All states › Tennessee › Cookeville › Signature Healthcare of Putnam County
278 Dry Valley Rd Cookeville, TN 38506 · Putnam County
All 3 nursing homes in Cookeville, TN (3 take Medicaid)
CMS certification number 445136 · See this home on Medicare Care Compare
Is Signature Healthcare of Putnam County a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Signature Healthcare of Putnam County as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Tennessee average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.69 hours per resident per day at Signature Healthcare of Putnam County, about the same as the Tennessee median of 3.66 (US median: 3.72). About 0.47 of those hours are from registered nurses. On weekends it falls to 3.00 hours, 19% below its all-week average. Ask how weekends are staffed. 40% of nursing staff left within a year (Tennessee median 48.7%).
About this nursing home
Paying for care at Signature Healthcare of Putnam County: Medicare and Medicaid
Signature Healthcare of Putnam County is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Tennessee's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 22, 2026 and found 2 deficiencies. In total, inspectors issued 15 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 15 citations at Signature Healthcare of Putnam County across 3 inspection dates, 3 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 15 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (5) and nutrition and dietary (3). The most serious was cited under the CMS rule to "provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift" (tag F0725, level F, May 18, 2023). 1 citation was under CMS's abuse, neglect and exploitation rules.
July 22, 2026 · 2 citations
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DProvide safe and appropriate respiratory care for a resident when needed.
April 3, 2025 · 3 citations · includes complaint inspection
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
May 18, 2023 · 10 citations
FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
FProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
FEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EHonor 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.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe and appropriate respiratory care for a resident when needed.
Questions to ask on a tour of Signature Healthcare of Putnam County
- CMS cited the home under its abuse and neglect rules on July 22, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 19% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 2/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 4/5 |
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Location
Hospitals near Signature Healthcare of Putnam County
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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3.4 mi
Cookeville Regional Medical Center CookevilleEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 4h 28m for patients treated and sent home
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15.4 mi
Livingston Regional Hospital LivingstonEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 1h 54m for patients treated and sent home
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16.4 mi
Saint Thomas Highlands Hospital SpartaEmergency roomMedian ER visit 2h 47m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Signature Healthcare of Putnam County › All nursing homes in Cookeville ›
Compare Signature Healthcare of Putnam County with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- NHC Healthcare, Cookeville · Cookeville · 5 stars · 4.2 mi
Other Signature Healthcare nursing homes in Tennessee
- Princeton Transitional Care & Assisted Living · Johnson City · 5 stars
- Signature Healthcare of Memphis · Memphis · 5 stars
- Signature Healthcare of Rockwood Rehab & Wellness · Rockwood · 5 stars
- Standing Stone Care and Rehab · Monterey · 5 stars
- Mountain City Care & Rehabilitation Center · Mountain City · 5 stars
- Signature Healthcare of Rogersville · Rogersville · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 67 Signature Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.