Signature Healthcare of Erin

Nursing Home, Hospice Care, Memory Care, Palliative Care & Respite Care · Erin, TN

CMS overall rating

278 Rocky Hollow Road, Erin, TN 37061-6053 View map

Calculator: See prices in your area

Signature Healthcare of Erin accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Signature Healthcare of Erin accepts Medicare, Medicaid, and private pay.

Overview of Signature Healthcare of Erin

Houston County houses Signature HealthCARE of Erin, a 164-bed private nursing home overseen by administrator Teresa Wall and owner Andrea Baston. Operating since 1992, the rural facility provides a mix of clinical care, rehabilitation therapies, and short-term respite stays. The resident population is supported by a payer structure of 47% private-pay, 28% Medicaid, and 26% Medicare admissions, resulting in an average stay of 115 days. The building sits in an area with a Walk Score of 34 and runs a 57% occupancy rate alongside an annual net loss of $782.3 thousand on $13.6 million in revenue.

State enforcement files reveal prominent safety and structural hurdles, including $211,000 in cumulative federal fines across four inspections since 2019. While the total count of 11 citations sits below the state baseline, the records detail four critical violations and one serious infraction, culminating in an April 2024 inspection that flagged severe issues with pharmacy services and abuse protocols.

Daily care times average 3 hours and 30 minutes per resident, but registered nurse coverage drops to 16 minutes on weekdays and 8 minutes on weekends, contributing to a 1.12:1 staff-to-resident ratio. Clinical tracking logs show widespread difficulties across both short- and long-term populations; permanent residents experienced elevated rates of serious fall injuries, walking difficulties, and daily activity decline, while short-stay rehabilitation metrics show high hospital readmission rates and a 42% deficit in standard vaccinations.

Prospective residents evaluating regional long-term placements should carefully weigh these public health records during their selection process. Because the official regulatory history documents multiple critical enforcement citations, elevated financial fines, low registered nurse presence, and poor clinical safety outcomes, verifying modern corrective actions with the administration is an essential step.

Facility Direct Line (931) 289-4141

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 30m per day

vs avg

6 of 6 metrics below state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	28m per day	▼ 25% State avg: 37m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	57m per day	▼ 12% State avg: 1h 5m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 6m per day	▼ 3% State avg: 2h 9m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 4m per day	▼ 8% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	4m per day	▼ 22% State avg: 5m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	21m per day	▼ 12% State avg: 24m per day · National avg: 28m per day

Capacity and availability

115 days

164-bed community

A large-scale community that may provide a wide range of amenities, services, and structured programs.

33 years in operation

A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

Walk Score: 34 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

57%

Lower than the Tennessee average: 71.6%

Occupied beds

94 / 164

Average occupied beds in Tennessee homes 82 beds

Facility TypeNursing Home

StatusLicensed

IssuanceJuly 1, 1992

ExpirationJune 15, 2026 Expired

License Number00000133

CMS Certification Number445377

Signature Healthcare of Erin is administered by Teresa Wall.

Owner NameLP Erin, LLC

Rehabilitation Services

Respite Care

Short-Term Rehab

Satellite Television

Concierge Services

Onsite Chapel

Elder Vacations

Transportation To Community Events

Community Involvement

Small Neighborhoods

Touring HoursMonday-Friday: 9:00 AM - 9:00 PM, Saturday & Sunday: 10:00 AM - 6:30 PM

Since 2024 · 2 years of data 1 citation

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the Tennessee state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2024 vs. Tennessee state average

Overall vs. TN average

Latest Inspection March 18, 2020

Citations Citations are formal regulatory issues recorded during state inspections.	This Facility	TN Average	vs. TN Avg
Total citations Formal regulatory issues recorded by inspectors across all inspection types.	1	4	This facility has 75% fewer total citations than a typical Tennessee assisted living residence (1 vs. TN avg 4).↓ 75% better
Citations per year Average citations per year since 2024.	0.5	2	This facility has 75% fewer citations per year than a typical Tennessee assisted living residence (0.5 vs. TN avg 2).↓ 75% better

Show Inspection Reports

Inspections since 2019

Total health inspections 4

State average N/A

Last Health inspection on Apr 2024

Total health citations

State average N/A

Citations per inspection

2.75

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

3 of 11 citations resulted from standard inspections; and 8 of 11 resulted from complaint investigations.

