Average — CMS composite of the measures below.
The next survey window likely opens around April 2027
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 Hillcrest during CMS and state inspections, most recent first.
Food storage, staff attire, and hot-holding practices were not followed in the kitchen. A box of pork chops was found uncovered in the freezer, two dietary staff wore hairnets improperly with hair exposed, and an alternative lunch item of fish patties was left uncovered and temped at 81 degrees F. Facility policy required covered storage, proper hair restraint, and food held above 135 degrees F.
Surveyors identified multiple deficiencies in food service safety, including improper use of hairnets by dietary staff, uncovered and improperly dated food items in storage, and failure to maintain required hot holding temperatures for food. Staff acknowledged the importance of these practices, but observations revealed inconsistent adherence to facility policies and professional standards.
The facility did not obtain consent or notify a resident's representative regarding repeated physical contact and bed sharing initiated by another cognitively impaired resident. Despite documentation of these behaviors by staff and acknowledgment by leadership that family notification was required, there was no evidence of consent or notification in the medical record, and the resident's representative reported she was not informed and would not have agreed to the arrangement.
Food Storage, Hairnet, and Temperature Control Failures
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional food service safety standards. During observation of the kitchen, a box of pork chops was found stored in Freezer 2 in its original container with the interior plastic uncovered, leaving the food exposed to air contaminants, and ice crystals had formed on the pork chops. Facility policy required food to be stored in covered containers and arranged to prevent cross-contamination, and the Dining Service Director was responsible for maintaining sanitation and safety standards. Additional kitchen observations showed two dietary staff members wearing hairnets improperly, with hair exposed around the face, ears, forehead, and neck. An alternative lunch item, approximately 8-10 fish patties, was prepared and left uncovered in drain baskets above the deep fryer and was temped at 81 degrees Fahrenheit, below the facility’s required hot-holding temperature. The Dietary Manager stated that hairnets should fully cover hair to prevent cross-contamination and that unsafe food temperatures should result in food being discarded and replaced; the Administrator stated dietary staff were expected to follow food storage and safety policies to keep residents safe and provide safe foods.
Deficiencies in Food Storage, Preparation, and Safety Standards
Penalty
Summary
Surveyors observed multiple failures in the facility's food service operations, including improper use of hairnets by dietary staff, with hair not fully covered as required. Staff acknowledged the importance of proper hair covering to prevent contamination but were seen with hair exposed during food preparation and service. The Dietary Manager confirmed that staff were expected to ensure hair was appropriately covered, but admitted that hairnets sometimes slipped and staff were responsible for checking their coverage. Further observations in the kitchen revealed several food storage and labeling deficiencies. Food items in the refrigerator and freezer were found uncovered, undated, or dated without the year, and some items were past their manufacturer use-by dates. Large containers of dry goods were labeled with only the month and day, lacking the year or an indication of when they were opened. Additionally, a juice dispensing gun was found with visible debris and residue, and metal pans were stacked while still wet, indicating they had not been allowed to air dry properly after cleaning. Temperature control issues were also identified, with a food item on the steam table measured at 130 degrees Fahrenheit, below the required 135 degrees Fahrenheit for hot holding. The Dietary Manager stated that staff were instructed to check food temperatures and reheat items if necessary, but acknowledged the difficulty in measuring thin pork chops. Both the Dietary Manager and Administrator confirmed that facility policy required food to be stored, covered, and dated per guidelines, and that manufacturer use-by dates should be followed, but there was inconsistency in staff understanding and practice regarding date labeling.
Failure to Obtain Consent and Notify Representative for Resident Physical Contact
Penalty
Summary
The facility failed to ensure that residents and/or their representatives were fully informed and able to participate in decisions regarding care and treatment, specifically related to physical contact and bed sharing between two residents with cognitive impairments. One resident, who had severe cognitive impairment due to dementia and Alzheimer's disease, was involved in repeated incidents where her roommate, who also had moderate cognitive impairment and behavioral disturbances, entered her bed and engaged in physical contact. Documentation in the electronic medical record (EMR) for the resident with severe impairment did not include evidence of consent for physical contact or notification to her representative regarding these events. Progress notes for the resident with behavioral disturbances detailed multiple occasions where she was found in bed with her roommate, standing over her, or following and touching her repetitively. Staff documented these behaviors and reported them to management, but there was no corresponding documentation in the roommate's EMR about these incidents or any notification to her representative. The facility's investigation concluded that the incidents were not sexually aggressive but rather companionship, and determined the occurrence to be unsubstantiated. Interviews with facility leadership confirmed there was no policy or consent form regarding physical contact or bed sharing between residents. The Director of Nursing and Corporate Representative stated that if a resident could not give consent, the representative should be contacted and documentation should be made, which did not occur in this case. The resident's representative reported she was not notified and would not have given consent for bed sharing, emphasizing that the decision should have been hers as Power of Attorney. Staff interviews corroborated that at least one incident involved the resident with behavioral disturbances lying on top of the other resident, and the administrator acknowledged that families should always be notified of such events.
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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 Owensboro
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Wellington Parc Of Owensboro | 0.9 mi | ★★★★★ | 7 | 0 |
| Carmel Home | 1 mi | ★★★★★ | 0 | 0 |
| Chautauqua Health And Rehabilitation | 1.9 mi | ★★★★★ | 0 | 0 |
| The Transitional Care Center Of Owensboro | 2.5 mi | ★★★★★ | 0 | 0 |
| Hermitage Care And Rehabilitation Center | 2.8 mi | ★★★★★ | 3 | 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.