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D
Poor

SIGNATURE HEALTHCARE OF ERIN

278 ROCKY HOLLOW ROAD · ERIN, TN 37061

9312894141 · For profit - Limited Liability company

164 beds104.1 residents172 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

SIGNATURE HEALTHCARE OF ERIN receives an overall staffing grade of D (Poor). With 3.635 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.2646 HPRD, below the recommended 0.75. It is 0.26 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 17.51% compared to weekdays. The facility has low agency staff usage (2.05% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
⚠️RN staffing (0.2646 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Low agency staff usage (2.05%) — mostly permanent, familiar staff
Total Nurse HPRD
3.635hrs/resident/day▼ 0.26
CMS benchmark: 3.48
RN HPRD
0.2646hrs/resident/day▼ 0.42
Recommended: 0.75
Weekend Drop-off
17.51%
3.8243 weekday → 3.1546 weekend
Agency Staff
2.05%
1.67% of RN hours from contractors
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
2.1741hrs/resident/day
Direct care aides
LPN HPRD
1.0968hrs/resident/day
Licensed practical nurses
Consistency
0.371std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Houston County Average+0.00 HPRD
3.63
03.63 HPRD
vs. Tennessee State Average-0.24 HPRD
3.87
03.63 HPRD
vs. National Average-0.26 HPRD
3.90
03.63 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
SIGNATURE HEALTHCARE OF ERIN ★
ERIN · This facility
—
D
3.6350.2646★☆☆☆☆
DOVER CARE CENTER
DOVER
13.9 mi
B
3.4970.8761★★★☆☆
AHC WAVERLY
WAVERLY
15 mi
B
4.05140.6354★☆☆☆☆
NHC HEALTHCARE, DICKSON
DICKSON
24 mi
B
3.8220.6499★★★★★
Spring Meadows Health and Rehabilitation
CLARKSVILLE
28.2 mi
C
3.38450.4082★★☆☆☆
CAMDEN HEALTHCARE & REHAB CENTER
CAMDEN
28.4 mi
C
3.34410.6212★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
11
Total Deficiencies
$210,753
Fines Assessed
Apr 3, 2024Health
4 deficiencies cited· Includes actual harm
▼
May 1, 2023Health
4 deficiencies cited· Includes actual harm
▼
Mar 18, 2020Health
1 deficiency cited
▼
Apr 18, 2019Health
2 deficiencies cited
▼

Penalty History

Apr 3, 2024Fine
$147,898
May 1, 2023Fine
$62,855
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.