SIGNATURE HEALTHCARE OF PUTNAM COUNTY

278 DRY VALLEY RD, COOKEVILLE, TN 38506 · CCN 445136 · 175 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing2 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

No immediate-jeopardy or actual-harm citations, and no CMS enforcement fines, appear in this facility's current record.

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Serious inspection findings

No citations at CMS's actual-harm or immediate-jeopardy levels appear in this facility's current record.

Staffing, from payroll records

Nursing hours / resident / day

3.37

state median 3.29

Weekend staffing gap

−11%

fewer nursing hours on weekends · state median −8%

RN hours / resident / day

0.30

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

41%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

CMS records no penalties for this facility.

Ownership

Ownership type: For profit - Limited Liability company. Part of the SIGNATURE HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

SIGNATURE HEALTHCARE OF MUNCIE (MUNCIE, IN) — CMS overall1 of 5
SIGNATURE HEALTHCARE AT PARKWOOD (LEBANON, IN) — CMS overall5 of 5
SIGNATURE HEALTHCARE OF TERRE HAUTE (TERRE HAUTE, IN) — CMS overall1 of 5
SIGNATURE HEALTHCARE OF BREMEN (BREMEN, IN) — CMS overall3 of 5
Morgantown Care & Rehabilitation Center (Morgantown, KY) — CMS overall3 of 5
Signature Healthcare at Summit Manor Rehab & Welln (Columbia, KY) — CMS overall4 of 5
Sunrise Manor Nursing Home (Hodgenville, KY) — CMS overall1 of 5
Mayfair Manor (Lexington, KY) — CMS overall1 of 5

Full citation history

By severity: Potential for more than minimal harm: 14

Survey date	Tag	Category	Severity	Corrected
2025-04-03	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-04-03	F0689	Quality of Life and Care Deficiencies	D	not recorded
2025-04-03	F0755	Pharmacy Service Deficiencies	D	not recorded
2023-05-18	F0550	Resident Rights Deficiencies	E	not recorded
2023-05-18	F0584	Resident Rights Deficiencies	E	not recorded
2023-05-18	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-05-18	F0684	Quality of Life and Care Deficiencies	D	not recorded
2023-05-18	F0689	Quality of Life and Care Deficiencies	D	not recorded
2023-05-18	F0695	Quality of Life and Care Deficiencies	D	not recorded
2023-05-18	F0725	Nursing and Physician Services Deficiencies	F	not recorded
2023-05-18	F0802	Nutrition and Dietary Deficiencies	F	not recorded
2023-05-18	F0804	Nutrition and Dietary Deficiencies	F	not recorded
2023-05-18	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2018-04-25	F0655	Resident Assessment and Care Planning Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “SIGNATURE HEALTHCARE OF PUTNAM COUNTY, COOKEVILLE” at medicare.gov/care-compare.