The home failed to provide safe and appropriate breathing care when a resident needed it. Cited May 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: D
Nursing home report
Signature HealthCARE of Monroe County Rehab & Wellness Center
Registered name: Signature Healthcare of Monroe County Rehab and We
Tompkinsville, KY · Medicare-certified · 104 beds
In good standing
For-profitChain member
Data as of July 1, 2026
5 of 5 overall
5-star nursing home overall. It has a 5-star health inspection rating, 4-star staffing, and 2-star quality measures; reported nurse staffing is 3.89 hours per resident per day versus the 4.1-hour federal benchmark, with $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.8943 hrs/resident/day
Quality measures
Last inspection: November 20, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8943.
Staffing detail
- Registered nurses
- 0.60
- Licensed practical nurses
- 1.19
- Nurse aides
- 2.11
- Weekend nursing
- 3.10
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 25%
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
21.6%16.1%Improving
Residents with a fall causing major injury
6%1.6%Improving
Residents with pressure ulcers (bedsores)
6.6%3.5%Improving
Residents with a urinary tract infection
0%1.6%Worsening
Residents who lost too much weight
8.1%4.9%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
15.5%32.1%Worsening
Residents whose ability to walk got worse
3.7%28.9%Worsening
Long-stay residents on antianxiety or sleep medication
32.8%30.6%Improving
Short-stay residents newly given an antipsychotic
2.4%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
13%17.8%Worsening
Residents with depressive symptoms
23.7%22.2%Improving
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
—98.6%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—72.1%—
Short-stay residents given the pneumonia vaccine
78.3%89.6%Improving
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2019 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of SIGNATURE HEALTHCARE · 68 homes · 3.1 stars avg
- Occupancy
- 73.4 residents on an average day (71% of 104 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 44 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.