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Nursing home report

Signature HealthCARE of Chillicothe

Registered name: Hopewell Grove Rehabilitation and Healthcare

CHILLICOTHE, OH · Medicare-certified · 100 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

Signature HealthCARE of Chillicothe has an overall 1-star rating, with 1-star health inspection and staffing ratings and 3-star quality measures. It also has reported nurse staffing below the federal benchmark (3.25 vs. 4.1 hours per resident per day), $32,380 in fines over the last 24 months, and a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.247 hrs/resident/day

Quality measures

Last inspection: February 26, 2026Penalties, last 24 months: $32,380recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.247.

Staffing detail

Registered nurses
0.37
Licensed practical nurses
0.97
Nurse aides
1.91
Weekend nursing
2.93

Hours per resident per day.

Total staff turnover: 46%
Registered nurse turnover: 67%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

11.1%17.2%Worsening

Residents with a fall causing major injury

5.9%0%Improving

Residents with pressure ulcers (bedsores)

3.7%2.1%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

8.7%4.2%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

0%0%No change

Residents whose ability to walk got worse

0%0%No change

Long-stay residents on antianxiety or sleep medication

23.4%30%Worsening

Short-stay residents newly given an antipsychotic

1.7%2.8%Worsening

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

15%18.1%Worsening

Residents with depressive symptoms

0%33.3%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

84.5%

Long-stay residents given the pneumonia vaccine

82.4%100%Improving

Short-stay residents given the seasonal flu vaccine

56.5%

Short-stay residents given the pneumonia vaccine

64.4%91.1%Improving

What the inspectors found

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2026 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: J

The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited September 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 755 — 42 CFR §483.45 — S/S: G

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited February 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 865 — 42 CFR §483.75 — S/S: F

The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited February 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 725 — 42 CFR §483.35 — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 10 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal fine of $32,380 was recorded.

  4. INSPECTION

    Health inspection found 11 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $32,380 in total fines.

  • Federal fine

    Feb 20, 2025

    $32,380

Operator & ownership

Recent ownership change · Dec 1, 2024

Now operated by Hopewell Grove Rehabilitation and Healthcare Center, previously Signature Healthcare of Chillicothe.

Ownership
For profit - Corporation
Chain
Part of CITADEL HEALTHCARE · 14 homes · 3.2 stars avg
Occupancy
75.9 residents on an average day (76% of 100 beds)
Resident voice
Resident council
Medicare history
Certified for 39 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.