Signature Healthcare of Putnam County
278 Dry Valley Rd · Cookeville, TN · 38506 · 9315376524
175 certified beds For profit - Limited Liability company Chain: Signature Healthcare
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
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 standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
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: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.52 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.49 | 0.55–0.75 |
| Weekend hours / resident-day | 3.10 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (14 in the current record)
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Potential for harm · D April 3, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 3, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 16, 2025 · Quality of Life and Care
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Potential for harm · D April 3, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 6, 2024 · Pharmacy Service
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Potential for harm · E May 18, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 2, 2023 · Resident Rights
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Potential for harm · E May 18, 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.
Corrected July 2, 2023 · Resident Rights
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Potential for harm · D May 18, 2023
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 2, 2023 · Resident Assessment and Care Planning
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Potential for harm · D May 18, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 2, 2023 · Quality of Life and Care
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Potential for harm · D May 18, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 2, 2023 · Quality of Life and Care
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Potential for harm · D May 18, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 2, 2023 · Quality of Life and Care
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Potential for harm · F May 18, 2023
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected July 2, 2023 · Nursing and Physician Services
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Potential for harm · F May 18, 2023
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected July 2, 2023 · Nutrition and Dietary
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Potential for harm · F May 18, 2023
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected July 2, 2023 · Nutrition and Dietary
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Potential for harm · F May 18, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 2, 2023 · Nutrition and Dietary
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Potential for harm · D April 25, 2018
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected May 4, 2018 · Resident Assessment and Care Planning
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 445136 · certified since September 29, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.