Signature Healthcare of Fentress County
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 46 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
Below average in TN · Below recommended RN staffing · Below chain average · No penalties on record
What this means for your family
This facility has a strong reputation for its activities program and therapy services, which can significantly improve a resident's quality of life. However, families should be vigilant regarding daily hygiene and staff responsiveness; we recommend asking specifically about their protocols for call-button response times and ensuring your loved one has a reliable advocate to monitor their daily care needs.
Google Reviews
Google Reviews
46 reviews on Google“Signature Healthcare of Fentress County receives highly polarized feedback, with many families praising the activities department and therapy team while others report serious concerns regarding neglect and slow response times. While some reviewers highlight a clean, welcoming environment and compassionate staff, critical reports of poor hygiene, theft, and inadequate nursing oversight suggest inconsistent care standards.”
Quality Themes
Tap a score for detailsStrengths
- Engaging and active activities department
- Effective physical and occupational therapy
- Welcoming and compassionate administrative staff
- Clean, well-maintained facility environment
Concerns
- Slow response times to call buttons and requests for assistance (mentioned by 4 reviewers)
- Inadequate hygiene, including infrequent showers and failure to change soiled linens (mentioned by 3 reviewers)
- Poor quality or lack of variety in food services (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 44 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed your team is very active in responding to online feedback; how do you use that communication to address concerns regarding daily care requests or call button response times?
- 2With the current staffing levels, what is your specific protocol for ensuring residents receive timely assistance with hygiene and personal care throughout the day and night?
- 3I’ve read great things about your activity programs; could you walk me through how you keep residents engaged and what a typical week of social activities looks like?
- 4Given that some families have mentioned challenges with the dining experience, what steps are you taking to improve the variety and quality of the meals served here?
- 5How does your nursing team coordinate with the physical and occupational therapy staff to ensure a resident's medical needs are met consistently?
- 6Could you explain your process for monitoring and maintaining high standards of cleanliness in resident rooms and common areas?
Personalized based on this facility's data
Key Review Excerpts
“The activates department here is the ABSOLUTE BEST! I haven't seen the residents so happy! I have never seen an activities department go above and beyond to entertain!”
“The only problem I have experienced while living here is the response time after pushing the call button. This problem seriously needs updating.”
“They don’t use gloves for anything. They don’t clean the rooms. They keep my pap paps bedroom at 64 degrees and he has complained of not breathing and they don’t do care. They left my pap in a dirty and drenched depend for hours.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
8
measures
9
measures
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has recurring safety and building maintenance issues, with families filing complaint reports that triggered 4 deficiencies. The most persistent problems involve electrical systems and safety equipment, food service operations, and resident care quality. While all deficiencies show correction dates, the same safety violations (exit signs, cooking facilities, electrical equipment) have repeated across multiple surveys from 2019 to 2026, suggesting ongoing maintenance challenges that families should discuss directly with facility management.
Jan 7, 2026Routine9
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Jan 7, 2026Complaint1
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Feb 23, 2024Complaint2
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jun 15, 2022Routine18
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
Honor 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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
May 15, 2019Routine5
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Ownership & Operations
Who Operates This Facility
Signature Healthcare of Fentress County
for profit
Chain Affiliation
Signature Healthcare
68 facilities nationwide
Chain avg rating: 3.0/5 · Rank 57 of 70
Ownership & Management
Owners
Lp Cr Holdings LLC
Owner · Organization
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
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
46 reviews from families & visitors
Official Website
Visit shcoffentresscounty.com
Medicare data downloads
Original nursing home datasets
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