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Nursing HomeMedicaid

Signature Healthcare of Greeneville

Strong Medicare quality ratings; families often praise effective physical and occupational therapy. Still worth an in-person visit.

106 Holt Court, Greeneville, TN 37743154 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 71 Google reviews

Signature Healthcare of Greeneville Nursing Home in Greeneville, TN — Street View
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What this means for your family

While the facility's therapy department is frequently praised for helping patients regain independence, the recent increase in reports regarding neglect, hygiene, and poor communication is concerning. We strongly recommend that families conduct an unannounced visit and specifically ask about their current nurse-to-patient ratios and their protocol for notifying families of medical changes.

Google Reviews

Google Reviews

71 reviews on Google
Signature Healthcare of Greeneville receives polarized feedback, with many families praising the facility for its effective rehabilitation therapy and compassionate nursing staff. However, a recurring subset of reviews describes serious concerns regarding understaffing, poor hygiene, and unprofessional communication from administrative and nursing staff. Families considering this facility should weigh the strong therapy outcomes against reports of inconsistent basic care and communication gaps.

Quality Themes

Tap a score for details
Food5.0Staff6.0Clean4.0Activities7.0Meds4.0MemoryN/AComms4.0Value3.0

Strengths

  • Effective physical and occupational therapy
  • Warm, compassionate nursing and CNA staff
  • Homelike, welcoming environment
  • Strong focus on rehabilitation recovery

Concerns

  • Chronic understaffing leading to neglect (mentioned by 5 reviewers)
  • Unprofessional or rude staff behavior (mentioned by 4 reviewers)
  • Poor facility cleanliness and hygiene (mentioned by 3 reviewers)
  • Inadequate communication regarding patient status or medical needs (mentioned by 3 reviewers)
  • Aggressive or inappropriate billing practices (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(2)'20(2)'22(13)'24(19)'26(2)

Distribution · 73 analyzed

5
58
4
3
3
2
2
2
1
8

How They Respond to Reviews

93%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1It is wonderful to see how much the management engages with feedback from families; how does the leadership team use resident and family input to improve daily operations?
  • 2We have heard great things about the physical and occupational therapy programs here; could you walk us through how the rehab team works with residents to reach their recovery goals?
  • 3What specific steps are being taken to ensure consistent staffing levels and timely care, especially during busy shifts or weekends?
  • 4How does the nursing team ensure that family members are kept updated and informed about any changes in a resident's medical status or daily needs?
  • 5Could you tell us about your protocols for maintaining cleanliness in the resident rooms and common areas to ensure a hygienic environment?
  • 6What does a typical day of social activities and engagement look like for the residents here to help them feel at home?

Personalized based on this facility's data


Key Review Excerpts

My mother was admitted there for rehab after an illness and hospital stay. When she arrived there, she was so weak that she couldn’t stand alone. Physical therapy had her taking steps within 2 weeks.

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

My Mamaw has been in there for short term rehab for a little over a week and she’s been left in a bed soaked, left in pain without any medication, etc. This is by far the WORST place to send your loved ones.

Short-term rehab family member · 2024☆☆☆☆

I had absolutely no idea she was even readmitted because Signature never called me to inform me. When i called to ask why, Jessica informed she did try to me. She did not try to call me and was extremely defensive when I let her know

Short-term rehab family member · 2024☆☆☆☆
Source: 71 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.44hrs
59%
Registered nurses for medical care
Total Nursing
3.36hrs
82%
All nurses + aides combined
Staff Turnover
30%
Lower is better (< 30% = good)
RN Turnover
23%
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

9

measures

Worse Than Avg

7

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility37.3%
Worse than Avg
Here
37.3%
US
12.1%
TN
12.9%
Greene
11.7%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility35.8%
Worse than Avg
Here
35.8%
US
19.5%
TN
31.9%
Greene
26.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.4%
Better than Avg
Here
98.4%
US
93.4%
TN
89.5%
Greene
87.7%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility25.8%
Worse than Avg
Here
25.8%
US
19.4%
TN
20.1%
Greene
18.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility99.0%
Better than Avg
Here
99.0%
US
95.5%
TN
94.5%
Greene
95.5%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility8.7%
Worse than Avg
Here
8.7%
US
4.9%
TN
5.2%
Greene
4.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility96.5%
Better than Avg
Here
96.5%
US
79.8%
TN
79.8%
Greene
71.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.5%
Better than Avg
Here
98.5%
US
81.8%
TN
79.4%
Greene
76.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.1%
Better than Avg
Here
1.1%
US
1.6%
TN
1.6%
Greene
2.0%
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)
3 complaint-triggered
$9,419 in fines

Most concerning, families filed complaints that led to three recent deficiencies in 2024 regarding abuse/neglect protection and financial safeguards, though these were reportedly corrected. The facility has recurring issues with care planning, safety hazards, and fire safety systems across multiple surveys from 2018-2022, but all deficiencies show correction dates, suggesting the facility addresses problems when identified.

Mar 18, 2026Routine
3
0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Jun 6, 2024Complaint
3
0600Actual harm · 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.

0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

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.

Aug 24, 2022Routine
8
0584Potential for harm · IsolatedCorrected

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.

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.

0689Potential for harm · 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.

0222Potential for harm · IsolatedCorrected

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.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0711Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

Sep 5, 2019Routine
4
0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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.

0222Potential for harm · IsolatedCorrected

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.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

Federal Penalties

Fine

Jun 6, 2024

$9,419

Ownership & Operations

Who Operates This Facility

Owner / Operator

Signature Healthcare of Greeneville

Organization Type

for profit

Chain Affiliation

Chain Name

Signature Healthcare

Chain Size

68 facilities nationwide

Chain avg rating: 3.0/5 · Rank 7 of 70 (Best)

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

Mcdougal, JamesW-2 Managing EmployeeHarrison, JohnOfficer / Director
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.

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