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    Nursing home · COOKEVILLE, TN

    SIGNATURE HEALTHCARE OF PUTNAM COUNTY

    278 DRY VALLEY RD, COOKEVILLE, TN 38506

    CMS certification number: 445136 · Updated October 1, 2026

    Request care assistance9315376524Directions

    At a glance

    Official CMS profile

    CMS overall rating

    2 / 5

    Certified beds

    175

    Residents / day

    133

    Ownership

    For profit - Limited Liability company

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Limited Liability company
    County
    Putnam
    Certified beds
    175
    Average residents per day
    133
    First certified
    September 29, 1980

    CMS quality ratings

    Overall
    2 / 5
    Health inspections
    2 / 5
    Staffing
    2 / 5
    Quality measures
    4 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Putnam, Tennessee. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    2.00
    County peers
    3.67
    n=3
    State peers
    3.08

    Nurse hours / resident / day

    This home
    3.69
    County peers
    4.11
    n=3
    State peers
    3.82
    n=296

    Weekend nurse hours / resident / day

    This home
    3.00
    County peers
    3.77
    n=3
    State peers
    3.32
    n=296

    Nursing staff turnover (%)

    This home
    40.00
    County peers
    46.33
    n=3
    State peers
    48.60
    n=286

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 18.6% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 40.0% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    3
    Health citations
    15
    Resident measures
    17
    Ownership records
    8
    Penalties
    0
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    3.69185
    Reported RN Staffing Hours per Resident per Day
    0.47431
    Reported LPN Staffing Hours per Resident per Day
    1.00048
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.21706
    Total number of nurse staff hours per resident per day on the weekend
    3.00445
    Registered Nurse hours per resident per day on the weekend
    0.27541
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.10298
    Total nursing staff turnover
    40.0
    Registered Nurse turnover
    47.1
    Number of administrators who have left the nursing home
    0
    Chain Name
    SIGNATURE HEALTHCARE
    Number of Facilities in Chain
    67
    Chain Average Overall 5-star Rating
    3.1
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    TN
    Urban
    N
    Chain ID
    474
    Latitude
    36.1856
    Location
    278 DRY VALLEY RD,COOKEVILLE,TN,38506
    ZIP Code
    38506
    City/Town
    COOKEVILLE
    Longitude
    -85.451
    QM Rating
    4
    Abuse Icon
    N
    Chain Name
    SIGNATURE HEALTHCARE
    County/Parish
    Putnam
    Provider Name
    SIGNATURE HEALTHCARE OF PUTNAM COUNTY
    Provider Type
    Medicare and Medicaid
    Overall Rating
    2
    Ownership Type
    For profit - Limited Liability company
    Number of Fines
    0
    Processing Date
    2026-10-01
    Staffing Rating
    2
    Provider Address
    278 DRY VALLEY RD
    Telephone Number
    9315376524
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    LP COOKEVILLE LLC
    Long-Stay QM Rating
    5
    High Performing Icon
    N
    Short-Stay QM Rating
    3
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.59554
    Chain Average QM Rating
    3.9
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    2
    Number of Certified Beds
    175
    Provider SSA County Code
    700
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    0
    Registered Nurse turnover
    47.1
    Total Number of Penalties
    0
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    1.13139
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    40.0
    Chain Average Staffing Rating
    3.0
    Number of Facilities in Chain
    67
    Short-Stay QM Rating Footnote
    Not reported
    CMS Certification Number (CCN)
    445136
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    0.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    8
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    33.000
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    133.0
    Chain Average Overall 5-star Rating
    3.1
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    108
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    2.8
    Rating Cycle 1 Health Deficiency Score
    8
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    108
    Rating Cycle 1 Standard Survey Health Date
    2026-07-22
    Rating Cycle 2 Standard Health Survey Date
    2023-05-18
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.41594
    Case-Mix RN Staffing Hours per Resident per Day
    0.78251
    Reported RN Staffing Hours per Resident per Day
    0.47431
    Adjusted LPN Staffing Hours per Resident per Day
    0.87735
    Case-Mix LPN Staffing Hours per Resident per Day
    0.97510
    Reported LPN Staffing Hours per Resident per Day
    1.00048
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    2
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    13
    Rating Cycle 1 Number of Standard Health Deficiencies
    2
    Rating Cycle 2 Number of Standard Health Deficiencies
    10
    Reported Licensed Staffing Hours per Resident per Day
    1.47478
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    0
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    1.94422
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    2.65576
    Number of administrators who have left the nursing home
    0
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.21706
    Adjusted Total Nurse Staffing Hours per Resident per Day
    3.23751
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    4.41337
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    3
    Reported Total Nurse Staffing Hours per Resident per Day
    3.69185
    Registered Nurse hours per resident per day on the weekend
    0.27541
    Date First Approved to Provide Medicare and Medicaid Services
    1980-09-29
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.10298
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    2.63471
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    3.88409
    Total number of nurse staff hours per resident per day on the weekend
    3.00445

    COMMUNITY EXPERIENCE

    Reviews of SIGNATURE HEALTHCARE OF PUTNAM COUNTY

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026