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Signature Healthcare

68 nursing homes · 6 states · 7,678 beds

average official
inspection rating

Signature Healthcare at a glance

Nursing homes
68
States
6
Licensed beds
7,678
Average rating
3.1★
Rated 4★ or better
41%

Is Signature Healthcare a good nursing home group?

Across 68 rated homes, Signature Healthcare averages 3.1★ on official inspection ratings — in line with the roughly 3.0★ national average. 41% of its rated homes earn 4★ or better, while 37% sit at 1–2★. That’s roughly average overall, and ratings vary widely by location, so the specific home matters far more than the group.

A group-wide number can’t tell you about the specific home near you — quality varies by location. Open each home below to see its own official inspection rating before you decide.

Signature Healthcare quality vs. the national average

Across the 68 homes with an official inspection rating, Signature Healthcare averages 3.1★. 41% are rated 4★ or better, and 37% are rated 1–2★. These are official government inspection ratings — a group-wide average hides a lot, so open each home below and judge it on its own.

Signature Healthcare compared with all rated nursing homes nationwide
MeasureSignature HealthcareNational average
Average rating3.1★3.0★
Homes rated 4★ or better41%40%
Homes rated 1–2★37%41%

How Signature Healthcare’s homes are distributed

  • 5★17
  • 4★11
  • 3★15
  • 2★12
  • 1★13

Signature Healthcare nursing home ratings by state

Where Signature Healthcare operates and how its homes rate in each state. Ratings are the average of that state’s homes with an official inspection rating. Pick a state to browse every nursing home there.

StateHomesAvg. rating
Kentucky383.1★
Tennessee213.4★
Indiana42.5★
North Carolina32.7★
Ohio11.0★
Virginia13.0★

Highest-rated Signature Healthcare homes

The best-rated Signature Healthcare nursing homes we have on record, by official inspection rating.

Lowest-rated Signature Healthcare homes

The lowest-rated Signature Healthcare homes we have on record — the ones to look at most closely and ask the most questions about.

About Signature Healthcare

Signature HealthCARE, LLC is a for-profit skilled-nursing and senior-care company that owns and operates nursing and wellness centers in multiple U.S. states. Their operations span facilities in Indiana, Kentucky, North Carolina, Ohio, Tennessee, and Virginia, with a total of 68 affiliated nursing homes as of June 2026.

The company was founded and is led by E. Joseph Steier III, who also serves as its president and CEO. It is privately held and structured as a limited liability company (LLC), based in Louisville, Kentucky. Signature HealthCARE, LLC’s formation predated, though did include, a notable acquisition of seven facilities from Kindred Healthcare in 2013—a move among many they have made over time.

Signature HealthCARE operates at scale in the post-acute care sector, covering six states through its 68 affiliations with nursing facilities. CMS data indicates the chain’s average overall quality rating is approximately 3.1 stars, spanning performance across health inspections, staffing, quality measures, and related metrics.

In terms of ownership networks, CMS records show that affiliates such as JJLA LLC, Elmer Steier III, and Wheaten LLC have ownership or managerial connections to at least 90% of the chain’s homes. Specifically, individual facility-level ownership details (e.g., Signature Healthcare of East Louisville) identify indirect contours of ownership and managerial control, including Elmer Steier III and multiple holding-company entities.

Headquarters
Louisville, Kentucky

Leadership

Researched summary — facts drawn from cited public sources, in our own words. Ratings shown are official government inspection ratings.

Where Signature Healthcare operates

Signature Healthcare runs nursing homes in Indiana, Kentucky, North Carolina, Ohio, and 2 more states. Pick a state to see every Signature Healthcare home there alongside every other nursing home in the area.

All homes Signature Healthcare runs

Each home is listed with its official inspection rating — from government health inspections, staffing, and quality data. A visit is still the best test.

Frequently asked questions about Signature Healthcare

How many nursing homes does Signature Healthcare operate?
Signature Healthcare operates 68 nursing homes across 6 states with about 7,678 licensed beds in total.
What states does Signature Healthcare operate in?
Signature Healthcare runs nursing homes in Indiana, Kentucky, North Carolina, Ohio, and 2 more states. Its largest presence is in Kentucky, Tennessee, Indiana.
Is Signature Healthcare a good nursing home group?
Across 68 rated homes, Signature Healthcare averages 3.1★ on official inspection ratings — in line with the roughly 3.0★ national average. 41% of its rated homes earn 4★ or better, while 37% sit at 1–2★. That’s roughly average overall, and ratings vary widely by location, so the specific home matters far more than the group.
Where is Signature Healthcare headquartered?
Signature Healthcare is headquartered in Louisville, Kentucky.
How are these ratings determined?
The ratings shown are official government inspection ratings. They combine on-site health inspections, staffing levels, and clinical quality measures into an overall score from 1 to 5 stars for each home — the same official data families and regulators use.

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