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Nursing homeFAID #11909

Signature Healthcare of Fentress County

208 DUNCAN ST NORTH, JAMESTOWN, TN, 38556
(931) 879-5859
140 licensed beds
★★★★★2/5CMS Five-Star overall2/5 health inspections2/5 staffing3/5 quality measuresSource: CMS Care Compare

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Photo of SIGNATURE HEALTHCARE OF FENTRESS COUNTY
Photo via Google · Signature HealthCARE of Fentress County
What we can show you for free.
Bed capacity
140
CMS facility ID
445362
Care type
Nursing home
County
Fentress
Facility name
Signature Healthcare of Fentress County
Street address
208 DUNCAN ST NORTH
City / state / ZIP
Jamestown, TN 38556
Phone
(931) 879-5859

Signature Healthcare of Fentress County is a Medicare/Medicaid-certified skilled nursing facility in Jamestown, Tennessee. It is licensed for 140 beds — above the median for skilled nursing facilities in Tennessee (114 beds).

It is one of 2 senior care facilities in Jamestown and 303 skilled nursing facilities across Tennessee. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Signature Healthcare of Fentress County 35 times across 8 inspections in the last three years, including 3 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Signature Healthcare
Ownership type
For profit - Limited Liability company

Registered owners & officers

Lp Cr Holdings Llc
Direct owner — 100% stake — since 2007
Agemo Holdings Llc
Indirect owner — since 2016
Harrison, John
Officer — since 2007
Jjla Llc
Indirect owner — since 2007
Lpsnf Ii Llc
Indirect owner — since 2016
Mckenney, Allison
Managing employee — since 2024
Steier Iii, Elmer
Indirect owner — since 2007
Wheaten Llc
Indirect owner — since 2007

Regulatory standing

Federal court records
20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1996-01-01
CMS overall rating
2 of 5 stars
Health deficiencies
4 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-01-07
Nurse staffing
3.5 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$362 per day (≈ $11,000/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
74% Medicaid · 12% Medicare · 15% private/other
Occupancy
60% (fiscal year 2023)
Vs. state median
1% below the TN median of $367/day — full state cost breakdown

Services & coverage

Licensed beds
140
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2026-01-07Health inspection4 citations
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2026-01-16
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-01-16
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-16
F-0813
D · No harm foundFood safety
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2026-01-16
2024-02-23Health inspectionComplaint-triggered2 citations
F-0678
D · No harm foundFrom a complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2024-03-29
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-29
5 earlier / fire-safety inspections (29 citations)
2022-06-15Health inspection14 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-07-12
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-07-12
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2022-07-12
F-0584
D · No harm found
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 2022-07-12
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-07-12
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2022-07-12
F-0625
D · No harm found
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2022-07-12
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-07-12
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-07-12
F-0732
D · No harm found
Post nurse staffing information every day.
Corrected 2022-07-12
F-0758
D · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2022-07-12
F-0761
D · No harm found
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.
Corrected 2022-07-12
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-07-12
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2022-07-12
2019-05-15Health inspection3 citations
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-06-14
F-0688
D · No harm found
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2019-06-14
F-0921
D · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2019-06-14
2026-01-07Fire-safety inspectionComplaint-triggered6 citations
K-0222
D · No harm found
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 2026-02-04
K-0293
D · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2026-02-04
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2026-02-04
K-0918
E · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-02-04
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2026-02-04
K-0921
F · No harm foundFrom a complaint
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2026-02-04
2022-06-15Fire-safety inspection4 citations
K-0291
D · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-07-11
K-0293
D · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2022-07-11
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2022-07-11
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2022-07-01
2019-05-15Fire-safety inspection2 citations
K-0222
F · No harm found
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 2019-06-03
K-0919
D · No harm found
Meet requirements for the use of electrical equipment.
Corrected 2019-05-16
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 445362.
What people say on Google.
4.446 ratings on Google
★★★★★Cassie Hoover · 2026-04-27 · via Google

“All the staff were so helpful with my Mom even on the weekends with any questions I had. Very clean environment and they took great care of my Mom while she was there! The therapy staff worked wanders with her as well!”

★★★★★Micah_EasternShoreSpaceflight · 2024-12-30 · via Google

“I was a patient/resident at Signature HealthCARE of Fentress County, where I stayed for a little over two weeks for rehabilitation, including physical and occupational therapy. I was transferred and checked in on a Friday evening, which was a bit chaotic since most of the administration, staff, and residents had already left for the weekend. The weekend was relatively quiet until Monday when every…”

★★★★★clara miller · 2025-06-04 · via Google

“Signature of Fentress office staff were nothing short of amazing! When my family member was sent there they worked with us so well, Kayla was absolutely amazing in making sure all our needs were understood and met, she kept us well informed and continued to help us through the process of transferring her to the ER to another facility and into hospice even though my family member wasn’t there at th…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 35 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered