During the first quarter of 2026, Signature Healthcare at Hillcrest was recognized as the largest nursing facility in Daviess County, according to the Centers for Medicare and Medicaid Services (CMS).
Reports indicate the center offered 156 available beds, outpacing the Daviess County average by 63 beds for the quarter. The facility served an average of 127.9 residents throughout the period.
Signature Healthcare at Hillcrest received a 4 out of 5 overall rating from CMS, exceeding the Kentucky state average of 3 out of 5 for nursing facilities.
Chautauqua Health and Rehabilitation was the next largest with 145 beds, while Twin Rivers Nursing and Rehabilitation Center held third place with 132 beds during the quarter.
CMS data shows Signature Healthcare at Hillcrest reported no fines or penalties in the first quarter of 2026.
Daviess County, Kentucky, had five for-profit nursing centers in total during this period.
According to U.S. Census Bureau estimates, the country’s older adult demographic is expanding as younger age groups decrease. From 2020 to 2024, those age 65 and older rose by 13%, while the under-18 population declined by 1.7%. The population of older adults in the United States has increased substantially over the last century, from 4.9 million in 1920 to more than 61 million by 2024.
A 2021 study projects that nearly half of older Americans—about 28 million people—could need long-term services and supports, with more than a third likely to seek nursing home care.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Rank | Nursing Home | Overall Rating |
|---|---|---|
| 1 | Signature Healthcare at Hillcrest | 4 |
| 2 | Chautauqua Health and Rehabilitation | 1 |
| 3 | Twin Rivers Nursing and Rehabilitation Center | 5 |
| 4 | Hermitage Care and Rehabilitation Center | 5 |
| 5 | Wellington Parc of Owensboro | 4 |
| 6 | The Transitional Care Center of Owensboro | 5 |
| 7 | Carmel Home | 3 |
Information for this report was sourced from the Centers for Medicare and Medicaid Services. The original source data is available here.
