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C
Below Standard

SIGNATURE HEALTHCARE OF PUTNAM COUNTY

278 DRY VALLEY RD · COOKEVILLE, TN 38506

9315376524 · For profit - Limited Liability company

175 beds137.3 residents158 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 PUTNAM COUNTY receives an overall staffing grade of C (Below Standard). With 3.5454 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4496 HPRD, below the recommended 0.75. It is 0.35 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 20.49% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.4496 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
3.5454hrs/resident/day▼ 0.35
CMS benchmark: 3.48
RN HPRD
0.4496hrs/resident/day▼ 0.23
Recommended: 0.75
Weekend Drop-off
20.49%
3.7633 weekday → 2.9922 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0393hrs/resident/day
Direct care aides
LPN HPRD
1.0565hrs/resident/day
Licensed practical nurses
Consistency
0.3864std 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. Putnam County Average-0.20 HPRD
3.74
03.55 HPRD
vs. Tennessee State Average-0.33 HPRD
3.87
03.55 HPRD
vs. National Average-0.35 HPRD
3.90
03.55 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 PUTNAM COUNTY ★
COOKEVILLE · This facility
—
C
3.54540.4496★★☆☆☆
AHC BETHESDA
COOKEVILLE
2.6 mi
C
3.86120.5204★★☆☆☆
NHC HEALTHCARE, COOKEVILLE
COOKEVILLE
4.2 mi
C
4.08830.4486★★★★★
STANDING STONE CARE AND REHAB
MONTEREY
10.4 mi
B
3.48440.7135★★★★☆
OVERTON COUNTY HEALTH AND REHAB CENTER
LIVINGSTON
15.2 mi
D
3.9230.3045★★★★☆
LIFE CARE CENTER OF SPARTA
SPARTA
16.2 mi
D
3.55920.3729★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
14
Total Deficiencies
$0
Fines Assessed
Apr 3, 2025Health
3 deficiencies cited
▼
May 18, 2023Health
10 deficiencies cited
▼
Apr 25, 2018Health
1 deficiency 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.