Signature Healthcare of Monteagle Rehab & Wellness
26 Second Street · Monteagle, TN · 37356 · 9313923003
150 certified beds For profit - Limited Liability company Chain: Signature Healthcare
- 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
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.
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: 3 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.61 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.37 | 0.55–0.75 |
| Weekend hours / resident-day | 3.22 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | 2 · $39,507 |
Inspection citations (21 in the current record)
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Potential for harm · D September 17, 2025
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected October 15, 2025 · Resident Rights
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Potential for harm · D September 17, 2025
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 October 15, 2025 · Resident Rights
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Potential for harm · D September 17, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected October 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 17, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected October 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 17, 2025
Ensure each resident receives an accurate assessment.
Corrected October 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 17, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 17, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 15, 2025 · Quality of Life and Care
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Potential for harm · F September 17, 2025
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected October 15, 2025 · Nursing and Physician Services
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Potential for harm · D September 17, 2025
Dispose of garbage and refuse properly.
Corrected October 15, 2025 · Nutrition and Dietary
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Potential for harm · D September 17, 2025
Provide and implement an infection prevention and control program.
Corrected October 15, 2025 · Infection Control
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Actual harm · G July 31, 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 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 31, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected August 22, 2024 · Resident Rights
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Potential for harm · D July 31, 2024
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 August 22, 2024 · Resident Rights
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Potential for harm · D July 31, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 31, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 22, 2024 · Quality of Life and Care
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Potential for harm · F July 31, 2024
Post nurse staffing information every day.
Corrected August 22, 2024 · Nursing and Physician Services
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Potential for harm · F July 31, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 22, 2024 · Nutrition and Dietary
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Potential for harm · D July 31, 2024
Provide and implement an infection prevention and control program.
Corrected August 22, 2024 · Infection Control
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Actual harm · G August 3, 2023 · 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 23, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 4, 2021
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 6, 2021 · Resident Assessment and Care Planning
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Potential for harm · D August 4, 2021
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected September 6, 2021 · Nursing and Physician Services
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 31, 2024 | Fine | $31,902 |
| August 3, 2023 | Fine | $7,605 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445393 · certified since July 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.