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Signature Healthcare of Monteagle Rehab & Wellness

All states › Tennessee › Monteagle › Signature Healthcare of Monteagle Rehab & Wellness

26 Second Street Monteagle, TN 37356 · Grundy County

(931) 392-3003

Accepts Medicare Accepts Medicaid 150 certified beds For profit

CMS certification number 445393 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Signature Healthcare of Monteagle Rehab & Wellness 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 Monteagle Rehab & Wellness as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the Tennessee average of 3.1. Inspectors issued 20 citations in the last three years. CMS imposed 1 penalty, including $31,902 in fines, in that time.

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.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.58 hours per resident per day at Signature Healthcare of Monteagle Rehab & Wellness, about the same as the Tennessee median of 3.66 (US median: 3.72). About 0.35 of those hours are from registered nurses. On weekends it falls to 3.12 hours, 13% below its all-week average. 48.3% of nursing staff left within a year (Tennessee median 48.7%). 3 administrators left in the past year.

Nursing care per resident per day 3.58 hours
Below the Tennessee median of 3.66 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.35 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.12 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 48.3% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover — Share of registered nurses who left over a year.
Administrators who left 3 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds150
Residents per day 71 About 47% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceJuly 1997
Part of a chainSignature Healthcare
Legal business nameLP MONTEAGLE LLC

Paying for care at Signature Healthcare of Monteagle Rehab & Wellness: Medicare and Medicaid

Signature Healthcare of Monteagle Rehab & Wellness 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 September 17, 2025 and found 10 deficiencies. In total, inspectors issued 20 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 20 citations at Signature Healthcare of Monteagle Rehab & Wellness across 3 inspection dates, 1 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on July 31, 2024. The most common areas cited were resident assessment and care planning (6) and resident rights (4). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level G, July 31, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.

September 17, 2025 · 10 citations

FHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Deficient, Provider has date of correction (Oct 15, 2025)

DNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0569 · Deficient, Provider has date of correction (Oct 15, 2025)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Oct 15, 2025)

DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0636 · Deficient, Provider has date of correction (Oct 15, 2025)

DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0640 · Deficient, Provider has date of correction (Oct 15, 2025)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Oct 15, 2025)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Oct 15, 2025)

DProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Deficient, Provider has date of correction (Oct 15, 2025)

DDispose of garbage and refuse properly.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0814 · Deficient, Provider has date of correction (Oct 15, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Oct 15, 2025)

July 31, 2024 · 8 citations, includes actual harm · includes complaint inspection

GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Aug 22, 2024)

FPost nurse staffing information every day.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Deficient, Provider has date of correction (Aug 22, 2024)

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Aug 22, 2024)

DReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Deficient, Provider has date of correction (Aug 22, 2024)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Aug 22, 2024)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Aug 22, 2024)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Aug 22, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Aug 22, 2024)

August 4, 2021 · 2 citations

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Sep 6, 2021)

DHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Deficient, Provider has date of correction (Sep 6, 2021)

Questions to ask on a tour of Signature Healthcare of Monteagle Rehab & Wellness

  1. Inspectors cited the home at the actual-harm level on July 31, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on July 31, 2024. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Several administrators left in the past year. What has changed for residents since then?
  5. The home averages about 47% of its beds filled. Are any units closed?
  6. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  7. 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 $31,902 in fines.

DateTypeAmount or length
Jul 31, 2024 Fine $31,902

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 2/5 2/5 5/5
August 2026 3/5 2/5 2/5 5/5
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Location

Hospitals near Signature Healthcare of Monteagle Rehab & Wellness

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 15.5 mi
    Southern Tennessee Medical Center Winchester
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 25m for patients treated and sent home
  • 21.3 mi
    Unity Medical Center Manchester
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 12m for patients treated and sent home
  • 24.7 mi
    Harton Regional Medical Center Tullahoma
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 48m 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

Heritage Place Care & Rehabilitation Winchester · 15.0 mi away ★★☆☆☆ Inspection 2/5 · Staffing 1/5 132 beds · Medicaid
Southern Tenn Medical Center SNF Winchester · 15.4 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 46 beds · Medicaid
Elk River Health & Nursing Center of Winchester Winchester · 15.7 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 80 beds · Medicaid
Signature Healthcare of South Pittsburg Rehab & Wellness South Pittsburg · 18.0 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 165 beds · Medicaid
Legacy Health and Rehab Manchester · 21.3 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 72 beds · Medicaid

More nursing homes near Signature Healthcare of Monteagle Rehab & Wellness ›   All nursing homes in Monteagle ›

Compare Signature Healthcare of Monteagle Rehab & Wellness with the 3 closest homes side by side ›

Other Signature Healthcare nursing homes in Tennessee

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.

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https://www.nursinghomesineachstate.com/tennessee/monteagle/signature-healthcare-of-monteagle-rehab-and-wellness/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.