Signature Healthcare of Hart County Rehab & Wellne
1505 South Dixie Street, Horse Cave KY 42749 · (270) 786-2200 · 92.98% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
Signature Healthcare of Hart County Rehab & Wellne is the sole option we found in Horse Cave, Kentucky. It looks like this is a fine nursing home. We awarded this it an overall grade of B+, which is very favorable grade. You could definitely do much worse than this place. Fortunately, this facility didn't have any bad scores in any of the four major categories. More information about its category grades is available below.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 104 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
One of the many reasons this turned out to be a quality nursing home is that it received an A+ inspection grade. This is simply as good as it gets in this critical category. Perhaps the most significant factor we look at in computing our inspection ratings is deficiencies. These deficiencies are found on a nursing home's inspection reports. Facilities with better scores in this area typically dodged the more severe deficiencies involving patient abuse or death. This particular nursing home had just a single deficiency on its inspection report and it was not one deemed to pose a threat to patient health or safety. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Long-term Care Quality
This facility was awarded impressive scores in the area of long-term care as well. Consequently, we awarded it one of our highest grades in that area with a score of A-. Long-term care scores of this caliber generally require both around the clock care from nurses and aids, as well as quality routine medical care. Once we assessed the quantity of care provided by nurses and other staff, we next considered the facility's vaccination record. This nursing home vaccinated 96.176476 percent of its residents against pneumonia, which is more than most nursing homes. This place also excelled at keeping its residents out of the hospital. In fact, it had only 1.61 hospitalizations per 1,000 long-term resident days.
Short-term Care Quality
Turning to our next category, this nursing home also received a score of B for its short-term care rating. This is a well above average grade in this category. Our short-term care scores are likely most meaningful for folks in need of rehabilitation services. Rehabilitation generally utilizes higher levels of highly-skilled nursing services. This means not only nursing, but also physical and speech therapy, as well as other variations of therapy. This facility excelled in the two key staffing areas we looked at. In fact, it supplied more care from physical therapists and registered nurses than a typical nursing home. The last item we looked at in this category is the percentage of residents who were able to leave the facility and return to the community. We found that it was respectable in this area with 46 percent of its residents returning home.
Nurse Quality
The next area we analyzed was nursing, where this facility received a grade of B-. Even though this ended up being its weakest category score, this is nevertheless not a terrible score. There are several factors within this grade. Most of the subcategories reflect staffing levels. This nursing home averages 3.5 hours of nursing care per resident per day. Finally, we also looked at a few quality measures in determining our nursing grades. This nursing home was above average in several of the major metrics we focus on, including minimizing its residents' major falls and pressure ulcers.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Signature Healthcare of Hart County Rehab & Wellne Quality Metrics
Minimizes Pressure Ulcers
This indicates the percent of patients who suffered from a pressure ulcer. Pressure ulcers are damage to the skin due to remaining in the same position for too long.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This indicates the percentage of patients that have had a major fall. Falls leading to serious injuries are often caused by lower quality nursing care. Closer supervision limits the number of major falls sustained by residents in a nursing home.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percent of residents who suffered from a urinary tract infection. UTI's are considered by many in the nursing home industry to be a barometer of nursing care . UTI's are often the result of a facility with lower levels of hygiene. Nevertheless, this datapoint could also be skewed for certain nursing homes due to different reporting standards for infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This measures the percentage of long-term patients that are given antipsychotic medication. Excessive reliance on these medications may mean that a nursing home is using these drugs to subdue residents in scenarios where such drugs aren't medically required. However, some facilities may need to rely more on these medications due to having more residents suffering from dementia.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is a measure of the percentage of long-term care patients taking antianxiety drugs.
Percent of Patients
Lower is Better
Managing Depression Among Residents
Measures the percent of long-term care patients demonstrating signs of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This indicates the percent of patients that received the pneumonia and flu vaccines. Higher vaccination rates should be the norm at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
Measures the percentage of long-term care residents who required more assistance with activities of daily living over time. Activities of daily living include activities such as dressing and continence.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This metric is a measure of the percent of long-term care patients that retained mobility levels.
Percentage of Residents
Higher is Better
Hospitalizations
This is the number of hospitalizations per 1,000 days of care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This tells you the number of times residents are rehospitalized per 1,000 days of short-term care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This metric is a measure of the number of times residents are sent to the emergency room per thousand days of short-term care. Avoiding medical emergencies is one way to assess patient well-being during rehabilitation.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This indicates the percent of short-term residents that experienced functional improvements, such as with activities of daily living.
Percentage of Resident
Higher is Better