Signature Healthcare of Spencer County in Taylorsville, KY has a 2-star overall rating, with a 2-star health inspection rating but 4-star staffing and quality ratings. Reported nurse staffing is 3.83 hours per resident per day, below the 4.1-hour federal benchmark, and there were no fines in the last 24 months; recent inspection issues included assessment, infection control, and food handling concerns.
Last inspection: April 10, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8283.
Staffing detail
Registered nurses
1.33
Licensed practical nurses
0.69
Nurse aides
1.81
Weekend nursing
3.13
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 19%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
9.7%8.7%Improving
Residents with a fall causing major injury
3.6%0%Improving
Residents with pressure ulcers (bedsores)
9.2%4.3%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
7.5%3.6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.9%8.6%Worsening
Residents whose ability to walk got worse
8.3%4.6%Improving
Long-stay residents on antianxiety or sleep medication
11.1%36.5%Worsening
Short-stay residents newly given an antipsychotic
2.1%0%Improving
Residents with a long-term catheter
0%0.9%Worsening
Residents with new or worsening incontinence
24.3%15.1%Improving
Residents with depressive symptoms
25.6%32.1%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—88.2%—
Long-stay residents given the pneumonia vaccine
77.1%52.3%Worsening
Short-stay residents given the seasonal flu vaccine
—71.4%—
Short-stay residents given the pneumonia vaccine
69.4%46.2%Worsening
What the inspectors found
The home failed to conduct and document a full facility assessment to ensure it had the resources needed for daily care and emergencies. Cited January 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 838 — 42 CFR §483.70 — S/S: F
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 August 2024 — widespread issue, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2024 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to ensure enough backup water supply for essential areas of the home. Cited August 2024 — widespread issue, potential for harm.
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F-Tag 922 — 42 CFR §483.90 — S/S: F
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2024 — limited pattern, potential for harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: E
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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 4 health deficiencies.
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INSPECTION
Health inspection found 8 health deficiencies.
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INSPECTION
Health inspection found 4 health deficiencies.
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Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of SIGNATURE HEALTHCARE · 68 homes · 3.1 stars avg
Occupancy
93.2 residents on an average day (78% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 34 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.