All states › Tennessee › Portland › Signature Health of Portland Rehab & Wellness Center
215 Highland Circle Drive Portland, TN 37148 · Sumner County
CMS certification number 445306 · See this home on Medicare Care Compare
Is Signature Health of Portland Rehab & Wellness Center 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 Health of Portland Rehab & Wellness Center 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 3.67 hours per resident per day at Signature Health of Portland Rehab & Wellness Center, about the same as the Tennessee median of 3.66 (US median: 3.72). About 0.79 of those hours are from registered nurses. On weekends it falls to 3.03 hours, 18% below its all-week average. Ask how weekends are staffed. 50.7% 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 Health of Portland Rehab & Wellness Center: Medicare and Medicaid
Signature Health of Portland Rehab & Wellness Center 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 December 4, 2025 and found 2 deficiencies. In total, inspectors issued 24 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 24 citations at Signature Health of Portland Rehab & Wellness Center across 6 inspection dates, 10 of them from complaint investigations. 6 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 11, 2025 (complaint inspection). The most common areas cited were quality of life and care (8) and freedom from abuse, neglect, and exploitation (3). 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 J, April 11, 2025). 3 citations were under CMS's abuse, neglect and exploitation rules.
December 4, 2025 · 2 citations
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
EProvide and implement an infection prevention and control program.
September 11, 2025 · 1 citation, includes actual harm · includes complaint inspection
GProvide enough food/fluids to maintain a resident's health.
April 11, 2025 · 6 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
JProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DPermit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
August 23, 2024 · 3 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
JAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
January 29, 2020 · 6 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.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide safe and appropriate respiratory care for a resident when needed.
DKeep all essential equipment working safely.
February 7, 2019 · 6 citations, includes actual harm
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
EEnsure each resident’s drug regimen must be free from unnecessary drugs.
DEnsure each resident receives an accurate assessment.
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.
CPost nurse staffing information every day.
Questions to ask on a tour of Signature Health of Portland Rehab & Wellness Center
- Inspectors cited the home at the immediate-jeopardy level on April 11, 2025 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 11, 2025. 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 18% 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?
- 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?
- 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
6 penalties in the last three years, including $171,234 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Dec 4, 2025 | Fine | $53,138 |
| Sep 11, 2025 | Fine | $10,868 |
| Apr 11, 2025 | Fine | $91,582 |
| Aug 23, 2024 | Fine | $7,823 |
| Aug 23, 2024 | Fine | $7,823 |
| Aug 23, 2024 | Payment Denial | 2 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 2/5 | 3/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 4/5 |
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Location
Hospitals near Signature Health of Portland Rehab & Wellness Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
9.6 mi
Sumner Regional Medical Center GallatinEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 24m for patients treated and sent home
- 13.2 mi
-
15.1 mi
Hendersonville Medical Center HendersonvilleEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 39m 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 Health of Portland Rehab & Wellness Center › All nursing homes in Portland ›
Compare Signature Health of Portland Rehab & Wellness Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Gallatin Center for Rehabilitation and Healing · Gallatin · 4 stars · 9.1 mi
- The Waters of Gallatin · Gallatin · 2 stars · 9.7 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.