Signature Healthcare at Hillcrest
3740 Old Hartford Road · Owensboro, KY · 42303 · 2706847259
156 certified beds For profit - Corporation Chain: Signature Healthcare
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Cleaner inspection record than most facilities nationally.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.63 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.03 | 0.55–0.75 |
| Weekend hours / resident-day | 3.21 | ≈ weekday level |
| Nursing turnover / year | 41% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (7 in the current record)
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Potential for harm · F April 18, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 29, 2025 · Nutrition and Dietary
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Potential for harm · D April 18, 2025 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected April 29, 2025 · Resident Rights
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Potential for harm · D November 15, 2018
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 21, 2018 · Resident Assessment and Care Planning
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Potential for harm · D November 15, 2018
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected December 21, 2018 · Quality of Life and Care
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Potential for harm · D November 15, 2018
Provide enough food/fluids to maintain a resident's health.
Corrected December 21, 2018 · Quality of Life and Care
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Potential for harm · D November 15, 2018
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 21, 2018 · Quality of Life and Care
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Potential for harm · D November 15, 2018
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected December 21, 2018 · Pharmacy Service
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 185120 · certified since September 1, 1972. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.