| Hopewell Grove Rehabilitation and Healthcare | F | 99.9 | snf | OH | CHILLICOTHE | 100 |
| ROSCOE GARDENS SKILLED NURSING AND REHAB | F | 99.3 | snf | OH | COSHOCTON | 72 |
| Rockcastle Health & Rehabilitation Center | F | 99.2 | snf | KY | Brodhead | 104 |
| Liberty Care & Rehabilitation Center | F | 98.1 | snf | KY | Liberty | 97 |
| SIGNATURE HEALTH OF PORTLAND REHAB & WELLNESS CENT | F | 97.4 | snf | TN | PORTLAND | 112 |
| Signature Healthcare at Colonial Rehab & Wellness | F | 97.3 | snf | KY | Bardstown | 65 |
| Signature Healthcare at Heritage Hall Rehab & Well | F | 96.0 | snf | KY | Lawrenceburg | 94 |
| SIGNATURE HEALTHCARE OF ERIN | D | 94.5 | snf | TN | ERIN | 164 |
| Mayfair Manor | D | 94.3 | snf | KY | Lexington | 98 |
| Signature Healthcare of Roanoke Rapids | D | 93.1 | snf | NC | Roanoke Rapids | 108 |
| SIGNATURE HEALTHCARE OF SOUTH PITTSBURG REHAB & WE | D | 93.1 | snf | TN | SOUTH PITTSBURG | 165 |
| SIGNATURE HEALTHCARE OF ROGERSVILLE | D | 91.7 | snf | TN | ROGERSVILLE | 150 |
| Riverview Health Care Center | D | 90.3 | snf | KY | Prestonsburg | 121 |
| PROFESSIONAL POST ACUTE CENTER | D | 90.2 | snf | CA | SAN RAFAEL | 99 |
| Galion Meadows Skilled Nursing and Rehabilitation | D | 88.9 | snf | OH | GALION | 62 |
| Signature Healthcare at Summerfield Rehab & Wellne | D | 87.4 | snf | KY | Louisville | 165 |
| Danville Centre for Health & Rehabilitation | D | 87.2 | snf | KY | Danville | 106 |
| MOUNTAIN CITY CARE & REHABILITATION CENTER | C | 84.8 | snf | TN | MOUNTAIN CITY | 120 |
| Oakview Nursing & Rehabilitation Center | C | 82.9 | snf | KY | Calvert City | 100 |
| SIGNATURE HEALTHCARE OF ROCKWOOD REHAB & WELLNESS | C | 81.4 | snf | TN | ROCKWOOD | 157 |
| Signature Healthcare at North Hardin Rehab & Welln | C | 79.9 | snf | KY | Radcliff | 136 |
| Signature Healthcare at Summit Manor Rehab & Welln | C | 76.7 | snf | KY | Columbia | 104 |
| Signature Healthcare of McCreary County Rehab and | C | 75.6 | snf | KY | Pine Knot | 60 |
| SPRING CITY CARE AND REHABILITATION CENTER | C | 75.4 | snf | TN | SPRING CITY | 138 |
| Signature Healthcare of East Louisville | C | 74.8 | snf | KY | Louisville | 128 |
| Signature Healthcare at Hillcrest | C | 72.1 | snf | KY | Owensboro | 156 |
| Signature Healthcare of Bowling Green | C | 71.8 | snf | KY | Bowling Green | 176 |
| SIGNATURE HEALTHCARE OF GREENEVILLE | C | 70.9 | snf | TN | GREENEVILLE | 154 |
| Riverside Care & Rehabilitation Center | C | 70.8 | snf | KY | Calhoun | 79 |
| Lee County Care & Rehabilitation Center | C | 70.5 | snf | KY | Beattyville | 109 |
| SIGNATURE HEALTHCARE OF FENTRESS COUNTY | C | 70.3 | snf | TN | JAMESTOWN | 140 |
| SIGNATURE HEALTHCARE OF MONTEAGLE REHAB & WELLNESS | C | 68.5 | snf | TN | MONTEAGLE | 150 |
| Harrodsburg Health & Rehabilitation Center | C | 68.4 | snf | KY | Harrodsburg | 112 |
| Signature Healthcare of Monroe County Rehab and We | C | 68.4 | snf | KY | Tompkinsville | 104 |
| Signature Healthcare of Kinston | C | 67.5 | snf | NC | Kinston | 106 |
| Signature Healthcare of Spencer County | C | 66.9 | snf | KY | Taylorsville | 120 |
