Jackson County, Kentucky · Nursing home
Signature Healthcare at Jackson Manor Rehab and We
3 of 5 overall from CMS
96 Highway 3444, Annville, KY 40402
At a glance
- Overall rating 3 of 5 Same as the state average of 3.0
- Nurse time per resident, per day 4.04 hours Above the state average of 3.95
- Nursing staff who left in a year 75.0% Above the state average of 46.4%
- Health citations, last 3 inspection cycles 16 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 93.3% of 51 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Signature Healthcare at Jackson Manor Rehab and We is a 51-bed nursing home in Annville, Kentucky (Jackson County). CMS rates it 3 of 5 stars overall as of Sep 2026. It reports 4.04 nurse staffing hours per resident per day, above the Kentucky average of 3.95. CMS lists no fines in the past three years.
- Certified beds
- 51
- Residents per day (average)
- 47.6
- Certified since
- 1991 (35 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Signature Healthcare (67 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Signature Healthcare at Jackson Manor Rehab and We
Chosen from this home's public data.
- Nursing staff turnover is 75.0%, above the Kentucky average of 46.4%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 3.35 hours per resident on weekends against 4.04 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 3 of 5 Kentucky average 3.0
- Health inspections 3 of 5 Kentucky average 3.0
- Staffing 2 of 5 Kentucky average 2.7
- Quality measures 3 of 5 Kentucky average 3.2
The vertical line marks the Kentucky average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.04 h Kentucky average 3.95
- Nurse aides 2.33 h Kentucky average 2.36
- Licensed practical nurses 0.29 h Kentucky average 0.80
- Registered nurses 1.42 h Kentucky average 0.79
- All staff, weekends 3.35 h Kentucky average 3.49
How much nurse staffing is enough? All bars share one scale, 0 to 9 hours. The vertical line marks the Kentucky average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover75.0%
- Kentucky average46.4%
- Registered nurse turnover71.4%
- Kentucky average41.8%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Kentucky and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Kentucky | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 8.5% | 13.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 11.6% | 6.6% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 0.5% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.6% | 1.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 66.4% | 17.7% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.9% | 3.9% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 94.3% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 2.3% | 14.0% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 48.7% | 29.8% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.0% | 96.2% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 1.3% | 4.8% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.3% | 19.0% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 16.7% | 16.1% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.94 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 2.14 | 1.78 |
Short-stay residents
| Measure | This home | Kentucky | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% | 84.0% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 3.1% | 1.7% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 84.0% | 83.5% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.9% | 24.2% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 16.6% | 13.7% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 16 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 1 was cited in connection with a complaint investigation.
| Standard inspection | Health | Fire safety |
|---|---|---|
| May 2, 2025 | 2 | 3 |
| Sep 25, 2020 | 7 | 0 |
| Mar 28, 2019 | 7 | 0 |
Kentucky homes averaged 2.9 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (16)
-
DPotential for more than minimal harm, isolated
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 24, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 24, 2025)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jan 15, 2024)
-
EPotential for more than minimal harm, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · Deficient, Provider has date of correction (Oct 31, 2020)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Oct 31, 2020)
Show 11 more
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Oct 31, 2020)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 31, 2020)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 31, 2020)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Oct 31, 2020)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Oct 31, 2020)
-
FPotential for more than minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · Deficient, Provider has date of correction (Apr 25, 2019)
-
FPotential for more than minimal harm, widespread
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 25, 2019)
-
FPotential for more than minimal harm, widespread
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 25, 2019)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 25, 2019)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Apr 24, 2019)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Apr 25, 2019)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Kentucky homes averaged 0.7 fines and $15,373 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Kentucky
- Size239 of 267 by certified beds
- Kentucky average residents per day81.9
- ChainSignature Healthcare
- Chain average overall rating3.1 of 5
- Resident or family councilBoth
- Homes in Jackson County1
Common questions
What is the CMS star rating for Signature Healthcare at Jackson Manor Rehab and We?
Signature Healthcare at Jackson Manor Rehab and We has an overall rating of 3 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 2 and quality measures is 3.
How many beds does Signature Healthcare at Jackson Manor Rehab and We have?
Signature Healthcare at Jackson Manor Rehab and We has 51 certified beds. It averages 47.6 residents per day, about 93.3% of its certified beds.
How much nursing care do residents get at Signature Healthcare at Jackson Manor Rehab and We?
The home reports 4.04 hours of nurse staffing per resident per day, including 1.42 hours from registered nurses. The Kentucky average is 3.95 hours and 0.79 hours from registered nurses.
Has Signature Healthcare at Jackson Manor Rehab and We been fined?
CMS lists no fines for this home in the past three years.
Does Signature Healthcare at Jackson Manor Rehab and We accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 3 of 5 Landmark of Laurel Creek Rehabilitation and Nursin 106beds 88.9%in use 3.14nurse hours a day
- 5 of 5 Laurel Heights Home for the Elderly 160beds 95.6%in use 4.10nurse hours a day
- 4 of 5 Owsley County Health Care Center, Inc. 91beds 85.6%in use 4.08nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Jackson County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 185249. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.