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Nursing HomeMedicaid Investigative

Signature Health of Portland Rehab & Wellness Cent

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

215 Highland Circle Drive, Portland, TN 37148112 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 78 Google reviews

5
4
3
2
1
Signature Health of Portland Rehab & Wellness Cent Nursing Home in Portland, TN — Street View
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8/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (9 vs median 5.0)
  • High staff turnover (74%)
  • High RN turnover (73%)

Bottom 25% in TN · Meets national RN staffing standard · Very high staff turnover · Worst in SIGNATURE HEALTHCARE chain · $107,228 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility is highly regarded for its rehabilitation therapy and compassionate nursing staff, making it a strong candidate for recovery. However, families should be proactive in monitoring administrative paperwork and should ask for a tour to observe current staffing levels, as some reviewers have noted concerns about response times.

Google Reviews

Google Reviews

78 reviews on Google
Signature Health of Portland receives high praise for its compassionate nursing staff, effective rehabilitation services, and a welcoming, home-like environment. While many families report positive experiences with management and care quality, a minority of reviewers have raised serious concerns regarding administrative errors, slow response times for call lights, and isolated reports of poor hygiene or staff rudeness.

Quality Themes

Tap a score for details
Food9.0Staff8.0Clean9.0Activities9.0MedsN/AMemoryN/AComms7.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Effective and supportive rehabilitation therapy
  • Clean and well-maintained facility
  • Friendly and responsive management team

Concerns

  • Slow response times to call lights (mentioned by 2 reviewers)
  • Administrative/billing errors (mentioned by 2 reviewers)
  • Rude or unprofessional staff behavior (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(2)'19(2)'21(8)'23(24)'25(1)'26(12)

Distribution · 75 analyzed

5
64
4
4
3
0
2
0
1
7

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1It's great to see how much management engages with feedback online; how does the team use resident and family input to improve daily care?
  • 2We want to ensure our loved one is heard quickly; what steps are in place to make sure call lights are answered promptly, especially during busy shifts?
  • 3With the focus on rehabilitation here, could you tell us more about how the therapy team works with residents to meet their specific mobility goals?
  • 4How does the nursing team manage medical emergencies or sudden changes in health during the overnight hours?
  • 5What kind of daily activities or social events are organized to keep residents engaged and connected with one another?
  • 6We noticed the facility looks very well-maintained; what is the routine for ensuring the resident rooms and common areas stay clean and comfortable?

Personalized based on this facility's data


Key Review Excerpts

The Nursing Staff was very involved in her day-to-day care and the Rehabilitation Department was very focused on my mother reaching her goals!

Long-term resident's family · 2021★★★★★

The receptionist that is your first interaction with the facility is friendly and has a heart of gold. She even prayed with me personally one morning as my dad had to be taken by ambulance to the hospital.

Long-term resident's family · 2024★★★★★

My 90yr old Dad just spent 3 months in the rehab at Signature. The staff were patient, encouraging & supportive. The therapist were very effective & patient also in his care.

Rehab patient's family · 2026★★★★★
Source: 78 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.72hrs
95%
Registered nurses for medical care
Total Nursing
3.57hrs
87%
All nurses + aides combined
Staff Turnover
75%
Lower is better (< 30% = good)
RN Turnover
73%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

11

measures

Worse Than Avg

5

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility34.3%
Worse than Avg
Here
34.3%
US
19.5%
TN
31.9%
Sumner
27.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility6.4%
Better than Avg
Here
6.4%
US
15.3%
TN
18.5%
Sumner
14.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility23.9%
Worse than Avg
Here
23.9%
US
15.4%
TN
16.9%
Sumner
12.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility3.4%
Better than Avg
Here
3.4%
US
14.4%
TN
14.6%
Sumner
13.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.6%
Better than Avg
Here
99.6%
US
93.4%
TN
89.5%
Sumner
96.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility17.1%
Worse than Avg
Here
17.1%
US
12.1%
TN
12.9%
Sumner
9.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility87.8%
Better than Avg
Here
87.8%
US
81.8%
TN
79.4%
Sumner
82.1%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility88.1%
Mixed vs Avgs
Here
88.1%
US
79.7%
TN
79.8%
Sumner
90.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.4%
Better than Avg
Here
1.4%
US
1.6%
TN
1.6%
Sumner
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
6penalties
Near state avg (5.9)
18 complaint-triggered
$107,228 in fines

Families have filed multiple complaints triggering serious deficiencies in resident protection from abuse and neglect, which appeared in both 2024 and 2025 inspections. The facility has recurring problems with accident prevention and safety supervision, building safety systems, and emergency preparedness. While all issues have correction dates, the pattern of repeated complaints about fundamental safety and protection raises significant concerns about consistent quality of care.

Dec 4, 2025Routine
16
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0004Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0015Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0025Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Create arrangements with other facilities to receive patients.

0030Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

List the names and contact information of those in the facility.

0032Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Provide primary/alternate means for communication.

0033Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Establish methods for sharing information.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Sep 11, 2025Complaint
1
0692Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Apr 11, 2025Complaint
12
0600Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0678Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0600Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0678Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0867Potential for harm · WidespreadCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0867Potential for harm · WidespreadCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0626Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0626Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Mar 28, 2025Complaint
2
0920Actual harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

Aug 23, 2024Complaint
3
0600Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0835Immediate jeopardy · IsolatedCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Jan 29, 2020Routine
13
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0908Potential for harm · IsolatedCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0006Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Federal Penalties

Fine

Dec 4, 2025

$81,750

Fine

Sep 11, 2025

$10,868

Fine

Apr 11, 2025

$91,582

Fine

Aug 23, 2024

$7,823

Fine

Aug 23, 2024

$7,823

Payment Denial

Aug 23, 2024

2-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Signature Health of Portland Rehab & Wellness Cent

Organization Type

for profit

Chain Affiliation

Chain Name

Signature Healthcare

Chain Size

68 facilities nationwide

Chain avg rating: 3.0/5 · Rank 69 of 70 (Worst)

Ownership & Management

Owners

Distinct Group Holdings, LLC

Owner · Organization

100%

Jjla LLC

Owner (parent company) · Organization

Lpsnf LLC

Owner (parent company) · Organization

Wheaten LLC

Owner (parent company) · Organization

Steier III, Elmer

Owner (parent company)

Key personnel

Masden, TylerW-2 Managing EmployeeHarrison, JohnOfficer / DirectorSignature Healthcare LLCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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