nursing home in Cookeville, TN
Signature Healthcare of Putnam County
278 Dry Valley Rd, Cookeville, TN 38506 · (931) 537-6524
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★2
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Signature Healthcare of Putnam County at a glance
Signature Healthcare of Putnam County is a 175-bed for-profit nursing home in Cookeville, Tennessee (Putnam County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Tennessee average of 3.
Residents receive about 3.7 hours of nursing care per day (0.5 of them from registered nurses), close to the state average of 3.8 hours.
Its most recent standard health inspection (July 22, 2026) found 2 health citations. The Tennessee average is 4.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 41.4% per year (state average 48.9%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 175
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Signature Healthcare
- Medicare-certified since
- September 29, 1980
- Resident/family council
- Resident
- County
- Putnam County
- CMS Certification Number
- 445136
Ratings
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.5 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.6 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.6 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.4 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.67 hrs | 3.80 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.48 hrs | 0.60 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.20 hrs | 2.12 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.12 hrs | 3.31 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 41.4% | 48.9% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 26.7% | 43.2% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 2 | 4 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 33 | 47.9 | 80.6 | Better |
Penalties
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $22,907 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 175 | 114 | 107 | |
| Average residents per day | 139 | 84 | 86 | |
| Occupancy | 79.7% | 74.8% | 80.9% |
Long-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.4% | 3.4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4.7% | 5% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 19.7% | 16.8% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.6% | 1.8% | 1.6% | Average |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.6% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 13% | 14% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 17.7% | 17.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 8.3% | 6.1% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 8.3% | 13.8% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 15.6% | 31.7% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 16.1% | 20% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 95.9% | 94.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 96.9% | 89.4% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.7% | 1.7% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 86.9% | 79.8% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 83.7% | 79.3% | 82% | Average |
Inspection citations
State inspectors cited this home for 15 health deficiencies and 3 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 22, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected July 31, 2026 |
| July 22, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected July 31, 2026 |
| July 22, 2026 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected July 31, 2026 |
| April 3, 2025 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected April 16, 2025 |
| April 3, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected April 16, 2025 |
| April 3, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected September 6, 2024 |
| May 18, 2023 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected June 27, 2023 |
| May 18, 2023 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | F Potential harm, widespread | Corrected July 2, 2023 |
| May 18, 2023 Standard | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Tag F0802 | F Potential harm, widespread | Corrected July 2, 2023 |
| May 18, 2023 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | F Potential harm, widespread | Corrected July 2, 2023 |
| May 18, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected July 2, 2023 |
| May 18, 2023 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected July 2, 2023 |
| May 18, 2023 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected July 2, 2023 |
| May 18, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected July 2, 2023 |
| May 18, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected July 2, 2023 |
| May 18, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected July 2, 2023 |
| May 18, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected July 2, 2023 |
| April 10, 2019 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | D Potential harm, isolated | Corrected May 3, 2019 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| SHC LP HOLDINGS LLC Organization | 5% or greater direct ownership interest | 100% | 05/01/2014 |
| ASBR HOLDINGS LLC Organization | 5% or greater indirect ownership interest | — | 05/01/2018 |
| JJLA LLC Organization | 5% or greater indirect ownership interest | — | 05/01/2014 |
| LPSNF LLC Organization | 5% or greater indirect ownership interest | — | 05/01/2014 |
| STEIER III, ELMER Individual | 5% or greater indirect ownership interest | — | 05/01/2014 |
| WHEATEN LLC Organization | 5% or greater indirect ownership interest | — | 05/01/2014 |
| HARRISON, JOHN Individual | corporate officer | NOT APPLICABLE | 05/01/2014 |
| BOONE, PAULA Individual | w-2 managing employee | NOT APPLICABLE | 01/16/2023 |
Other nursing homes near Signature Healthcare of Putnam County
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★★★★★1Much below averageNhc Healthcare, Cookeville
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- CMS high performer
★★★★★5Much above averageStanding Stone Care and Rehab
410 W Crawford Avenue, Monterey, TN 38574 · 10.4 mi
For-profit · 115 beds · Part of Signature Healthcare
★★★★★5Much above averageOverton County Health and Rehab Center
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Government · 125 beds
★★★★★4Above averageLife Care Center of Sparta
508 Mose Drive, Sparta, TN 38583 · 16.3 mi
For-profit · 100 beds · Part of Life Care Centers of America
★★★★★5Much above averageMabry Health Care
1340 N Grundy Quarles Hwy PO Box 7, Gainesboro, TN 38562 · 16.4 mi
For-profit · 80 beds · Part of Infinity Healthcare Consulting
★★★★★3Average
Frequently asked questions
What is Signature Healthcare of Putnam County's rating?
Signature Healthcare of Putnam County has 2 out of 5 stars on the CMS overall star rating. The average for Tennessee nursing homes is 3 stars.
How many inspection citations did Signature Healthcare of Putnam County receive?
Its most recent standard health inspection found 2 citations, compared with a Tennessee average of 4.4. Every citation is listed on this page with its severity.
Does Signature Healthcare of Putnam County accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Signature Healthcare of Putnam County?
It is for profit - limited liability company and part of Signature Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Signature Healthcare of Putnam County and how do I contact it?
Signature Healthcare of Putnam County is at 278 Dry Valley Rd, Cookeville, TN 38506. Phone: (931) 537-6524.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.