESS COUNTY CCN 445362 · For profit | JAMESTOWN | TN | 140 | 2 | 2 | — | — | None | — | |
| PRINCETON TRANSITIONAL CARE & ASSISTED LIVING CCN 445356 · For profit | JOHNSON CITY | TN | 47 | 5 | 4 | — | — | None | last 1 March 2019 | |
| SIGNATURE HEALTHCARE OF MEMPHIS CCN 445241 · For profit | MEMPHIS | TN | 140 | 5 | 2 | — | — | None | — | |
| SIGNATURE HEALTHCARE OF PRIMACY CCN 445140 · For profit | MEMPHIS | TN | 120 | 5 | 2 | — | — | None | — | |
| SIGNATURE HEALTHCARE OF MONTEAGLE REHAB & WELLNESS CCN 445393 · For profit | MONTEAGLE | TN | 150 | 3 | 2 | $31,902 (1) | — | None | — | |
| STANDING STONE CARE AND REHAB CCN 445363 · For profit | MONTEREY | TN | 115 | 5 | 2 | — | — | None | — | |
| MOUNTAIN CITY CARE & REHABILITATION CENTER CCN 445214 · For profit | MOUNTAIN CITY | TN | 120 | 5 | 3 | — | — | None | — | |
| SIGNATURE HEALTH OF PORTLAND REHAB & WELLNESS CENT CCN 445306 · For profit | PORTLAND | TN | 112 | 1 | 2 | $171,234 (5) | 1 | None | — | |
| SIGNATURE HEALTHCARE OF RIDGELY REHAB&WELLNESS CTR CCN 445327 · For profit | RIDGELY | TN | 100 | 3 | 3 | — | — | None | — | |
| SIGNATURE HEALTHCARE OF ROCKWOOD REHAB & WELLNESS CCN 445143 · For profit | ROCKWOOD | TN | 157 | 5 | 3 | — | — | None | — | |
| SIGNATURE HEALTHCARE OF ROGERSVILLE CCN 445359 · For profit | ROGERSVILLE | TN | 150 | 5 | 3 | — | — | None | — | |
| SIGNATURE HEALTHCARE OF SOUTH PITTSBURG REHAB & WE CCN 445343 · For profit | SOUTH PITTSBURG | TN | 165 | 3 | 3 | Abuse icon | $20,050 (2) | — | None | — |
| SPRING CITY CARE AND REHABILITATION CENTER CCN 445209 · For profit | SPRING CITY | TN | 138 | 3 | 2 | Abuse icon | $8,512 (1) | — | None | — |
| WESTMORELAND CARE & REHAB CTR CCN 445342 · For profit | WESTMORELAND | TN | 100 | 3 | 1 | — | — | None | — | |
| SIGNATURE HEALTHCARE OF NORFOLK CCN 495068 · For profit | NORFOLK | VA | 169 | 3 | 3 | — | — | None | — |
Sources and method
Chain identity, facility count and the averages under At a glance come from the CMS Nursing Home Chain Performance Measures file. Every facility-level value is a column of release v2026.08 (CMS August 2026 vintage), which records the exact CMS files and their checksums, archived at Zenodo. Section 11 of the methodology describes how the disclosure flags, the owner-versus-party split and the change-of-ownership counts are built; the tables behind this page are committed in the public repository.
Cite as: The Care Ratings Open Nursing Home Data, release v2026.08, chain profile "SIGNATURE HEALTHCARE" (CMS chain id 474), https://thecareratings.com/data/chains/474-signature-healthcare/. Prepared by the Care Ratings Team under the editorial standards; corrections go to the contact page.
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