The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited May 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
Nursing home report
SIGNATURE HEALTHCARE OF PUTNAM COUNTY
COOKEVILLE, TN · Medicare-certified · 175 beds
In good standing
For-profitChain member
2 of 5 overall
SIGNATURE HEALTHCARE OF PUTNAM COUNTY has an overall rating of 2 out of 5 stars. Its health inspection rating is 1 star and staffing is 2 stars, with reported nurse staffing below the federal benchmark (3.52 vs. 4.1 hours per resident per day); quality measures are 5 stars and there were $0 fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.5235 hrs/resident/day
Quality measures
Last inspection: April 3, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5235.
Staffing detail
- Registered nurses
- 0.49
- Licensed practical nurses
- 0.96
- Nurse aides
- 2.07
- Weekend nursing
- 3.10
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 17%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
19.5%Improving
Residents with a fall causing major injury
2.2%Steady
Residents with pressure ulcers (bedsores)
4.3%Improving
Residents with a urinary tract infection
2.2%Improving
Residents who lost too much weight
5.3%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
13.4%Improving
Residents whose ability to walk got worse
18.8%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
16%Improving
Short-stay residents newly given an antipsychotic
0.4%Steady
Residents with a long-term catheter
0.9%Worsening
Residents with new or worsening incontinence
16.1%Improving
Residents with depressive symptoms
4.7%Worsening
Long-stay residents given the seasonal flu vaccine
95.9%Steady
Long-stay residents given the pneumonia vaccine
96.7%Steady
Short-stay residents given the seasonal flu vaccine
86.9%Steady
Short-stay residents given the pneumonia vaccine
85.6%Worsening
What the inspectors found
The home failed to provide enough support staff to safely and effectively run food and nutrition services. Cited May 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 802 — 42 CFR §483.60 — S/S: F
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited May 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited May 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of SIGNATURE HEALTHCARE · 68 homes · 3.1 stars avg
- Occupancy
- 138.6 residents on an average day (79% of 175 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 45 years
The most recent standard health inspection was more than two years ago.
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.