All states › Tennessee › Jamestown › Signature Healthcare of Fentress County
208 Duncan St North Jamestown, TN 38556 · Fentress County
CMS certification number 445362 · See this home on Medicare Care Compare
Is Signature Healthcare of Fentress 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 Fentress 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 3.54 hours per resident per day at Signature Healthcare of Fentress County, below the Tennessee median of 3.66 (US median: 3.72). About 0.45 of those hours are from registered nurses. On weekends it falls to 2.87 hours, 19% below its all-week average. Ask how weekends are staffed. 39.4% of nursing staff left within a year (Tennessee median 48.7%). 2 administrators left in the past year.
About this nursing home
Paying for care at Signature Healthcare of Fentress County: Medicare and Medicaid
Signature Healthcare of Fentress 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 January 7, 2026 and found 4 deficiencies. In total, inspectors issued 23 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 23 citations at Signature Healthcare of Fentress County across 4 inspection dates, 2 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 23 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 (6) and resident rights (5). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, January 7, 2026). 2 citations were under CMS's abuse, neglect and exploitation rules.
January 7, 2026 · 4 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DEnsure each resident receives an accurate assessment.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DHave a policy regarding use and storage of foods brought to residents by family and other visitors.
February 23, 2024 · 2 citations · includes complaint inspection
DProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
June 15, 2022 · 14 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DReasonably accommodate the needs and preferences of each resident.
DKeep residents' personal and medical records private and confidential.
DHonor 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.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DNotify 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.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide safe and appropriate respiratory care for a resident when needed.
DPost nurse staffing information every day.
DImplement 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.
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.
May 15, 2019 · 3 citations
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide 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.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Questions to ask on a tour of Signature Healthcare of Fentress County
- CMS cited the home under its abuse and neglect rules on June 15, 2022. 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?
- Several administrators left in the past year. What has changed for residents since then?
- The home averages about 56% 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
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 | 2/5 | 2/5 | 2/5 | 3/5 |
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Location
Hospitals near Signature Healthcare of Fentress County
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 21.5 mi
-
21.6 mi
Livingston Regional Hospital LivingstonEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 1h 54m for patients treated and sent home
-
24.3 mi
Big South Fork Medical Center OneidaEmergency roomMedian ER visit 2h 50m 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 Fentress County › All nursing homes in Jamestown ›
Compare Signature Healthcare of Fentress County 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.