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Nursing HomeMedicaid Investigative

Signature Healthcare of Erin

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

278 Rocky Hollow Road, Erin, TN 37061164 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.7/5

based on 31 Google reviews

5
4
3
2
1
Signature Healthcare of Erin Nursing Home in Erin, TN — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

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

  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)
  • High RN turnover (62%)

Bottom 25% in TN · Critically understaffed (RN) · Worst in SIGNATURE HEALTHCARE chain · $210,753 in fines · Very few deficiencies

Source: Medicare data

What this means for your family

While the facility has a strong reputation for physical therapy and engaging activities, the recent reports of neglect and communication failures are serious red flags. If you choose this facility, ensure you have a plan for frequent, unannounced visits to monitor your loved one's daily care and hygiene, as staffing consistency appears to be a major issue.

Google Reviews

Google Reviews

31 reviews on Google
Signature Healthcare of Erin receives highly polarized feedback, with some families praising the therapy team and facility cleanliness, while others report severe neglect and communication failures. Critical concerns include reports of patients being left in soiled conditions, lost personal belongings, and significant medical mismanagement. Families considering this facility should be aware of the stark contrast between positive experiences in rehabilitation and deeply concerning accounts regarding basic daily care.

Quality Themes

Tap a score for details
Food2.0Staff5.0Clean7.0Activities9.0Meds2.0Memory5.0Comms2.0ValueN/A

Strengths

  • Effective physical and occupational therapy
  • Clean, well-maintained facility environment
  • Engaging activities and outings for residents
  • Some staff members noted as warm and welcoming

Concerns

  • Understaffing leading to neglect and delayed assistance (mentioned by 4 reviewers)
  • Poor communication and difficulty reaching management (mentioned by 4 reviewers)
  • Loss of personal property and clothing (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'19(8)'21(6)'24(1)'26(9)

Distribution · 33 analyzed

5
22
4
1
3
0
2
1
1
9

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1It's wonderful to see how clean and well-maintained the facility looks; how do you ensure the rooms and common areas stay this tidy for the residents?
  • 2I noticed some great feedback regarding your therapy programs; could you tell me more about how the physical and occupational therapy sessions are integrated into a resident's weekly routine?
  • 3What kind of social outings or group activities do you have planned to keep the residents engaged with the local community?
  • 4How does the nursing team manage medication schedules to ensure everything is administered accurately and on time?
  • 5What is the best way for family members to stay in touch with the management team and receive regular updates on our loved one's care?
  • 6How does the staff handle requests for assistance during the night or during busy shifts to ensure no one is left waiting?

Personalized based on this facility's data


Key Review Excerpts

Through an incredible therapy team he was able to not only walk again but able to return home with minimal assistance from home health.

Memory care family member · 2019★★★★★

Staff shows no care for patients, leaving them to rot in bed and sit in their feces. Staff often goes on breaks leaving patients to fend for themselves.

Long-term resident's family · 2025☆☆☆☆

My sister had to literally beg for a half hour today for my mother to be toiletry. This is a dignity issue. This happens daily!

Long-term resident's family · 2019★★☆☆☆
Source: 31 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.46hrs
62%
Registered nurses for medical care
Total Nursing
3.51hrs
86%
All nurses + aides combined
Staff Turnover
47%
Lower is better (< 30% = good)
RN Turnover
63%
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
2/ 5
Better Than Avg

5

measures

Worse Than Avg

10

measures

Mixed Results

2

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility74.7%
Worse than Avg
Here
74.7%
US
93.4%
TN
89.5%
Houston
97.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility38.0%
Worse than Avg
Here
38.0%
US
19.5%
TN
31.9%
Houston
16.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility29.3%
Worse than Avg
Here
29.3%
US
14.4%
TN
14.6%
Houston
17.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility28.6%
Worse than Avg
Here
28.6%
US
15.3%
TN
18.5%
Houston
17.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.0%
Mixed vs Avgs
Here
5.0%
US
12.1%
TN
12.9%
Houston
4.2%

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

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility21.5%
Worse than Avg
Here
21.5%
US
15.5%
TN
16.9%
Houston
13.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility31.1%
Worse than Avg
Here
31.1%
US
81.8%
TN
79.4%
Houston
87.6%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility51.1%
Worse than Avg
Here
51.1%
US
79.8%
TN
79.8%
Houston
84.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
1.6%
TN
1.6%
Houston
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
1penalties
Well below state avg (5.9)
4 complaint-triggered
$210,753 in fines

Families have filed multiple complaints against this facility, with 8 of 15 deficiencies stemming from family reports. The most concerning recurring issues involve medication management errors, abuse prevention and reporting failures, and resident safety hazards. Recent 2024 complaints highlighted medication errors and misuse of resident belongings, while 2023 complaints involved inadequate abuse reporting and accident prevention. All cited deficiencies show correction dates, but the pattern of ongoing family complaints suggests persistent care quality concerns.

Mar 18, 2026Routine
4
0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure 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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Apr 3, 2024Complaint
4
0602Immediate jeopardy · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0755Immediate jeopardy · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0760Immediate jeopardy · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Mar 18, 2020Routine
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Apr 18, 2019Routine
6
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0015Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0039Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Federal Penalties

Fine

Apr 3, 2024

$147,898

Ownership & Operations

Who Operates This Facility

Owner / Operator

Signature Healthcare of Erin

Organization Type

for profit

Chain Affiliation

Chain Name

Signature Healthcare

Chain Size

68 facilities nationwide

Chain avg rating: 3.0/5 · Rank 67 of 70 (Worst)

Ownership & Management

Owners

Lp Cr Holdings LLC

Owner · Organization

100%

Agemo Holdings LLC

Owner (parent company) · Organization

Jjla LLC

Owner (parent company) · Organization

Lpsnf II LLC

Owner (parent company) · Organization

Wheaten LLC

Owner (parent company) · Organization

Steier III, Elmer

Owner (parent company)

Key personnel

Baston, AndreaW-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

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