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SIGNATURE HEALTHCARE AT JACKSON MANOR REHAB & WELLNESS CENTER
NPI 1760853725
Skilled Nursing Facility in Annville, KY

Active since October 15, 2015CLIA 18D0322677 · Waiver
2/5
Overall Rating
96 HIGHWAY 3444, ANNVILLE, KY 40402(606) 364-5197 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2023, Mar 9, 2020 (2 updates tracked since 2020).

About Signature Healthcare At Jackson Manor Rehab & Wellness Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIGNATURE HEALTHCARE AT JACKSON MANOR REHAB & WELLNESS CENTER (NPI 1760853725) is a healthcare organization registered as a skilled nursing facility in Annville, Kentucky and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists John Harrison, Cfo, as its authorized official.

NPPES Registry Identity

NPI1760853725
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLP ANNVILLE, LLC
Location Address96 HIGHWAY 3444Annville, KY 40402-8245
Mailing Address12201 Bluegrass PkwyLouisville, KY 40299-2361 · (502) 568-7800
Phone(606) 364-5197
Organization SubpartYesParent: Signature Healthcare, Llc
Authorized OfficialJohn HarrisonCfo · (502) 568-7800
Enumeration DateOctober 15, 2015
Last NPPES UpdateApril 3, 20232 updates tracked since enumeration
NPPES CertifiedApril 3, 2023
✔ NPI 1760853725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X
96 HIGHWAY 3444, Annville, KY 40402
Open in Google Maps ↗

Other Names 1

Doing Business AsSignature Healthcare At Jackson Manor Rehab & Wellness Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0322677

LP Annville, LLC Dba Signature Healtcare At Jackson Manor Rehab & Wellness Center · Annville, KY
Active · expires Aug 31, 2026
CLIA Number18D0322677
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMs. Linda Conlin
Laboratory Phone(606) 364-5197
Laboratory LocationLP Annville, LLC Dba Signature Healtcare At Jackson Manor Rehab & Wellness Center96 Highway 3444, Annville, KY 40402
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Signature Healthcare At Jackson Manor Rehab & Well (CMS certification number 185249), from CMS Care Compare.

Signature Healthcare At Jackson Manor Rehab & Well

Nursing home · Annville, KY
2/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number185249
Certified Beds51 beds46 residents per day on average
Medicare & Medicaid Participant SinceMarch 12, 1991
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
52
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.14 · LPN 0.4 · RN 1.01
3.55 hrs per resident per day
Weekend Nurse Staffing
2.91 hrs per resident per day
Physical Therapist Staffing
0.05 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
59.6%
Registered Nurse Turnover
10%
Administrators Who Have Left
In the past year.
2
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
2
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACKSON MANOR LLC
Skilled Nursing Facility
96 HIGHWAY 3444
ANNVILLE, KY 40402
Jackson County (502) 714-7444
TARA ENGLAND MA, CCC/SLP
Speech-Language Pathologist
96 HIGHWAY 3444
ANNVILLE, KY 40402
Jackson County (606) 364-5197
MRS. CAMILLE BROOKE SAUNDERS LCSW
Social Worker (Clinical)
96 HIGHWAY 3444
ANNVILLE, KY 40402
Jackson County (502) 262-2887

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is LP Annville, LLC's NPI number?

The NPI number for LP Annville, LLC is 1760853725. It was assigned to this organization in the NPPES registry on October 15, 2015. The provider is doing business as Signature Healthcare At Jackson Manor Rehab & Wellness Center.

Where is LP Annville, LLC located?

LP Annville, LLC is located at 96 Highway 3444, Annville, KY 40402. The listed phone number is (606) 364-5197.

What is LP Annville, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does LP Annville, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0322677) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is LP Annville, LLC a Medicare-certified nursing home?

Yes. Signature Healthcare At Jackson Manor Rehab & Well is a Medicare-certified nursing home with 51 certified beds.

What quality rating does LP Annville, LLC have?

CMS rates Signature Healthcare At Jackson Manor Rehab & Well 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for LP Annville, LLC was last updated on April 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.