Monteagle, TN

Signature Healthcare Of Monteagle Rehab & Wellness

2-star overall rating with 2-star inspections with $39,507 in total fines with 10 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

26 Second Street, Monteagle, TN

(931) 392-3003

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

150

Certified beds

Average residents

68

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Signature Healthcare

Operator or chain grouping

Approved since

1997-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

71 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.24

Registered nurse staffing · state 0.61 · national 0.68

LPN hours / resident day

1.03

Licensed practical nurse staffing · state 1.09 · national 0.87

Aide hours / resident day

2.10

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.37

All reported nurse hours · state 3.85 · national 3.89

Licensed hours

1.26

RN + LPN hours · state 1.70 · national 1.54

Weekend hours

3.06

Weekend nurse staffing · state 3.34 · national 3.43

Weekend RN hours

0.22

Weekend registered nurse coverage · state 0.40 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.26

CMS adjusted RN staffing hours

Adjusted total hours

3.64

CMS adjusted total nurse staffing hours

Case-mix index

1.26

Higher values indicate more complex resident acuity

RN turnover

73%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

63%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,112

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

8.30

Composite VBP score used to determine payment impact.

Payment multiplier

0.9807

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

0

Baseline 50.00% · Performance 66.67% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

1.66

Baseline 3.50 hours · Performance 3.55 hours · Measure score 1.66 · Achievement 1.66 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.76%	10.72% 1 pts worse	No Different than the National Rate · Eligible stays 61 · Observed rate 14.75% · Lower 95% interval 8%
Discharge to community	44.32%	50.57% 6.2 pts worse	No Different than the National Rate · Eligible stays 34 · Observed rate 29.41% · Lower 95% interval 33.22%
Medicare spending per beneficiary	0.95	1.02 0.1 pts better
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 14 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 22 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 68
Staff flu vaccination coverage	6.73%	42% 35.3 pts worse	Numerator 7 · Denominator 104
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.2	1.6 0.4 pts better	1.9 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.2	1.6 0.4 pts better	1.8 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	68.2%	89.9% 21.7 pts worse	93.4% 25.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 80.6% · Q2 86.9% · Q3 59.4% · Q4 46.0% · 4Q avg 68.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	83.6%	94.5% 10.9 pts worse	95.5% 11.9 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 83.6%
Percentage of long-stay residents experiencing one or more falls with major injury	2.4%	3.6% 1.2 pts better	3.3% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 3.3% · Q3 0.0% · Q4 3.2% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.2%	11.8% 10.6 pts better	11.4% 10.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 2.3% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2%
Percentage of long-stay residents who lose too much weight	7.7%	6.2% 1.5 pts worse	5.4% 2.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 11.8% · Q3 7.1% · Q4 5.3% · 4Q avg 7.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	43.0%	32.2% 10.8 pts worse	19.6% 23.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 39.0% · Q2 45.1% · Q3 42.9% · Q4 45.6% · 4Q avg 43.0%
Percentage of long-stay residents who received an antipsychotic medication	24.2%	18.1% 6.1 pts worse	16.7% 7.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.0% · Q2 19.2% · Q3 21.9% · Q4 25.6% · 4Q avg 24.2% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	7.5%	19.9% 12.4 pts better	16.3% 8.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q4 8.8% · 4Q avg 7.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	11.7%	15.3% 3.6 pts better	14.9% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 28.8% · Q2 6.8% · Q3 6.0% · Q4 3.9% · 4Q avg 11.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.9% 0.9 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.9% 1.9 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	22.0%	20.2% 1.8 pts worse	19.8% 2.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.5% · Q2 16.6% · Q3 23.1% · Q4 17.8% · 4Q avg 22.0%
Percentage of long-stay residents with pressure ulcers	3.3%	5.4% 2.1 pts better	5.1% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 4.6% · Q3 3.6% · Q4 3.6% · 4Q avg 3.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	84.8%	79.6% 5.2 pts better	81.7% 3.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 85.0% · Q2 84.0% · Q3 82.1% · Q4 87.5% · 4Q avg 84.8%
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.6% 1.6 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	84.0%	79.8% 4.2 pts better	79.7% 4.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 84.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-17 · Fire 2025-09-17

