Nursing HomeInspections

Signature Healthcare of Putnam County

Nursing home in Cookeville, TN

Medicare & Medicaid certified1★ overall (CMS)

Call (931) 537-6524Send a messageMap ↗

Public-record details

Address
278 Dry Valley Rd, Cookeville, TN 38506
Phone
(931) 537-6524
Listed under
For-profit, No fines in 3 years
Medicare CCN
445136
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
175
Average residents per day
139
Ownership
For-profit, limited Liability company
Legal business name
LP Cookeville LLC
Chain
Signature Healthcare (67 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Sep 29, 1980
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 445136. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 18, 2023. CMS lists 14 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 25, 2018 to Apr 3, 2025): 3 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Apr 3, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 3, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 3, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
May 18, 2023Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 18, 2023Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 18, 2023Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 18, 2023Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 18, 2023Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		E
Potential for more than minimal harm, pattern
May 18, 2023Honor 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.
Resident Rights		E
Potential for more than minimal harm, pattern
May 18, 2023Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services		F
Potential for more than minimal harm, widespread
May 18, 2023Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
May 18, 2023Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread

Showing the 12 most recent of 14. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.67 hours
Registered nurse (RN) time per resident per day
0.48 hours
Nurse aide time per resident per day
2.20 hours
Total nurse staffing on weekends
3.12 hours
Nursing staff turnover (yearly)
41%
RN turnover (yearly)
27%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Cookeville

Nhc Healthcare, Cookeville815 South Walnut Avenue · Cookeville, TN 38501 · (931) 528-5516 · For-profit6 health citations in 3 inspection cycles · last standard inspection Feb 12, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)Grandview Post Acute444 One Eleven Place · Cookeville, TN 38506 · (931) 525-6655 · For-profit37 health citations in 3 inspection cycles · last standard inspection May 6, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified1★ overall (CMS)

All 3 in Cookeville →