Spencer County, Kentucky · Nursing home
Signature Healthcare of Spencer County
2 of 5 overall from CMS
625 Taylorsville Road, Taylorsville, KY 40071
At a glance
- Overall rating 2 of 5 Below the state average of 3.0
- Nurse time per resident, per day 3.83 hours Below the state average of 3.95
- Nursing staff who left in a year 55.8% Above the state average of 46.4%
- Health citations, last 3 inspection cycles 17 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 77.7% of 120 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 of Spencer County is a 120-bed nursing home in Taylorsville, Kentucky (Spencer County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 3.83 nurse staffing hours per resident per day, below the Kentucky average of 3.95. CMS lists no fines in the past three years.
- Certified beds
- 120
- Residents per day (average)
- 93.2
- Certified since
- 1992 (34 yrs)
For profit - Limited Liability company 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 of Spencer County
Chosen from this home's public data.
- CMS counts 5 health deficiencies in the latest inspection cycle (the standard inspection on Jan 23, 2026 plus complaint and infection-control inspections); the Kentucky average is 2.9. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 55.8%, 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 3.13 hours per resident on weekends against 3.83 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Kentucky average 3.0
- Health inspections 2 of 5 Kentucky average 3.0
- Staffing 4 of 5 Kentucky average 2.7
- Quality measures 4 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 3.83 h Kentucky average 3.95
- Nurse aides 1.81 h Kentucky average 2.36
- Licensed practical nurses 0.69 h Kentucky average 0.80
- Registered nurses 1.33 h Kentucky average 0.79
- All staff, weekends 3.13 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 turnover55.8%
- Kentucky average46.4%
- Registered nurse turnover19.0%
- Kentucky average41.8%
- Administrators who left0
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 | 8.0% | 13.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 6.5% | 6.6% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% | 0.5% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.3% | 1.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 27.1% | 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 | 2.1% | 3.9% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 48.6% | 94.3% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 6.0% | 14.0% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.1% | 29.8% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 88.2% | 96.2% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 5.8% | 4.8% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.2% | 19.0% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 8.8% | 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 | 45.2% | 84.0% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% | 1.7% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 71.4% | 83.5% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.4% | 24.2% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 11.2% | 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 17 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 5 were cited in connection with a complaint investigation.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jan 23, 2026 | 5 | 0 |
| Aug 2, 2024 | 7 | 0 |
| May 31, 2019 | 5 | 3 |
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 (17)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (Mar 30, 2026)
-
FPotential for more than minimal harm, widespread
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Administration · Deficient, Provider has date of correction (Feb 21, 2026)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 21, 2026)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 21, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Feb 21, 2026)
Show 12 more
-
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.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Aug 28, 2024)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Aug 30, 2024)
-
FPotential for more than minimal harm, widespread
Have enough backup water supply for essential areas of the nursing home.
Environmental · Deficient, Provider has date of correction (Aug 28, 2024)
-
EPotential for more than minimal harm, pattern
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 (Aug 30, 2024)
-
EPotential for more than minimal harm, pattern
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · Deficient, Provider has date of correction (Aug 28, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Aug 28, 2024)
-
DPotential for more than minimal harm, isolated
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Aug 30, 2024)
-
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Aug 28, 2024)
-
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.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 6, 2019)
-
DPotential for more than minimal harm, isolated
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 6, 2019)
-
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 (Jul 6, 2019)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jul 6, 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
- Size63 of 267 by certified beds
- Kentucky average residents per day81.9
- ChainSignature Healthcare
- Chain average overall rating3.1 of 5
- Resident or family councilResident
- Homes in Spencer County1
Common questions
What is the CMS star rating for Signature Healthcare of Spencer County?
Signature Healthcare of Spencer County has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 4 and quality measures is 4.
How many beds does Signature Healthcare of Spencer County have?
Signature Healthcare of Spencer County has 120 certified beds. It averages 93.2 residents per day, about 77.7% of its certified beds.
How much nursing care do residents get at Signature Healthcare of Spencer County?
The home reports 3.83 hours of nurse staffing per resident per day, including 1.33 hours from registered nurses. The Kentucky average is 3.95 hours and 0.79 hours from registered nurses.
Has Signature Healthcare of Spencer County been fined?
CMS lists no fines for this home in the past three years.
Does Signature Healthcare of Spencer County 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
- 5 of 5 Sanders Ridge Health Campus 56beds 92.7%in use 3.82nurse hours a day
- 3 of 5 Green Meadows Health & Rehabilitation 122beds 80.8%in use 3.37nurse hours a day
- 5 of 5 Crestview Healthcare and Rehabilitation 58beds 95.5%in use 3.43nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Spencer County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 185327. 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.