Signature HealthCARE Nursing Homes: Chain Profile, Ownership, and CMS Record

Who Is Signature HealthCARE?

Signature HealthCARE is a Louisville, Kentucky–based operator of skilled nursing and rehabilitation facilities, with homes concentrated in Kentucky and Tennessee and additional facilities in Indiana, North Carolina, and Virginia. The company operates skilled nursing centers across several states.^[6]

By number of CMS-affiliated skilled nursing facilities in this chain grouping, Signature is tied as the twenty-first-largest nursing home chain in the United States.^[3]

What Kind of Chain Is Signature HealthCARE?

Signature is a skilled nursing facility (SNF) chain. Skilled nursing facilities care for patients who need 24-hour nursing care, often after a hospital stay, and are rated on the federal CMS five-star scale.^[1]

Who Owns Signature HealthCARE?

Signature HealthCARE is a privately held company headquartered in Louisville, Kentucky.^[6] Within the CMS data, the Signature-affiliated facilities are operated as for-profit entities grouped under chain ID 474.^[1] Families should confirm the specific owning, operating, and management entities for any individual facility.^[1]

How Big Is the Signature HealthCARE Nursing Home Chain?

Signature HealthCARE by the Numbers

Federal CMS data describes the operation's scale:

Facility, state, and bed counts are from the CMS Nursing Home Chain Performance Measures dataset (most recent 2026 release).^[3]

• The most recent federal CMS chain-level data affiliates 67 nursing homes across Indiana, Kentucky, North Carolina, Tennessee, and Virginia with the chain (CMS chain ID 474) — ranking it #21 of the 611 chains CMS tracks by number of facilities.^[3]
• The affiliated homes hold about 7,618 certified beds.^[3]

Signature HealthCARE CMS Ratings and Staffing Data

The figures below are reported by CMS for the chain in the most recent CMS Nursing Home Chain Performance Measures release. CMS five-star ratings are relative, point-in-time measures calculated against other facilities nationally; they do not guarantee the quality of care any individual resident receives, and serious harm can occur at a facility regardless of its rating.

• The chain-average overall star rating was about 3.1 of 5 (the national chain average is 3.0). The chain-level component averages CMS publishes were 2.8 for health inspections, 2.8 for staffing, and 3.9 on the quality measure rating, which is largely self-reported.^[3]
• CMS data reports 12 of 67 facilities (17.9%) with a one-star ("much below average") overall rating (national rate 20.5%) and 2 facilities (3.0%) carrying a CMS abuse icon (national rate 9.7%).^[3]
• Average total nurse staffing was about 3.7 hours per resident per day (national 3.9), and reported nursing-staff turnover was about 45.6% (national 45.8%).^[3]
• CMS records show 34 fines totaling about $1.13 million and 5 Medicare payment denials across the chain in the most recent three-year window.^[3][2]

These chain-level averages describe the group as a whole and say nothing about any specific facility or any specific resident's experience. Conditions and ratings vary from home to home and change over time.

Signature HealthCARE Nursing Home Facilities

The table below is the complete roster of the Signature HealthCARE-affiliated nursing facilities (CMS chain ID 474) in the federal CMS Provider Information dataset (May 2026 release), which listed 68 facilities. It lists each facility's name, city and state, street address, and phone number, along with any current CMS quality flag. The chain-level totals cited above reflect the most recent CMS Nursing Home Chain Performance Measures release; this per-facility roster is the May 2026 provider-level snapshot and will be refreshed when CMS posts the corresponding provider-level file.^[1]

The "CMS Flag" column marks homes that CMS has identified as a Special Focus Facility, a Special Focus Facility Candidate, behind on inspections ("Delayed inspection"), or carrying an abuse icon. Rows shaded gold indicate a current Special Focus designation or candidacy.^[1]

Source: Centers for Medicare & Medicaid Services, Provider Data Catalog, Nursing Home "Provider Information" dataset (NH_ProviderInfo_May2026.csv), filtered to Signature HealthCARE, chain ID 474. Inclusion on this list reflects CMS chain-affiliation data and does not by itself indicate that any particular facility committed wrongdoing.^[1]

