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C
Below Standard

Signature Healthcare of Monroe County Rehab and We

706 North Magnolia Street · Tompkinsville, KY 42167

2704876135 · For profit - Corporation

104 beds74.7 residents122 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Signature Healthcare of Monroe County Rehab and We receives an overall staffing grade of C (Below Standard). With 3.8641 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5125 HPRD, below the recommended 0.75. It is 0.03 HPRD below the national average.

Weekend staffing drops significantly — dropping 26.85% compared to weekdays. The facility has low agency staff usage (0.01% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️RN staffing (0.5125 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️Weekend staffing drops 26.85% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.01%) — mostly permanent, familiar staff
Total Nurse HPRD
3.8641hrs/resident/day▼ 0.03
CMS benchmark: 3.48
RN HPRD
0.5125hrs/resident/day▼ 0.17
Recommended: 0.75
Weekend Drop-off
26.85%
4.1814 weekday → 3.0586 weekend
⚠ Significant weekend reduction
Agency Staff
0.01%
0.06% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9508hrs/resident/day
Direct care aides
LPN HPRD
1.1955hrs/resident/day
Licensed practical nurses
Consistency
0.5545std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Monroe County Average+0.00 HPRD
3.86
03.86 HPRD
vs. Kentucky State Average-0.18 HPRD
4.05
03.86 HPRD
vs. National Average-0.03 HPRD
3.90
03.86 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Signature Healthcare of Monroe County Rehab and We ★
Tompkinsville · This facility
—
C
3.86410.5125★★★★★
Cumberland Valley Nursing & Rehabilitation Center
Burkesville
18.4 mi
C
3.83630.444★☆☆☆☆
Metcalfe Health Care Center
Edmonton
20 mi
C
4.42770.5473★★☆☆☆
Glenview Health and Rehabilitation
Glasgow
22.3 mi
C
3.36290.4435★☆☆☆☆
Signature Healthcare of Glasgow Rehab & Wellness C
Glasgow
24.3 mi
B
3.89070.9783★★★★☆
Barren County Nursing and Rehabilitation
Glasgow
24.3 mi
C
3.15730.4936★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
7
Total Deficiencies
$0
Fines Assessed
May 11, 2024Health
1 deficiency cited
▼
Apr 18, 2019Health
1 deficiency cited
▼
Mar 8, 2018Health
5 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.