Signature Healthcare of Spencer County

625 Taylorsville Road · Taylorsville, KY · 40071 · 5024778838

120 certified beds For profit - Limited Liability company Chain: Signature Healthcare

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

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.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 59
Serious harm & abuse 20% 100
Staffing 20% 74
Federal penalties 15% 100
Trend 10% 81
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.753.48 min · 4.1 strong
RN hours / resident-day1.100.55–0.75
Weekend hours / resident-day3.24≈ weekday level
Nursing turnover / year58%median 45%
Fines (3-yr window)none

Inspection citations (17 in the current record)

  • Potential for harm · D April 10, 2026 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected March 30, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 23, 2026

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected February 21, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 23, 2026

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected February 21, 2026 · Resident Assessment and Care Planning

  • Potential for harm · F January 23, 2026

    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.

    Corrected February 21, 2026 · Administration

  • Potential for harm · D January 23, 2026

    Provide and implement an infection prevention and control program.

    Corrected February 21, 2026 · Infection Control

  • Potential for harm · D August 2, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected August 28, 2024 · Resident Rights

  • Potential for harm · E August 2, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected August 30, 2024 · Quality of Life and Care

  • Potential for harm · F August 2, 2024

    Provide and implement an infection prevention and control program.

    Corrected August 30, 2024 · Infection Control

  • Potential for harm · F August 2, 2024

    Have enough backup water supply for essential areas of the nursing home.

    Corrected August 28, 2024 · Environmental

  • Potential for harm · E August 2, 2024

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected August 28, 2024 · Environmental

  • Potential for harm · D August 2, 2024 · found via complaint

    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.

    Corrected August 28, 2024 · Resident Rights

  • Potential for harm · D August 2, 2024 · found via complaint

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected August 30, 2024 · Nutrition and Dietary

  • Potential for harm · F August 2, 2024 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 28, 2024 · Nutrition and Dietary

  • Potential for harm · D May 31, 2019

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected July 6, 2019 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 31, 2019

    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

    Corrected July 6, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D May 31, 2019

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected July 6, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D May 31, 2019

    Provide and implement an infection prevention and control program.

    Corrected July 6, 2019 · Infection Control

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 185327 · certified since March 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.