10 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

4 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 2 Health 2024-07-31 · Fire 2024-07-31

8 health deficiencies

Top issue: Resident Rights (2 deficiencies)

14 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Cycle 3 Health 2021-08-04 · Fire 2021-08-04

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-09-17

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2025-09-23

D · Potential for more than minimal harm 2025-09-17

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2025-10-02

D · Potential for more than minimal harm 2025-09-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-10-03

D · Potential for more than minimal harm 2025-09-17

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-09-23

D · Potential for more than minimal harm 2024-07-31

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2024-08-22

D · Potential for more than minimal harm 2024-07-31

E32 · Emergency Preparedness Deficiencies

Fire Safety

Provide primary/alternate means for communication.

Corrected 2024-08-22

D · Potential for more than minimal harm 2024-07-31

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2024-08-22

D · Potential for more than minimal harm 2024-07-31

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-08-22

D · Potential for more than minimal harm 2024-07-31

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-08-22

D · Potential for more than minimal harm 2024-07-31

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2024-08-22

D · Potential for more than minimal harm 2024-07-31

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2024-08-22

D · Potential for more than minimal harm 2024-07-31

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-08-22

D · Potential for more than minimal harm 2024-07-31

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-08-22

D · Potential for more than minimal harm 2024-07-31

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-08-22

D · Potential for more than minimal harm 2024-07-31

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-08-22

D · Potential for more than minimal harm 2024-07-31

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-08-22

D · Potential for more than minimal harm 2024-07-31

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-08-22

D · Potential for more than minimal harm 2024-07-31

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-08-22

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-09-17

F727 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2025-10-15

D · Potential for more than minimal harm 2025-09-17

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2025-10-15

D · Potential for more than minimal harm 2025-09-17

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2025-10-15

D · Potential for more than minimal harm 2025-09-17

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2025-10-15

D · Potential for more than minimal harm 2025-09-17

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2025-10-15

D · Potential for more than minimal harm 2025-09-17

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-10-15

D · Potential for more than minimal harm 2025-09-17

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-10-15

D · Potential for more than minimal harm 2025-09-17

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-10-15

D · Potential for more than minimal harm 2025-09-17

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2025-10-15

D · Potential for more than minimal harm 2025-09-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-15

G · Actual harm 2024-07-31

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-08-22

F · Potential for more than minimal harm 2024-07-31

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-08-22

F · Potential for more than minimal harm 2024-07-31

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-08-22

D · Potential for more than minimal harm 2024-07-31

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-08-22

D · Potential for more than minimal harm 2024-07-31

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-08-22

D · Potential for more than minimal harm 2024-07-31

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-08-22

D · Potential for more than minimal harm 2024-07-31

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-08-22

D · Potential for more than minimal harm 2024-07-31

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-22

G · Actual harm 2023-08-03

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-08-23

D · Potential for more than minimal harm 2021-08-04

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2021-09-06

D · Potential for more than minimal harm 2021-08-04

F727 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2021-09-06

Penalties and ownership

What sits behind the stars

$31,902 2024-07-31

Fine

Fine · fine $31,902

Fine

$7,605 2023-08-03

Fine

Fine · fine $7,605

Fine

Ownership

Lp Cr Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 21 facilities 2007-11-01

Agemo Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 27 facilities 2016-10-01

Harrison, John

Corporate Officer · Individual

0% 68 facilities 2007-11-01

Jjla LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 64 facilities 2007-11-01

Levieux, Amanda

W-2 Managing Employee · Individual

0% 1 facilities 2022-10-10

Lpsnf Ii LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 27 facilities 2016-10-01

Smedra, Ira

5% Or Greater Indirect Ownership Interest · Individual

0% 98 facilities 2007-11-01

Steier Iii, Elmer

5% Or Greater Indirect Ownership Interest · Individual

0% 66 facilities 2007-11-01

Wheaten LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 67 facilities 2007-11-01

Nearby options

Other facilities in reach

#1

The Waters Of Winchester, LLC

Winchester, TN

4-star overall rating with 5-star inspections with $19,325 in total fines with 1 recent health deficiencies with 19 fire-safety deficiencies in the latest cycle

Overall: 4 / 5
Health: 5 / 5
Staffing: 1 / 5
Fines: $19,325

#2