Signature Healthcare of Hartford Rehab & Wellness
114 Mcmurtry Avenue, Hartford, KY 42347


Signature Healthcare of Hartford Rehab & Wellness is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 185275. The address is 114 Mcmurtry Avenue, Hartford, KY 42347. The zip code is 42347. The phone number is 2702987437.


Signature Healthcare of Hartford Rehab & Wellness · 114 Mcmurtry Avenue, Hartford, KY 42347

Federal Provider Number 185275
Provider Name SIGNATURE HEALTHCARE OF HARTFORD REHAB & WELLNESS
Address 114 MCMURTRY AVENUE
HARTFORD, KY 42347
Phone Number 2702987437
SSA County Code 910
County Name Ohio
Ownership Type For profit - Corporation
Certified Beds 110
Certified Beds Residents 86
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name LP HARTFORD LLC
Date First Approved to Provide Medicare Medicaid Services 10/01/1991
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 1
Quality Measure Rating 1
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.70872
Reported LPN Staffing Hours per Resident per Day 0.80349
Reported RN Staffing Hours per Resident per Day 0.83488
Reported Licensed Staffing Hours per Resident per Day 1.63837
Reported Total Nurse Staffing Hours per Resident per Day 4.34709
Reported Physical Therapist Staffing Hours per Resident Per Day 0.06628
Expected CNA Staffing Hours per Resident per Day 2.50262
Expected LPN Staffing Hours per Resident per Day 0.6997
Expected RN Staffing Hours per Resident per Day 1.22422
Expected Total Nurse Staffing Hours per Resident per Day 4.42654
Adjusted CNA Staffing Hours per Resident per Day 2.65577
Adjusted LPN Staffing Hours per Resident per Day 0.95312
Adjusted RN Staffing Hours per Resident per Day 0.50957
Adjusted Total Nurse Staffing Hours per Resident per Day 3.95855
Cycle 1 Total Number of Health Deficiencies 10
Cycle 1 Number of Standard Health Deficiencies 9
Cycle 1 Number of Complaint Health Deficiencies 1
Cycle 1 Health Deficiency Score 253
Cycle 1 Standard Survey Health Date 01/19/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 253
Cycle 2 Total Number of Health Deficiencies 10
Cycle 2 Number of Standard Health Deficiencies 8
Cycle 2 Number of Complaint Health Deficiencies 2
Cycle 2 Health Deficiency Score 104
Cycle 2 Standard Health Survey Date 12/03/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 104
Cycle 3 Total Number of Health Deficiencies 2
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Health Deficiency Score 8
Cycle 3 Standard Health Survey Date 10/16/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 8
Total Weighted Health Survey Score 162.5
Number of Facility Reported Incidents 1
Number of Substantiated Complaints 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Signature Healthcare of Hartford Rehab & Wellness

Owner Name Role Association Date
ADAMS, SANDRA (Individual) OFFICER since 11/01/2007
BAXLEY, JEFFREY (Individual) OPERATIONAL/MANAGERIAL CONTROL since 03/09/2015
HARRISON, JOHN (Individual) OFFICER since 11/01/2007
JJLA LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/18/2007
LAS PALMAS SNF LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 09/25/2006
LPSNF LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 05/08/2007
SHC LP HOLDINGS ,LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 01/27/2012
SIGNATURE HEALTHCARE CLINICAL CONSULTING SERVICES LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 07/23/2007
SIGNATURE HEALTHCARE CONSULTING SERVICES LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 07/23/2007
SIGNATURE HEALTHCARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/23/2007
SMEDRA, IRA (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2007
STEIER, E (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2007
WHEATEN LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 09/16/2008
WINTNER, JACOB (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2007

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