Signature Healthcare of Putnam County
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 98 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)
- Above-median deficiencies (13 vs median 5.0)
Below average in TN · Below recommended RN staffing · Below chain average · No penalties on record
What this means for your family
While the facility offers excellent physical therapy and engaging activities, the recurring reports of neglect and medication errors are serious red flags. If you choose this facility, we strongly recommend frequent, unannounced visits and active monitoring of your loved one's hygiene and medication administration.
Google Reviews
Google Reviews
98 reviews on Google“Signature HealthCARE of Putnam County receives highly polarized feedback, with many reviewers praising the dedicated nursing and therapy staff, while others report severe concerns regarding neglect, hygiene, and communication. Families considering this facility should be aware of a significant divide between those who feel their loved ones were treated like family and those who describe a lack of basic care and responsiveness.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy
- Engaging activities and community events
- Warm, compassionate nursing staff
- Clean and well-maintained physical environment
Concerns
- Understaffing leading to long response times and neglect (mentioned by 5 reviewers)
- Poor hygiene and cleanliness of residents (mentioned by 4 reviewers)
- Inadequate communication with family members (mentioned by 3 reviewers)
- Medication management errors or withholding (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 82 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 family input to improve daily operations and communication?
- 2Given the 175-resident capacity, what specific protocols do you have in place to ensure call lights are answered promptly and residents receive timely assistance?
- 3How does your nursing team coordinate with families to ensure consistent hygiene and personal care standards are met for every resident?
- 4Since your physical and occupational therapy programs are highly regarded, how do you integrate those services into the daily routine of residents who need extra support?
- 5What is your current process for double-checking medication administration to ensure accuracy and prevent errors?
- 6How do you keep families updated on their loved one’s health status, and what is the best way for us to reach a decision-maker if we have a concern?
Personalized based on this facility's data
Key Review Excerpts
“My Dad had a fall around the first of December 2024. Broke hip and had a partial hip replacement. He was sent to Signature after his surgery. I was so impressed with his therapist, Ms. Amanda Williams. She was so gentle, through, professional, and attentive.”
“The CNAs were wonderful. However the nursing staff gaslights the hell out of their patients. My mother went there for PT and they withheld her medication then lied and said she had received it.”
“I have never seen a cleaner, fresher smelling care facility in my life. The activities the staff does with patients has been beyond all expectations.”
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
11
measures
4
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents on antipsychotic medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
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 issues with care planning and safety supervision that prompted family complaints in 2025, indicating ongoing concerns despite previous corrections. The most frequent problem areas include care planning and assessment, safety supervision to prevent accidents, and nutrition services. While all deficiencies show correction dates, the repeat violations in care planning and accident prevention across multiple surveys suggest these issues may persist, warranting careful consideration during your visit.
Apr 3, 2025Complaint6
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
May 18, 2023Routine11
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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
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.
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 appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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.
Apr 10, 2019Routine1
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Apr 25, 2018Routine5
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Emergency Preparedness Deficiencies
Establish policies and procedures for sheltering.
Emergency Preparedness Deficiencies
Establish policies and procedures for volunteers.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Ownership & Operations
Who Operates This Facility
Signature Healthcare of Putnam County
for profit
Chain Affiliation
Signature Healthcare
68 facilities nationwide
Chain avg rating: 3.0/5 · Rank 56 of 70
Ownership & Management
Owners
Shc Lp Holdings LLC
Owner · Organization
Asbr Holdings LLC
Owner (parent company) · Organization
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
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
98 reviews from families & visitors
Official Website
Visit shcofputnamcounty.com
Medicare data downloads
Original nursing home datasets
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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.