| SIGNATURE HEALTHCARE OF NORFOLK | C | 65.9 | snf | VA | NORFOLK | 169 |
| SIGNATURE HEALTHCARE OF RIDGELY REHAB&WELLNESS CTR | C | 65.0 | snf | TN | RIDGELY | 100 |
| SIGNATURE HEALTHCARE OF CLARKSVILLE | C | 64.3 | snf | TN | CLARKSVILLE | 120 |
| Signature Healthcare of Carrollton Rehab & Wellnes | C | 62.4 | snf | KY | Carrollton | 78 |
| Signature Healthcare at Jackson Manor Rehab and We | C | 61.8 | snf | KY | Annville | 51 |
| SIGNATURE HEALTHCARE OF PUTNAM COUNTY | B | 58.4 | snf | TN | COOKEVILLE | 175 |
| PICKETT CARE AND REHABILITATION CENTER | B | 56.2 | snf | TN | BYRDSTOWN | 69 |
| SIGNATURE HEALTHCARE OF ELIZABETHON REHAB & WELLNE | B | 55.9 | snf | TN | ELIZABETHTON | 94 |
| Prestonsburg Health Care Center | B | 54.9 | snf | KY | Prestonsburg | 56 |
| Signature Healthcare of Hartford Rehab & Wellness | B | 54.6 | snf | KY | Hartford | 110 |
| Signature Healthcare of Hart County Rehab & Wellne | B | 51.9 | snf | KY | Horse Cave | 104 |
| STANDING STONE CARE AND REHAB | B | 51.4 | snf | TN | MONTEREY | 115 |
| Signature Healthcare of Chapel Hill | B | 51.0 | snf | NC | Chapel Hill | 108 |
| Signature Healthcare of South Louisville | B | 49.1 | snf | KY | Louisville | 100 |
| Signature Healthcare of Elizabethtown | B | 49.0 | snf | KY | Elizabethtown | 124 |
| Signature Healthcare at Jefferson Manor Rehab & We | B | 47.4 | snf | KY | Louisville | 100 |
| Bluegrass Care & Rehabilitation Center | B | 46.9 | snf | KY | Lexington | 124 |
| LASSEN NURSING & REHABILITATION CENTER | B | 45.0 | snf | CA | SUSANVILLE | 96 |
| Signature Healthcare at Jefferson Place Rehab & We | B | 44.4 | snf | KY | Louisville | 96 |
| SIGNATURE HEALTHCARE OF FAYETTE COUNTY | B | 43.7 | snf | OH | WASHINGTON COURT HOU | 92 |
| MERCED NURSING & REHABILITATION CTR | B | 42.9 | snf | CA | MERCED | 79 |
| Clinton County Care and Rehabilitation Center | B | 41.0 | snf | KY | Albany | 52 |
| Morgantown Care & Rehabilitation Center | B | 40.2 | snf | KY | Morgantown | 122 |
| SIGNATURE HEALTHCARE OF MEMPHIS | B | 39.5 | snf | TN | MEMPHIS | 140 |
| WESTMORELAND CARE & REHAB CTR | B | 38.2 | snf | TN | WESTMORELAND | 100 |
| MODESTO POST ACUTE CENTER | B | 34.5 | snf | CA | MODESTO | 99 |
| SIGNATURE HEALTHCARE OF PRIMACY | B | 31.8 | snf | TN | MEMPHIS | 120 |
| Signature Healthcare of Georgetown | A | 29.4 | snf | KY | Georgetown | 65 |
| Signature Healthcare of Glasgow Rehab & Wellness C | A | 29.4 | snf | KY | Glasgow | 68 |
| WATSONVILLE POST ACUTE CENTER | A | 28.7 | snf | CA | WATSONVILLE | 95 |
| FOUNTAIN CIRCLE CARE & REHABILITATION CENTER | A | 28.1 | snf | KY | WINCHESTER | 147 |
| PRINCETON TRANSITIONAL CARE & ASSISTED LIVING | A | 28.0 | snf | TN | JOHNSON CITY | 47 |
| Hermitage Care and Rehabilitation Center | A | 27.8 | snf | KY | Owensboro | 92 |
| SIGNATURE HEALTHCARE OF CLEVELAND | A | 21.9 | snf | TN | CLEVELAND | 100 |
| Sunrise Manor Nursing Home | A | 16.2 | snf | KY | Hodgenville | 137 |
| Signature Healthcare at Rockford Rehab & Wellness | A | 16.0 | snf | KY | Louisville | 110 |