2/5 stars overall. Signature Healthcare of Fentress County has low health inspection and staffing ratings (both 2/5), a stronger quality measures rating (4/5), no fines in the last 24 months, and reported nurse staffing of 3.34 hours per resident per day versus the 4.1-hour federal benchmark; recent inspection issues included food safety, infection prevention and control, and resident assessment.
Last inspection: January 7, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3368.
Staffing detail
Registered nurses
0.37
Licensed practical nurses
1.28
Nurse aides
1.68
Weekend nursing
2.81
Hours per resident per day.
Total staff turnover: 43%
Registered nurse turnover: 27%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
34.7%Worsening
Residents with a fall causing major injury
3.7%Improving
Residents with pressure ulcers (bedsores)
5.3%Worsening
Residents with a urinary tract infection
0.8%Steady
Residents who lost too much weight
6.5%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
14.9%Worsening
Residents whose ability to walk got worse
18.8%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
33.3%Improving
Short-stay residents newly given an antipsychotic
2%Steady
Residents with a long-term catheter
0.2%Worsening
Residents with new or worsening incontinence
18.4%Improving
Residents with depressive symptoms
16.9%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.3%Worsening
Short-stay residents given the seasonal flu vaccine
95.6%Steady
Short-stay residents given the pneumonia vaccine
95.8%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited June 2022 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited January 2026 — isolated incident, potential for harm.
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F-Tag 641 — 42 CFR §483.20(g) — S/S: D
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: D
The home failed to have and follow a policy for how food brought in by family and visitors should be used and stored safely. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 813 — 42 CFR §483.60 — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 4 health deficiencies.
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INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 14 health deficiencies.
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Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of SIGNATURE HEALTHCARE · 68 homes · 3.1 stars avg
Occupancy
78.9 residents on an average day (56% of 140 beds)
Resident voice
Resident council
Medicare history
Certified for 30 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.