Above average — CMS composite of the measures below.
The next survey window likely opens around February 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 Of Hart County Rehab & Wellne during CMS and state inspections, most recent first.
The facility failed to conduct Kentucky Adult Caregiver Misconduct Registry (KACMR) checks for contracted employees before employment, as required by KRS 209.032. This deficiency was found in 5 out of 7 sampled files, with employees starting work before their checks were completed. Interviews with staff revealed a lack of awareness and adherence to the requirement, potentially compromising resident safety.
The facility failed to properly label and date food in a nourishment refrigerator, as observed with two bowls of applesauce that were neither labeled nor dated. Staff interviews revealed inconsistencies in understanding and implementing the facility's food labeling policy, which requires all refrigerated, ready-to-eat foods to be labeled with a prepare date and a use-by date. The Dietary Manager, RD, LPN, DON, and Administrator had varying expectations regarding the labeling process.
Failure to Conduct Timely KACMR Checks for Contracted Employees
Penalty
Summary
The facility failed to ensure that contracted employees had a Kentucky Adult Caregiver Misconduct Registry (KACMR) check prior to employment, as required by KRS 209.032. This deficiency was identified in 5 out of 7 contracted employee files sampled. The facility's policy on abuse, neglect, and misappropriation of property included conducting criminal background checks and a search of the State Aide Registry, but did not include the KACMR checks as part of the screening process. This oversight led to the employment of individuals without the necessary checks being completed before they started working. The personnel files reviewed revealed that several contracted employees began their employment before the KACMR checks were conducted. For instance, a housekeeper employed on August 2, 2024, had her KACMR check completed on August 26, 2024. Similarly, other employees in housekeeping and dietary roles were hired before their KACMR checks were finalized, with delays ranging from a few days to several weeks. This lapse in procedure was acknowledged by the facility's staff, including the Director of Nursing and the Signature Care Consultant, who recognized the potential safety issues posed by not completing these checks in a timely manner. Interviews with facility staff, including the Director of Nursing, Signature Care Consultant, Housekeeping Manager, Dietary Manager, and Administrator, confirmed the lack of awareness and adherence to the requirement for KACMR checks prior to employment. The facility had not had a permanent Director of Nursing for about a month, which may have contributed to the oversight. The staff acknowledged the importance of these checks in ensuring the safety of residents and preventing the hiring of individuals who might be listed on the abuse registry.
Failure to Label and Date Food in Nourishment Refrigerator
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, specifically in the storage, preparation, distribution, and serving of food. During an observation of the nourishment refrigerator on the Dogwood unit, it was found that two bowls of applesauce were not labeled with a resident's name or dated. This was contrary to the facility's policy, which requires all refrigerated, ready-to-eat foods held for more than 24 hours to be labeled and dated with a prepare date and a use-by date. The policy also mandates that food items intended for later consumption be labeled with the resident's name and the current date, with daily monitoring to ensure no food is stored for more than seven days. Interviews with various staff members, including the Dietary Manager, Registered Dietician, LPN, Director of Nursing, and the Administrator, revealed inconsistencies in the understanding and implementation of the labeling policy. The Dietary Manager and another staff member stated that all food from the kitchen, except for food on resident dining trays, should be labeled with a name and date. The Registered Dietician expected all food to be dated and labeled with a resident's name. The LPN indicated that whoever placed leftover food in the refrigerator was responsible for labeling it. The Director of Nursing and the Administrator both expected nursing staff to label and date food before placing it in the refrigerator, but the Administrator was unsure if leftover food from residents' trays was being stored in the nourishment refrigerator.
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What surveyors actually found near you
We read the 22 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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 Horse Cave
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Nhc Healthcare, Glasgow | 10 mi | ★★★★★ | 15 | 0 |
| Glasgow State Nursing Facility | 10.3 mi | ★★★★★ | 3 | 0 |
| Glenview Health And Rehabilitation | 10.4 mi | ★★★★★ | 2 | 0 |
| Tj Samson Community Hospital | 10.4 mi | — | 0 | 0 |
| Barren County Nursing And Rehabilitation | 11.5 mi | ★★★★★ | 0 | 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.