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C
Below Standard

SIGNATURE HEALTHCARE OF FENTRESS COUNTY

208 DUNCAN ST NORTH · JAMESTOWN, TN 38556

9318795859 · For profit - Corporation

140 beds79.1 residents100 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
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 FENTRESS COUNTY receives an overall staffing grade of C (Below Standard). With 3.6112 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4698 HPRD, below the recommended 0.75. It is 0.29 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 23.6% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.4698 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.6112hrs/resident/day▼ 0.29
CMS benchmark: 3.48
RN HPRD
0.4698hrs/resident/day▼ 0.21
Recommended: 0.75
Weekend Drop-off
23.6%
3.8693 weekday → 2.956 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0.03% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8609hrs/resident/day
Direct care aides
LPN HPRD
1.2805hrs/resident/day
Licensed practical nurses
Consistency
0.4857std 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. Fentress County Average+0.00 HPRD
3.61
03.61 HPRD
vs. Tennessee State Average-0.26 HPRD
3.87
03.61 HPRD
vs. National Average-0.29 HPRD
3.90
03.61 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 FENTRESS COUNTY ★
JAMESTOWN · This facility
—
C
3.61120.4698★★☆☆☆
PICKETT CARE AND REHABILITATION CENTER
BYRDSTOWN
14.4 mi
B
3.79190.5971★★★☆☆
OVERTON COUNTY HEALTH AND REHAB CENTER
LIVINGSTON
21.7 mi
D
3.9230.3045★★★★☆
HUNTSVILLE POST-ACUTE AND REHABILITATION CENTER
HUNTSVILLE
25.7 mi
C
3.20130.5486★☆☆☆☆
ONEIDA NURSING AND REHAB CENTER
ONEIDA
25.9 mi
C
3.31970.536★☆☆☆☆
STANDING STONE CARE AND REHAB
MONTEREY
26.5 mi
B
3.48440.7135★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
22
Total Deficiencies
$0
Fines Assessed
Feb 23, 2024Health
2 deficiencies cited
▼
Apr 3, 2023Health
1 deficiency cited
▼
Jun 15, 2022Health
14 deficiencies cited
▼
May 15, 2019Health
3 deficiencies cited
▼
Jun 13, 2018Health
2 deficiencies cited
▼
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.