Nursing HomeInspections

Signature Healthcare of Fentress County

Nursing home in Jamestown, TN

Medicare & Medicaid certified2★ overall (CMS)

Call (931) 879-5859Send a messageMap ↗

Public-record details

Address
208 Duncan St North, Jamestown, TN 38556
Phone
(931) 879-5859
Listed under
For-profit, No fines in 3 years
Medicare CCN
445362
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measures rating
3 of 5
Certified beds
140
Average residents per day
71
Ownership
For-profit, limited Liability company
Legal business name
LP Jamestown LLC
Chain
Signature Healthcare (67 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 1, 1996
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 445362. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jan 7, 2026. CMS lists 23 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 15, 2019 to Jan 7, 2026): 2 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jan 7, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jan 7, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jan 7, 2026Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Jan 7, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Feb 23, 2024Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 23, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 15, 2022Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Jun 15, 2022Reasonably accommodate the needs and preferences of each resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Jun 15, 2022Keep residents' personal and medical records private and confidential.
Resident Rights		D
Potential for more than minimal harm, isolated
Jun 15, 2022Honor 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		D
Potential for more than minimal harm, isolated
Jun 15, 2022Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Jun 15, 2022Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 23. 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
3.49 hours
Registered nurse (RN) time per resident per day
0.56 hours
Nurse aide time per resident per day
1.73 hours
Total nurse staffing on weekends
2.87 hours
Nursing staff turnover (yearly)
42%
RN turnover (yearly)
11%
Administrators who left in the past year
2

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.