Federal inspection record · CMS data as of October 1, 2026
Signature Healthcare Of Erin
278 Rocky Hollow Road, Erin, TN · (931) 289-4141
- Certified beds
- 164
- Residents per day
- 97
- Ownership
- For-Profit
- Chain
- Signature Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1996
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Tennessee.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Tennessee homes
Signature Healthcare Of Erin carries 87 inspection points. That is fewer than 11% of Tennessee's 300 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Tennessee: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–17 pts
- 3★ 17–31 pts
- 2★ 31–61 pts
- 1★ over 61 pts
Bars show every rated home in Tennessee by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
9 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
-
K
Protect each resident from the wrongful use of the resident's belongings or money.
-
K
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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J
Ensure that residents are free from significant medication errors.
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G
Provide safe, appropriate pain management for a resident who requires such services.
Everything else, by area of care
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Pharmacy Service1D
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Resident Rights1D
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care1D
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspection history
2026-03-18
2 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2020-03-18
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2019-04-18
6 health deficiencies · 4 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 40 min of nursing staff time a day, 26 min of it from a registered nurse.
This home
3 h 40 min
Tennessee average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 49% of nursing staff and 55% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$147,898 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-04-03 | Fine | $147,898 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.4 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.4 pts worse | 2.9 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine21.5 pts worse | 68.0% | 89.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1 pts worse | 92.8% | 93.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.5 pts worse | 5.8% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms11.7 pts better | 3.2% | 14.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.1 pts better | 2.9% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.7 pts worse | 38.4% | 31.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication11 pts worse | 28.0% | 17.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts worse | 0.3% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.3 pts worse | 21.7% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.7 pts worse | 24.2% | 13.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts worse | 2.2% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1 pts worse | 20.0% | 19.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4 pts better | 0.8% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine33.6 pts worse | 45.8% | 79.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit11.7 pts worse | 23.0% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts worse | 1.8% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15.6 pts worse | 63.6% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.7 pts worse | 23.3% | 22.6% | 23.4% |
·
Who owns and runs it
9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Lp Cr Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 21 facilities |
| Agemo Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 27 facilities |
| Baston, Andrea | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Harrison, John | Corporate Officer · Individual | 0% | 67 facilities |
| Jjla LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 66 facilities |
| Lpsnf Ii LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 27 facilities |
| Signature Healthcare LLC | Operational/Managerial Control · Organization | 0% | 19 facilities |
| Steier Iii, Elmer | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 66 facilities |
| Wheaten LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 64 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3D
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
Emergency Preparedness2D
- D
Address subsistence needs for staff and patients.
- D
Conduct testing and exercise requirements.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
·
Other homes nearby
-
Dover Care Center
Dover, TN · Exceptional Living Centers
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 32 min
- Fines
- $0
-
Waverly Hills Post Acute
Waverly, TN
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 47 min
- Fines
- $15,288
-
Humphreys County Care And Rehabilitation
Waverly, TN
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- —
- Fines
- $10,868