Signature Healthcare of Hart County Rehab & Wellne
1505 South Dixie Street, Horse Cave, KY 42749
Horse Cave, Kentucky · CMS verdict
On the federal five-star scale, Signature Healthcare of Hart County Rehab & Wellne carries a 4 of 5 CMS overall rating, above-average quality that runs above Kentucky's state average of 2.9.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Signature Healthcare of Hart County Rehab & Wellne in Horse Cave, Kentucky holds a CMS overall rating of 4 of 5 stars and a PlainElderCare Quality & Compliance Index of 57 of 100 (grade F). The 104-bed facility operates where a semi-private nursing-home room in Kentucky runs a median of $9,718 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 4 of 5 stars. How this is calculated.
How the 57 is built
Each segment is a dimension's weighted points toward the score, summing to 57.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) puts Signature Healthcare of Hart County Rehab & Wellne's overall quality rating at 4 out of 5 stars, a composite of three sub-ratings: health inspection (4/5), staffing (2/5), and quality measures (3/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Horse Cave, Kentucky, this facility operates 104 certified beds with an average daily census of roughly 95 residents - an occupancy rate of about 91%. The facility is classified under for profit - limited liability company ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. With occupancy around 91%, bed usage here sits in the range typical of a stabilized facility.
Same-ownership peers
Within Kentucky, Signature Healthcare of Hart County Rehab & Wellne is one of 115 for profit - limited liability company nursing homes CMS rates. Its 4-star overall rating sits above the for profit - limited liability company-segment average of 2.7 stars, ahead of roughly 69% of same-ownership peers in the state. Same-segment comparisons like this one strip out the business-model factor, leaving a cleaner read on facility-level performance than a raw state average would give.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (12 total). CMS has levied no enforcement penalties over the equivalent window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Signature Healthcare of Hart County Rehab & Wellne compares to Kentucky
CMS five-star sub-ratings (0–5) for this facility against the Kentucky facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Kentucky state average. Higher is better on all four CMS measures.
Where Signature Healthcare of Hart County Rehab & Wellne ranks in Kentucky
Among the 266 CMS-rated nursing homes in Kentucky, Signature Healthcare of Hart County Rehab & Wellne’s 4-star overall rating is higher than 61% of them. The bars show how all Kentucky homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
61 Kentucky homes share this 4-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 104 |
| Residents | 95 |
| Ownership | For profit - Limited Liability company |
| County | Hart |
| Penalties | 0 |
| Deficiencies | 12 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Signature Healthcare of Hart County Rehab & Wellne? ▾
4 out of 5 stars is Signature Healthcare of Hart County Rehab & Wellne's current CMS overall rating, built from a health inspection rating of 4/5, a staffing rating of 2/5, and a quality measures rating of 3/5.
How much does a nursing home cost per month in Kentucky? ▾
The median cost for a semi-private nursing home room in Kentucky is $9,718 per month ($116,618 annually). A private room averages $11,254 per month. Costs are from the CareScout 2025 survey.
What services does Signature Healthcare of Hart County Rehab & Wellne offer? ▾
Signature Healthcare of Hart County Rehab & Wellne operates as a skilled nursing facility (104 beds with approximately 95 current residents) under for profit - limited liability company ownership. CMS inspections have recorded 12 deficiencies and 0 penalties there.
Does Signature Healthcare of Hart County Rehab & Wellne have any deficiencies or penalties? ▾
Signature Healthcare of Hart County Rehab & Wellne has multiple deficiencies (12 total) and 0 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Kentucky? ▾
In Kentucky, alternatives include assisted living ($5,528/mo), home health aides ($6,197/mo), and adult day care ($1,907/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Kentucky elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 185381.
Read our methodology - how this data is sourced, computed, and verified.