Federal inspection record · CMS data as of October 1, 2026
Signature Healthcare Of Monteagle Rehab & Wellness
26 Second Street, Monteagle, TN · (931) 392-3003
- Certified beds
- 150
- Residents per day
- 71
- Ownership
- For-Profit
- Chain
- Signature Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1997
1
How this home got 3 stars
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Tennessee.
-
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
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Tennessee homes
Signature Healthcare Of Monteagle Rehab & Wellness carries 57 inspection points. That is fewer than 21% 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
20 health citations on record since 2021. 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 (1)
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Resident Assessment and Care Planning6D
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights4D
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Nursing and Physician Services3F
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- F
Post nurse staffing information every day.
- D
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Quality of Life and Care2D
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nutrition and Dietary2F
- D
Dispose of garbage and refuse properly.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Inspection history
2025-09-17
10 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2024-07-31
8 health deficiencies · 14 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2021-08-04
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 35 min of nursing staff time a day, 21 min of it from a registered nurse.
This home
3 h 35 min
Tennessee average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 48% of nursing staff and 0% of registered nurses left in the past year, along with 3 administrators.
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
$31,902 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-07-31 | Fine | $31,902 |
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 days0.3 pts better | 1.3 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same | 1.5 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine9.2 pts worse | 80.3% | 89.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.2 pts better | 100.0% | 93.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1 pts better | 2.3% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.3 pts better | 9.6% | 14.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.6 pts better | 3.4% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication12.7 pts worse | 44.4% | 31.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.5 pts worse | 22.5% | 17.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.8 pts better | 8.6% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.5 pts better | 7.0% | 13.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.3% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.7 pts better | 0.0% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.7 pts better | 18.3% | 19.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.2 pts worse | 5.0% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.1 pts better | 92.5% | 79.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit8 pts better | 3.3% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts worse | 3.8% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine13.1 pts better | 92.3% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.1 pts better | 19.5% | 22.6% | 23.4% |
·
Who owns and runs it
8 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 |
| Harrison, John | Corporate Officer · Individual | 0% | 67 facilities |
| Jjla LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 66 facilities |
| Levieux, Amanda | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Lpsnf Ii LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 27 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 |
·
Fire safety
18 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness6D
- D
Address subsistence needs for staff and patients.
- D
List the names and contact information of those in the facility.
- D
List the names and contact information of those in the facility.
- D
Provide primary/alternate means for communication.
- D
Establish staff and initial training requirements.
- D
Conduct testing and exercise requirements.
Smoke4D
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems3D
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure that testing and maintenance of electrical equipment is performed.
Egress3D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D
Have exits that are accessible at all times.
Miscellaneous2D
- D
Have simulated fire drills held at unexpected times.
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
·
Other homes nearby
-
Heritage Place Care & Rehabilitation LLC
Winchester, TN · Infinity Healthcare Consulting
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 40 min
- Fines
- $0
-
Southern Tenn Medical Center SNF
Winchester, TN
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 21 min
- Fines
- $0
-
Elk River Health & Nursing Center Of Winchester
Winchester, TN · Twin Rivers Health & Rehabilitation
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 38 min
- Fines
- $0