Nursing HomeInspections

Signature Healthcare of Monteagle Rehab & Wellness

Nursing home in Monteagle, TN

Medicare & Medicaid certified3★ overall (CMS)

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Public-record details

Address
26 Second Street, Monteagle, TN 37356
Phone
(931) 392-3003
Listed under
For-profit
Medicare CCN
445393
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measures rating
5 of 5
Certified beds
150
Average residents per day
71
Ownership
For-profit, limited Liability company
Legal business name
LP Monteagle LLC
Chain
Signature Healthcare (67 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 1, 1997
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 445393. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Sep 17, 2025. CMS lists 20 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 4, 2021 to Sep 17, 2025): 1 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Sep 17, 2025Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights		D
Potential for more than minimal harm, isolated
Sep 17, 2025Honor 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
Sep 17, 2025Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Sep 17, 2025Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Sep 17, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Sep 17, 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		D
Potential for more than minimal harm, isolated
Sep 17, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Sep 17, 2025Dispose of garbage and refuse properly.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Sep 17, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Sep 17, 2025Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services		F
Potential for more than minimal harm, widespread
Jul 31, 2024Reasonably accommodate the needs and preferences of each resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Jul 31, 2024Honor 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

Showing the 12 most recent of 20. 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 Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $31,902 in the last three years.

Jul 31, 2024Fine: $31,902

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

Staffing

Total nurse staffing per resident per day
3.58 hours
Registered nurse (RN) time per resident per day
0.35 hours
Nurse aide time per resident per day
1.99 hours
Total nurse staffing on weekends
3.12 hours
Nursing staff turnover (yearly)
48%
Administrators who left in the past year
3

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.

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error