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F
Critical

SIGNATURE HEALTHCARE OF MONTEAGLE REHAB & WELLNESS

26 SECOND STREET · MONTEAGLE, TN 37356

9313923003 · For profit - Limited Liability company

150 beds68 residents82 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
F
Critical
RN Staff
F
Critical
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 MONTEAGLE REHAB & WELLNESS receives an overall staffing grade of F (Critical). With 3.3676 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.237 HPRD, below the recommended 0.75. It is 0.53 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 12.1% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

⚠️Had 2 days 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.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3676 HPRD — needs 0.11 more hours per resident per day.
⚠️RN staffing (0.237 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.3676hrs/resident/day▼ 0.53
CMS benchmark: 3.48
RN HPRD
0.237hrs/resident/day▼ 0.45
Recommended: 0.75
Weekend Drop-off
12.1%
3.4869 weekday → 3.0649 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
2days this quarter
4+ days = auto 1-star
CNA HPRD
2.1058hrs/resident/day
Direct care aides
LPN HPRD
1.0249hrs/resident/day
Licensed practical nurses
Consistency
0.3065std 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. Grundy County Average+0.00 HPRD
3.37
03.37 HPRD
vs. Tennessee State Average-0.50 HPRD
3.87
03.37 HPRD
vs. National Average-0.53 HPRD
3.90
03.37 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 MONTEAGLE REHAB & WELLNESS ★
MONTEAGLE · This facility
—
F
3.36760.237★★☆☆☆
THE WATERS OF WINCHESTER, LLC
WINCHESTER
15 mi
D
3.79010.3342★★★★☆
SOUTHERN TENN MEDICAL CENTER SNF
WINCHESTER
15.3 mi
A+
7.83822.4673★★★☆☆
ELK RIVER HEALTH & NURSING CENTER OF WINCHESTER
WINCHESTER
15.7 mi
C
3.93810.5429★★★☆☆
SIGNATURE HEALTHCARE OF SOUTH PITTSBURG REHAB & WE
SOUTH PITTSBURG
17.9 mi
C
3.20490.7343★★★☆☆
LEGACY HEALTH AND REHAB
MANCHESTER
21.3 mi
D
3.7780.3849★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
21
Total Deficiencies
$39,507
Fines Assessed
Sep 17, 2025Health
10 deficiencies cited
▼
Jul 31, 2024Health
8 deficiencies cited· Includes actual harm
▼
Aug 3, 2023Health
1 deficiency cited· Includes actual harm
▼
Aug 4, 2021Health
2 deficiencies cited
▼

Penalty History

Jul 31, 2024Fine
$31,902
Aug 3, 2023Fine
$7,605
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.