Special Focus Facilities and SFF Candidates in Signature HealthCARE

The Special Focus Facility (SFF) program is run by CMS to identify nursing homes with a history of serious quality problems; CMS describes these facilities as among the poorest-performing nursing homes in the country. A "Special Focus Facility Candidate" is a home with a history of serious quality issues that has not yet been formally placed in the program.^[4]

According to the most recent CMS Nursing Home Chain Performance Measures release, Signature HealthCARE had 0 Special Focus Facilities and 0 Special Focus Facility Candidates at the chain level.^[3] The CMS Provider Information dataset (May 2026 release) flagged no facilities with a Special Focus designation or candidacy and 3 facilities carrying an abuse icon at that point in time; these designations are reassessed by CMS monthly and can change.^[1]

Signature HealthCARE Facilities With a CMS Abuse Icon (May 2026)

• Signature Healthcare of Muncie — Muncie, IN
• Signature Healthcare of South Pittsburg Rehab & We — South Pittsburg, TN
• Spring City Care and Rehabilitation Center — Spring City, TN

Signature HealthCARE Facilities With a Delayed CMS Inspection (May 2026)

• Signature Healthcare of Cleveland — Cleveland, TN
• Signature Healthcare of Putnam County — Cookeville, TN
• Signature Healthcare of Memphis — Memphis, TN
• Mountain City Care & Rehabilitation Center — Mountain City, TN
• Signature Healthcare of Ridgely Rehab&wellness Ctr — Ridgely, TN
• Signature Healthcare of Rockwood Rehab & Wellness — Rockwood, TN
• Spring City Care and Rehabilitation Center — Spring City, TN
• Westmoreland Care & Rehab Ctr — Westmoreland, TN
• Signature Healthcare of Norfolk — Norfolk, VA

Signature HealthCARE Fines, Lawsuits, and Regulatory Record

The items below are drawn from federal CMS enforcement data and from the U.S. Department of Justice.

Federal Civil Money Penalties and Payment Denials

CMS enforcement records show that, across the chain, CMS imposed 34 fines totaling about $1.13 million and 5 Medicare payment denials in the most recent three-year window reflected in the data.^[2][3]

2018 False Claims Act Settlement (more than $30 Million)

In June 2018, Signature HealthCARE, LLC agreed to pay more than $30 million to resolve allegations under the federal False Claims Act. According to the U.S. Department of Justice, the government alleged that Signature knowingly submitted false claims to Medicare for rehabilitation therapy services that were not reasonable, necessary, or skilled, and that it submitted forged pre-admission certifications of patient need to Tennessee's Medicaid program.^[7]

The settlement resolved allegations; it was not an admission of wrongdoing, and a settlement is not a determination of liability by a court.^[7]

Other Litigation

As with any large nursing home operator, individual Signature facilities have also been named in civil lawsuits alleging resident injury or neglect. The resolution of any individual case depends on its own facts, and the existence of a lawsuit is not a finding of liability.^[1]

How Michael Hill Trial Law Investigates Claims Against Signature HealthCARE

Michael Hill Trial Law focuses exclusively on nursing home abuse and neglect. The firm has handled more than 1,000 cases against nursing home operators and has recovered hundreds of millions of dollars for clients, including a $26 million verdict in Ohio.^[5]

Thin staffing and high staff turnover are among the conditions that can contribute to preventable harm in a nursing home, because residents depend on consistent, adequate staffing for basic care. A facility's overall CMS rating does not determine whether a particular resident was harmed, and serious injuries can occur at facilities with average or above-average ratings. When we investigate a claim against a Signature HealthCARE facility, we identify the specific entities that owned, operated, and managed the home, compare the home's CMS staffing and inspection history against what happened to the resident, and obtain the facility's care records and any available documentation. The kinds of injuries and claims our firm investigates include:

• Bedsores and pressure injuries
• Falls and fractures
• Malnutrition and dehydration
• Infections and sepsis
• Medication errors
• Elopement (wandering away from a facility)
• Understaffing and neglect
• Physical or sexual assault
• Wrongful death

We are investigating claims against facilities operated under the Signature HealthCARE name. If your loved one was injured or died in a Signature HealthCARE nursing home, the public record on this page may be relevant to your situation. Our firm serves families nationwide.

