Signature Healthcare of Fentress County
208 Duncan St North · Jamestown, TN · 38556 · 9318795859
140 certified beds For profit - Limited Liability company Chain: Signature Healthcare
- No federal fines or payment denials in CMS’s 3-year window.
- 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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.34 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.37 | 0.55–0.75 |
| Weekend hours / resident-day | 2.81 | ≈ weekday level |
| Nursing turnover / year | 43% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (23 in the current record)
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Potential for harm · D January 7, 2026
Ensure each resident receives an accurate assessment.
Corrected January 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 7, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 16, 2026 · Quality of Life and Care
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Potential for harm · F January 7, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 16, 2026 · Nutrition and Dietary
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Potential for harm · D January 7, 2026
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected January 16, 2026 · Nutrition and Dietary
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Potential for harm · D February 23, 2024 · 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 March 29, 2024 · Quality of Life and Care
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Potential for harm · D February 23, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 29, 2024 · Quality of Life and Care
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Potential for harm · D June 15, 2022
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 12, 2022 · Resident Rights
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Potential for harm · D June 15, 2022
Reasonably accommodate the needs and preferences of each resident.
Corrected July 12, 2022 · Resident Rights
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Potential for harm · D June 15, 2022
Keep residents' personal and medical records private and confidential.
Corrected July 12, 2022 · Resident Rights
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Potential for harm · D June 15, 2022
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.
Corrected July 12, 2022 · Resident Rights
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Potential for harm · D June 15, 2022
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 12, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 15, 2022
Respond appropriately to all alleged violations.
Corrected July 12, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 15, 2022
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected July 12, 2022 · Resident Rights
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Potential for harm · D June 15, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 12, 2022 · Resident Assessment and Care Planning
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Potential for harm · D June 15, 2022
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 12, 2022 · Quality of Life and Care
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Potential for harm · D June 15, 2022
Post nurse staffing information every day.
Corrected July 12, 2022 · Nursing and Physician Services
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Potential for harm · D June 15, 2022
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected July 12, 2022 · Pharmacy Service
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Potential for harm · D June 15, 2022
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 July 12, 2022 · Pharmacy Service
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Potential for harm · E June 15, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 12, 2022 · Nutrition and Dietary
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Potential for harm · E June 15, 2022
Provide and implement an infection prevention and control program.
Corrected July 12, 2022 · Infection Control
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Potential for harm · D May 15, 2019
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 14, 2019 · Quality of Life and Care
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Potential for harm · D May 15, 2019
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected June 14, 2019 · Quality of Life and Care
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Potential for harm · D May 15, 2019
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected June 14, 2019 · Environmental
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445362 · certified since January 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.