SIGNATURE HEALTHCARE OF PUTNAM COUNTY
Open-data reference.
SIGNATURE HEALTHCARE OF PUTNAM COUNTY is a for profit - limited liability company facility in COOKEVILLE, TN with 175 certified beds and a 2-star overall CMS rating. The facility has 14 deficiency records on file.
278 DRY VALLEY RD, COOKEVILLE, TN 38506
Phone: 9315376524
Overall Rating
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 445136
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 175
- Residents
- 137
- In Hospital
- No
- County
- Putnam
- Last Inspection
- May 18, 2023
Staffing Data
- RN Hours
- 0.45 (nat'l avg: 0.68)
- LPN Hours
- 1.06
- CNA Hours
- 2.04
- Total Nursing Hours
- 3.54 (nat'l avg: 3.89)
- PT Hours
- 0.10
- Nursing Turnover
- 48.8%
- RN Turnover
- 33.3%
What the CMS Record Reveals About SIGNATURE HEALTHCARE OF PUTNAM COUNTY
SIGNATURE HEALTHCARE OF PUTNAM COUNTY operates 175 certified beds in COOKEVILLE, TN with approximately 137 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (2★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
The inspection file contains 14 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.54 total nursing hours per resident day (national average 3.89), with RN coverage at 0.45 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, SIGNATURE HEALTHCARE OF PUTNAM COUNTY falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 48.8%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (14 most recent)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Sep 6, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 16, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Apr 16, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jul 2, 2023
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: Jul 2, 2023
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Category: Nutrition and Dietary Deficiencies
Corrected: Jul 2, 2023
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Category: Nursing and Physician Services Deficiencies
Corrected: Jul 2, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 2, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 2, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 2, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jul 2, 2023
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.
Category: Resident Rights Deficiencies
Corrected: Jul 2, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Jul 2, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 4, 2018
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.9% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 6.0% | No |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.9% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.2% | Yes |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 2.2% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.6% | Yes |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 95.4% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 86.7% | No |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.7% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 19.9% | Yes |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 17.5% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 95.9% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 86.9% | No |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.1% | Yes |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 16.1% | No |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 20.4% | Yes |
Penalty History
No penalties on record.
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Medicare Plans
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County Health Data
Health outcomes, access, and quality metrics for Putnam on PlainHealth
Frequently Asked Questions
What is the overall CMS rating for SIGNATURE HEALTHCARE OF PUTNAM COUNTY?
What are the staffing levels at SIGNATURE HEALTHCARE OF PUTNAM COUNTY?
How many beds does SIGNATURE HEALTHCARE OF PUTNAM COUNTY have?
Does SIGNATURE HEALTHCARE OF PUTNAM COUNTY have any deficiencies on record?
Has SIGNATURE HEALTHCARE OF PUTNAM COUNTY received any fines or penalties?
Who owns SIGNATURE HEALTHCARE OF PUTNAM COUNTY?
When was SIGNATURE HEALTHCARE OF PUTNAM COUNTY last inspected?
What quality measures are tracked for SIGNATURE HEALTHCARE OF PUTNAM COUNTY?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology — how this data is sourced, computed, and verified.