Below average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Signature Healthcare At Heritage Hall Rehab & Well during CMS and state inspections, most recent first.
A resident admitted with a right femur fracture and moderate cognitive impairment did not have a baseline care plan that addressed the resident’s primary language of Tagalog. The care plan documented communication as understood, while nursing and provider notes showed the daughter and family were used to interpret for the resident. Staff stated the admitting nurse was responsible for completing the baseline care plan and that language barriers present on admission should be addressed.
Medication Error Rate Exceeded Allowed Threshold: Surveyors observed 2 medication errors out of 33 medication administrations, resulting in a 6.06% error rate. An RN prepared only one metformin 500 mg tablet for a resident ordered 1000 mg twice daily and dropped a metoprolol tablet, breaking it before administration, with an unknown amount given. The facility policy required verification of orders and three checks before administration.
Unlocked medication carts were left unattended on the rehab unit, allowing medications to be accessible to unauthorized staff and residents. Surveyors observed 2 medication carts unlocked with drawers open and medications visible, and later observed an RN leave a cart at the nurses' station unlocked on three occasions while entering resident rooms. Staff and the DON stated carts should be locked when not in direct view or unattended, consistent with the facility policy for secure medication storage.
The facility failed to maintain infection control practices during resident care and medication administration. A resident on EBP with a foley catheter and severe cognitive impairment was repositioned in bed without the proper PPE, despite an EBP sign posted on the door. In addition, an RN handled oral medications with ungloved hands, picked up and administered a dropped tablet, and reused a blood pressure cuff on another resident without cleaning it between uses.
Baseline Care Plan Did Not Address Resident’s Primary Language
Penalty
Summary
The facility failed to develop and implement a baseline care plan for 1 of 23 sampled residents, Resident 81, that included the instructions needed to provide effective and person-centered care within 48 hours of admission. R81 was admitted on 06/30/2025 with a diagnosis of a right femur fracture. The admission MDS, with an ARD of 07/03/2025, showed a BIMS score of 8 out of 15, indicating moderate cognitive impairment. The provider's history and physical noted that the family history was unobtainable due to a language barrier. Review of R81's 48-hour baseline care plan, completed on 06/30/2025, showed that communication was documented as understood, but it did not address R81's primary language of Tagalog. Nursing documentation showed the daughter was at bedside to translate, and the provider progress note stated family was being used as an interpreter to communicate with the provider. Staff interviews confirmed the admitting nurse was responsible for completing the baseline care plan and that language barriers present on admission should be addressed, while the admitting nurse stated R81 could understand some words and therefore was marked as able to communicate.
Medication Error Rate Exceeded Allowed Threshold
Penalty
Summary
The facility failed to ensure that its medication error rate remained below 5 percent. During medication administration observation on 07/31/2025 at 8:00 AM, surveyors identified 2 medication errors out of 33 observed medication administrations, resulting in a 6.06 percent medication error rate. The facility’s policy required staff to review and confirm medication orders against the MAR before administration and to verify each medication three times: when removing it from the med cart, when preparing the dose, and before administering it. One resident involved was admitted on 07/10/2025 with cellulitis of the left lower leg and had an MDS BIMS score of 10 out of 15, indicating moderate cognitive impairment. Physician’s orders dated 07/15/2025 included metformin 1000 mg twice daily and metoprolol 25 mg daily. During observation, an RN prepared only one metformin 500 mg tablet for the resident’s ordered 1000 mg dose. The RN also dropped the resident’s metoprolol tablet, causing it to break, then gathered the pieces to administer it, leaving approximately 0.25 to 0.5 of the tablet on the medication cart, with an unknown amount administered to the resident. The DON and the Administrator stated it was their expectation that medication errors would not occur and, if they did, they would be identified and addressed appropriately.
Unlocked Medication Carts Left Unattended
Penalty
Summary
Medication carts on the short-term rehab unit were left unlocked and unattended, making medications accessible to unauthorized staff and residents. On 07/29/2025 at 6:22 AM, surveyors observed 2 of 2 medication carts on the rehabilitation unit unattended with no staff in the area, and both carts were unlocked with drawers able to be opened and medications visible inside. During the initial walk-through, the carts were located on Unit B and Unit C, and no staff were visible nearby. During medication administration on 07/31/2025 from 8:00 AM to 8:18 AM, RN 4 walked away from the medication cart at the nurses' station on three occasions to administer medications inside resident rooms without locking the cart. In interviews, LPN 1 stated she had forgotten to lock the cart after becoming distracted when surveyors entered the facility, and RN 4 stated the cart should be locked when unattended. The facility's policy titled Storage of Medication stated medication supplies should be accessible only to authorized personnel and cabinets and supplies should remain locked when not in use or attended.
Infection Control and PPE Failures During Resident Care and Medication Administration
Penalty
Summary
The facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. The facility’s infection control policy stated its objective was to maintain a safe, sanitary, and comfortable environment and help prevent and manage transmission of diseases and infections, but the facility did not have individual policies for Enhanced Barrier Precautions (EBP) or for the safe cleaning and reprocessing of reusable resident-care equipment. For a resident with Parkinson’s disease, left-sided paralysis following a stroke, severe cognitive impairment, and an indwelling foley catheter, the facility had an active order and care plan for EBP. During observation, the MDS nurse entered the resident’s room with an EBP sign posted and repositioned the resident in bed without the proper PPE. In interview, the nurse stated she should have used the appropriate PPE before assisting the resident. Staff interviews reflected that EBP required PPE for direct care, and the DON and Administrator stated staff should have worn a gown and gloves when providing care, including when pulling the resident up in bed. During medication administration, an RN touched oral medications for three residents with ungloved hands and prepared medications without a barrier. The RN also dropped a metoprolol tablet onto the medication cart, picked up the pieces, and administered them to one resident. In addition, the RN used a blood pressure cuff on one resident, dropped it into a trash can in the resident’s room, retrieved it, and then used it on another resident without cleaning it. The RN stated shared equipment should be cleaned between resident use and that gloves should have been worn to administer medication and a barrier used to prepare medications.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Lawrenceburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Frankfort Trails | 10.3 mi | ★★★★★ | 0 | 0 |
| The Home Place At Midway | 13.3 mi | ★★★★★ | 8 | 0 |
| The Willows At Harrodsburg | 16.8 mi | ★★★★★ | 3 | 0 |
| Thomson-hood Veterans Center | 17.3 mi | ★★★★★ | 3 | 0 |
| Harrodsburg Health & Rehabilitation Center | 17.9 mi | ★★★★★ | 4 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.