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Nursing homeFAID #11784

Signature Healthcare of Putnam County

278 DRY VALLEY RD, COOKEVILLE, TN, 38506
(931) 537-6524
shcofputnamcounty.com
175 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo of SIGNATURE HEALTHCARE OF PUTNAM COUNTY
Photo via Google · Signature HealthCARE of Putnam County

Public record summary

What we can show you for free.
Bed capacity
175
CMS facility ID
445136
Care type
Nursing home
County
Putnam
Facility name
Signature Healthcare of Putnam County
Street address
278 DRY VALLEY RD
City / state / ZIP
Cookeville, TN 38506
Phone
(931) 537-6524
Website
shcofputnamcounty.com

About this facility — Signature Healthcare of Putnam County

Signature Healthcare of Putnam County is a Medicare/Medicaid-certified skilled nursing facility in Cookeville, Tennessee. It is licensed for 175 beds — well above the median for skilled nursing facilities in Tennessee (114 beds).

It is one of 8 senior care facilities in Cookeville 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 Putnam County 20 times across 7 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.

Facility background

What the public record shows.

Ownership & operator

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

Registered owners & officers

Shc Lp Holdings Llc
Direct owner — 100% stake — since 2014
Asbr Holdings Llc
Indirect owner — since 2018
Boone, Paula
Managing employee — since 2023
Harrison, John
Officer — since 2014
Jjla Llc
Indirect owner — since 2014
Lpsnf Llc
Indirect owner — since 2014
Steier Iii, Elmer
Indirect owner — since 2014
Wheaten Llc
Indirect owner — since 2014

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
1980-09-29
CMS overall rating
1 of 5 stars
Health deficiencies
10 at the last standard inspection
Federal fines
None on record
Last standard inspection
2023-05-18
Nurse staffing
3.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$378 per day (≈ $11,490/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
60% Medicaid · 14% Medicare · 26% private/other
Occupancy
75% (fiscal year 2023)
Vs. state median
3% above the TN median of $367/day — full state cost breakdown

Services & coverage

Licensed beds
175
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.

Inspection record

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.
2025-04-03Health inspectionComplaint-triggered3 citations
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-04-16
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-16
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-09-06
2023-05-18Health inspection10 citations
F-0550
E · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-07-02
F-0584
E · 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 2023-07-02
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 2023-07-02
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-07-02
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-02
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-07-02
F-0725
F · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-07-02
F-0802
F · No harm foundFood safety
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2023-07-02
F-0804
F · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-07-02
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 2023-07-02
4 earlier / fire-safety inspections (7 citations)
2018-04-25Health inspection1 citation
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2018-05-04
2023-05-18Fire-safety inspection1 citation
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 2023-06-27
2019-04-10Fire-safety inspection1 citation
K-0911
D · No harm found
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2019-05-03
2018-04-25Fire-safety inspection4 citations
E-0022
C · No harm found
Establish policies and procedures for sheltering.
Corrected 2018-05-11
E-0024
C · No harm found
Establish policies and procedures for volunteers.
Corrected 2018-05-11
E-0039
C · No harm found
Conduct testing and exercise requirements.
Corrected 2018-05-11
K-0908
D · No harm found
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Corrected 2018-05-10
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 445136.

Visitor reviews

What people say on Google.
3.9101 ratings on Google
★Brenda Saylors · 2026-07-15 · via Google

“I do not recommend this facility. My mother's experience was not pleasant. Food was horrible. CNA WAS Exelent during day shift. Night shift was not acceptable. As far as therapy we never knew when she took it..no schedule was ever posted..there are many things that should be ask before you admit your family members. I do believe patients are kept highly medicated. Don't take my word fully check f…”

★★★★★Michael,Tracie, Bernie & Gizmo · 2024-12-27 · via Google

“My Dad had a fall around the first of December 2024. Broke hip and had a partial hip replacement. He was sent to Signature after his surgery. He has been there for 21 days. My wife and I attended one of my Dad's physical therapies, and we were so impressed with his therapist, Ms. Amanda Williams. She was so gentle, through, professional, and attentive to my Dad's needs to get him back to being…”

★Shannon · 2026-06-03 · via Google

“My mom was here for rehabilitation only after knee surgery she was here for more than two weeks and they never got her up walking when I went to see her she was incoherent, unresponsive, and moaning and pain She was then finally transferred to the hospital. She is an ICU and in septic shock. I still don’t know if she’ll be OK and the Nursing Home has yet to say a single word to me about it Do not …”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

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 20 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
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

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