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
Registered name: SIGNATURE HEALTHCARE OF PUTNAM COUNTY
COOKEVILLE, TN · Medicare-certified · 175 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
Signature HealthCARE of Putnam County in Cookeville, TN has a 1-star overall rating, with a 1-star health inspection rating and a 2-star staffing rating. It is flagged with the lowest overall rating; reported nurse staffing is 3.67 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.6654 hrs/resident/day
Quality measures
Last inspection: April 3, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6654.
Staffing detail
- Registered nurses
- 0.48
- Licensed practical nurses
- 0.99
- Nurse aides
- 2.20
- Weekend nursing
- 3.12
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 27%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
18.1%22.3%Worsening
Residents with a fall causing major injury
2.6%2.5%No change
Residents with pressure ulcers (bedsores)
4.1%6.7%Worsening
Residents with a urinary tract infection
2.6%0%Improving
Residents who lost too much weight
3.7%20.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
19.4%11.7%Improving
Residents whose ability to walk got worse
31.8%6.3%Improving
Long-stay residents on antianxiety or sleep medication
14.4%15.5%Worsening
Short-stay residents newly given an antipsychotic
0.9%1%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
11.9%19.7%Worsening
Residents with depressive symptoms
1%15.3%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—95.9%—
Long-stay residents given the pneumonia vaccine
100%96.6%Worsening
Short-stay residents given the seasonal flu vaccine
—86.9%—
Short-stay residents given the pneumonia vaccine
85.4%81.1%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
- 139.4 residents on an average day (80% 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.