All states › Tennessee › Erin › Signature Healthcare of Erin
278 Rocky Hollow Road Erin, TN 37061 · Houston County
CMS certification number 445377 · See this home on Medicare Care Compare
Is Signature Healthcare of Erin 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 Erin as of October 2026.
CMS rates it 1 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 3.66 hours per resident per day at Signature Healthcare of Erin, about the same as the Tennessee median of 3.66 (US median: 3.72). About 0.44 of those hours are from registered nurses. On weekends it falls to 3.12 hours, 15% below its all-week average. 49.1% of nursing staff left within a year (Tennessee median 48.7%).
About this nursing home
Paying for care at Signature Healthcare of Erin: Medicare and Medicaid
Signature Healthcare of Erin 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 March 18, 2026 and found 2 deficiencies. In total, inspectors issued 9 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 9 citations at Signature Healthcare of Erin across 4 inspection dates, 4 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 3, 2024 (complaint inspection). The most common areas cited were pharmacy service (3) and infection control (2). The most serious was cited under the CMS rule to "protect each resident from the wrongful use of the resident's belongings or money" (tag F0602, level K, April 3, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.
March 18, 2026 · 2 citations
DEnsure 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.
DProvide and implement an infection prevention and control program.
April 3, 2024 · 4 citations, includes immediate jeopardy · includes complaint inspection
KProtect each resident from the wrongful use of the resident's belongings or money.
KProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
JEnsure that residents are free from significant medication errors.
GProvide safe, appropriate pain management for a resident who requires such services.
March 18, 2020 · 1 citation
DProvide and implement an infection prevention and control program.
April 18, 2019 · 2 citations
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
Questions to ask on a tour of Signature Healthcare of Erin
- Inspectors cited the home at the immediate-jeopardy level on April 3, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on April 3, 2024. 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?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- The home averages about 59% of its beds filled. Are any units closed?
- 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
1 penalty in the last three years, including $147,898 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Apr 3, 2024 | Fine | $147,898 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 2/5 | 2/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 2/5 |
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Location
Hospitals near Signature Healthcare of Erin
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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1.2 mi
Houston County Community Hospital ErinEmergency roomMedian ER visit 1h 51m for patients treated and sent home
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17.0 mi
Ascension Saint Thomas Three Rivers WaverlyEmergency roomMedian ER visit 2h 7m for patients treated and sent home
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24.8 mi
Horizon Medical Center DicksonEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 1h 56m 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 Erin › All nursing homes in Erin ›
Compare Signature Healthcare of Erin with the 3 closest homes side by side ›
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.