Signature Healthcare of Putnam County

Name: Signature Healthcare of Putnam County
Address: 278 DRY VALLEY RD, Cookeville, TN, 38506, US
Telephone: 9315376524

278 Dry Valley Rd, Cookeville, TN 38506 · Putnam County · 175 certified beds · avg 139 residents/day · certified since Sep 29, 1980

Part of chain: SIGNATURE HEALTHCARE (67 facilities, chain avg rating 3.1★)

1/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.17

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (14)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 3, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Apr 3, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Apr 3, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
May 18, 2023	F · Potential for harm, facility-wide	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
May 18, 2023	F · Potential for harm, facility-wide	The facility did not have enough support staff to safely and effectively run its food and nutrition service.
May 18, 2023	F · Potential for harm, facility-wide	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
May 18, 2023	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 18, 2023	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
May 18, 2023	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
May 18, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
May 18, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
May 18, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
May 18, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Apr 25, 2018	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.

Inspection trend by year

Year	Citations	Worst severity that year
2018	1	D
2023	10	F
2025	3	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Tennessee avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.17	3.62	3.95	bottom 27% in Tennessee; bottom 20% in the U.S.
Registered Nurse hours	0.41	0.57	0.69	bottom 28% in Tennessee; bottom 24% in the U.S.
Weekend total nurse staffing	2.70	3.15	3.50	bottom 24% in Tennessee; bottom 16% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.32	0.39	0.48	bottom 45% in Tennessee; bottom 36% in the U.S.
Total nursing staff turnover (%)	41.4	48.9	45.8	top 27% in Tennessee; top 40% in the U.S.
RN turnover (%)	26.7	43.2	42.9	top 23% in Tennessee; top 24% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.67, RN 0.48, weekend 3.12. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Asbr Holdings LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/01/2018
Jjla LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/01/2014
LPSNF LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/01/2014
SHC LP Holdings LLC	Organization	5% or Greater Direct Ownership Interest	100%	05/01/2014
Steier III, Elmer	Individual	5% or Greater Indirect Ownership Interest	—	05/01/2014
Wheaten LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/01/2014
Boone, Paula	Individual	W-2 Managing Employee	NOT APPLICABLE	01/16/2023
Harrison, John	Individual	Corporate Officer	NOT APPLICABLE	05/01/2014

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
"How is your kitchen staffed, and have meals ever been delayed because of staffing?"
"Could I join residents for a meal to see the food quality and temperature for myself?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Grandview Post Acute	2.6 mi	Cookeville, TN	★☆☆☆☆	1/5
NHC Healthcare, Cookeville	4.2 mi	Cookeville, TN	★★★★★	4/5
Standing Stone Care and Rehab	10.4 mi	Monterey, TN	★★★★★	5/5
Overton County Health and Rehab Center	15.2 mi	Livingston, TN	★★★★☆	4/5
Life Care Center of Sparta	16.3 mi	Sparta, TN	★★★★★	5/5
Mabry Health Care	16.4 mi	Gainesboro, TN	★★★☆☆	4/5
NHC Healthcare, Sparta	18.0 mi	Sparta, TN	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Cookeville →

Facility data as of CMS processing date 2026-08-01. CCN 445136.

The Care File

Visit checklist — Signature Healthcare of Putnam County

278 Dry Valley Rd, Cookeville, TN 38506 · 9315376524

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $0

Questions for the administrator:

☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
☐ "How is your kitchen staffed, and have meals ever been delayed because of staffing?"
☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 445136 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)