Signature Health of Portland Rehab & Wellness Cent
215 Highland Circle Drive · Portland, TN · 37148 · 6153259263
112 certified beds For profit - Corporation Chain: Signature Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $199,846 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
6 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$199,846 in federal fines in the last 24 months
5 fines — CMS fines are reserved for verified, serious non-compliance.
75% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.57 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.72 | 0.55–0.75 |
| Weekend hours / resident-day | 3.09 | ≈ weekday level |
| Nursing turnover / year | 75% | median 45% |
| Fines (3-yr window) | 5 · $199,846 |
Inspection citations (24 in the current record)
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Actual harm · G December 4, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 19, 2025 · Quality of Life and Care
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Potential for harm · E December 4, 2025
Provide and implement an infection prevention and control program.
Corrected December 19, 2025 · Infection Control
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Actual harm · G September 11, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected September 26, 2025 · Quality of Life and Care
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Immediate jeopardy · J April 11, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J April 11, 2025 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected January 20, 2025 · Quality of Life and Care
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Immediate jeopardy · J April 11, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 6, 2025 · Quality of Life and Care
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Potential for harm · D April 11, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 11, 2025 · found via complaint
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected May 6, 2025 · Resident Rights
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Potential for harm · F April 11, 2025 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected May 6, 2025 · Administration
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Immediate jeopardy · J August 23, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 31, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J August 23, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 31, 2024 · Quality of Life and Care
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Immediate jeopardy · J August 23, 2024 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected August 31, 2024 · Administration
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Potential for harm · D January 29, 2020
Ensure each resident receives an accurate assessment.
Corrected March 11, 2020 · Resident Assessment and Care Planning
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Potential for harm · D January 29, 2020
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 11, 2020 · Resident Assessment and Care Planning
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Potential for harm · D January 29, 2020
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 11, 2020 · Quality of Life and Care
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Potential for harm · D January 29, 2020
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 11, 2020 · Quality of Life and Care
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Potential for harm · F January 29, 2020
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 11, 2020 · Nutrition and Dietary
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Potential for harm · D January 29, 2020
Keep all essential equipment working safely.
Corrected March 11, 2020 · Environmental
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Actual harm · G February 7, 2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 13, 2019 · Quality of Life and Care
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Potential for harm · D February 7, 2019
Ensure each resident receives an accurate assessment.
Corrected March 4, 2019 · Resident Assessment and Care Planning
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Potential for harm · E February 7, 2019
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 4, 2019 · Pharmacy Service
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Potential for harm · E February 7, 2019
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected March 4, 2019 · Pharmacy Service
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Potential for harm · D February 7, 2019
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected March 4, 2019 · Pharmacy Service
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No harm found · C February 7, 2019
Post nurse staffing information every day.
Corrected March 4, 2019 · Nursing and Physician Services
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 4, 2025 | Fine | $81,750 |
| September 11, 2025 | Fine | $10,868 |
| April 11, 2025 | Fine | $91,582 |
| August 23, 2024 | Fine | $7,823 |
| August 23, 2024 | Fine | $7,823 |
| August 23, 2024 | Payment Denial | 2 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445306 · certified since January 1, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.