Frequently Asked Questions About Signature HealthCARE

Who owns Signature HealthCARE?

Signature HealthCARE is a privately held company headquartered in Louisville, Kentucky. In the CMS data its facilities are grouped under chain ID 474 and operated as for-profit entities.

How many nursing homes does Signature HealthCARE operate?

Federal CMS data affiliates about 67 skilled nursing facilities with this Signature chain grouping across five states, concentrated in Kentucky and Tennessee, tying it as the twenty-first-largest nursing home chain in the United States by number of facilities.

How is Signature HealthCARE rated by Medicare?

According to the most recent CMS chain data, its average overall star rating is about 3.1 of 5 (national average 3.0), with staffing rated 2.8 of 5. About 17.9% of its facilities carry a one-star overall rating and 3.0% carry a CMS abuse icon. CMS star ratings are relative, point-in-time measures and do not guarantee the care any individual resident receives.

Has Signature HealthCARE been sued or fined?

CMS enforcement records show 34 fines totaling about $1.13 million in the most recent three-year window. Separately, in June 2018 Signature HealthCARE agreed to pay more than $30 million to resolve federal False Claims Act allegations concerning rehabilitation therapy billing and forged Tennessee Medicaid pre-admission certifications. The settlement resolved allegations and was not an admission of liability.

What should I do if a loved one was harmed at a Signature facility?

Michael Hill Trial Law investigates abuse and neglect claims against nursing home operators nationwide, including Signature HealthCARE facilities. You can contact the firm for a confidential review of your situation.

Sources

1. Centers for Medicare & Medicaid Services, Provider Data Catalog, Nursing Home "Provider Information" dataset (NH_ProviderInfo_May2026.csv), filtered to Signature HealthCARE, chain ID 474 (facility counts, addresses, phone numbers, bed counts, ownership type, star ratings, abuse icons, Special Focus status, delayed inspections). https://data.cms.gov/provider-data/dataset/4pq5-n9py
2. Centers for Medicare & Medicaid Services, Provider Data Catalog, Nursing Home "Penalties" file (May 2026 release) (fine amounts and payment denials). https://data.cms.gov/provider-data/
3. Centers for Medicare & Medicaid Services, Provider Data Catalog / data.gov, "Nursing Home Chain Performance Measures" (Affiliated Entity Performance Measures) dataset, most recent 2026 release, filtered to Signature HealthCARE (CMS chain ID 474): affiliated-facility count, states, bed count, chain-average star ratings, one-star share, abuse-icon share, Special Focus Facilities and candidates, fines, payment denials, staffing hours, and turnover. https://data.cms.gov/provider-data/ ; dataset listing: https://catalog.data.gov/dataset/nursing-home-chain-performance-measures
4. Centers for Medicare & Medicaid Services, "Special Focus Facility (SFF) Program" overview and monthly candidate/participant lists. https://www.cms.gov/medicare/health-safety-standards/certification-compliance/special-focus-facility
5. Michael Hill Trial Law. https://protectseniors.com/
6. Signature HealthCARE corporate information (Louisville, Kentucky; skilled nursing centers across several states). https://www.signaturehealthcarellc.com/
7. U.S. Department of Justice / HHS Office of Inspector General, "Signature HealthCARE to Pay More Than $30 Million to Resolve False Claims Act Allegations Related to Rehabilitation Therapy" (June 8, 2018): settlement by Signature HealthCARE, LLC resolving allegations of false Medicare rehabilitation-therapy claims and forged Tennessee Medicaid pre-admission certifications. https://oig.hhs.gov/fraud/enforcement/signature-healthcare-to-pay-more-than-30-million-to-resolve-false-claims-act-allegations-related-to-rehabilitation-therapy/

This page is for general informational purposes and is not legal advice. It is attorney advertising. Ratings, fines, and Special Focus data are from federal CMS records and reflect inspection findings and regulatory penalties, not court judgments. The 2018 False Claims Act settlement resolved allegations only and was not an admission or determination of liability. CMS star ratings are relative, point-in-time measures and do not guarantee the care any individual resident receives. Facility data and corporate ownership change over time; verify current details before relying on them. Last reviewed: October 26, 2026.