Breakdown of citation severity (last 7 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

4 critical citations State average: N/A

1 serious citation State average: N/A

6 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 7 years)

Abuse/Neglect critical citation Apr 03, 2024

Corrected

Pharmacy critical citation Apr 03, 2024

Corrected

Pharmacy critical citation Apr 03, 2024

Corrected

Quality of Care serious citation Apr 03, 2024

Corrected

Total staff 150

Employees 147

Contractors 3

Staff to resident ratio 1.12 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 51

Average shift 8.6 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 40,255

Nursing staff breakdown

9.5 hours

8.9 hours

9.3 hours

Contractor staffing

391 contractor hours this quarter

Respiratory Therapy Technician: 1 Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	61	0	61	18,265	92	100%	9.3
Licensed Practical Nurse	25	0	25	7,699	92	100%	8.9
Registered Nurse	10	0	10	2,754	92	100%	9.5
Other Dietary Services Staff	10	0	10	1,749	90	98%	6.9
RN Director of Nursing	3	0	3	1,076	64	70%	8.2
Clinical Nurse Specialist	7	0	7	990	65	71%	7.9
Medication Aide/Technician	2	0	2	988	83	90%	10.4
Physical Therapy Aide	6	0	6	943	86	93%	6.4
Speech Language Pathologist	4	0	4	916	69	75%	6.8
Physical Therapy Assistant	3	0	3	823	66	72%	7.3
Qualified Social Worker	4	0	4	746	68	74%	6.8
Respiratory Therapy Technician	2	1	3	597	59	64%	6.4
Mental Health Service Worker	1	0	1	595	66	72%	9
Administrator	2	0	2	536	66	72%	8
Nurse Practitioner	4	0	4	503	55	60%	8.1
Dietitian	1	0	1	501	60	65%	8.4
Qualified Activities Professional	2	0	2	498	66	72%	7.6
Occupational Therapy Assistant	0	1	1	62	17	18%	3.7
Medical Director	0	1	1	16	4	4%	4

61 Certified Nursing Assistant

% of Days 100%

25 Licensed Practical Nurse

% of Days 100%

10 Registered Nurse

% of Days 100%

10 Other Dietary Services Staff

% of Days 98%

3 RN Director of Nursing

% of Days 70%

7 Clinical Nurse Specialist

% of Days 71%

2 Medication Aide/Technician

% of Days 90%

6 Physical Therapy Aide

% of Days 93%

4 Speech Language Pathologist

% of Days 75%

3 Physical Therapy Assistant

% of Days 72%

4 Qualified Social Worker

% of Days 74%

3 Respiratory Therapy Technician

% of Days 64%

1 Mental Health Service Worker

% of Days 72%

2 Administrator

% of Days 72%

4 Nurse Practitioner

% of Days 60%

1 Dietitian

% of Days 65%

2 Qualified Activities Professional

% of Days 72%

1 Occupational Therapy Assistant

% of Days 18%

1 Medical Director

% of Days 4%

View All Staffing Data

Total fines amount $211K

144% higher than State average

State average: $86K

Number of fines 2

15% more fines than State average

State average: 1.7

Payment Denials 0

100% fewer payment denials than State average

State average: 0.5

Fines amount comparison

This facility $211K

State average $86K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Apr 3, 2024 · $148K

Civil Money Penalty Apr 3, 2024

$148K

Last updated: Jan 2026

High-risk clinical events score 17.1

64% worse than State average

State average: 10.5

Functional decline score 30.5

56% worse than State average

State average: 19.5

Long-stay resident measures

Below average State avg: 3.7

Need for Help with Daily Activities Increased 35.0%

118% worse than State average

State average: 16.0%

Walking Ability Worsened 30.5%

40% worse than State average

State average: 21.7%

Low Risk Residents with Bowel/Bladder Incontinence 26.1%

26% worse than State average

State average: 20.7%

Falls with Major Injury 6.9%

89% worse than State average

State average: 3.7%

High Risk Residents with Pressure Ulcers 5.3%

In line with State average

State average: 5.4%

Urinary Tract Infection 0.9%

56% better than State average

State average: 2.1%

Lost Too Much Weight 8.1%

28% worse than State average

State average: 6.3%

Depressive Symptoms 6.0%

45% better than State average

State average: 11.0%

Antipsychotic Use 15.3%

7% better than State average

State average: 16.5%

Pneumococcal Vaccine 79.5%

12% worse than State average

State average: 89.9%

Influenza Vaccine 97.7%

In line with State average

State average: 94.5%

Hospitalizations per 1,000 days 1.27

20% better than State average

State average: 1.58

ED visits per 1,000 days 2.40

53% worse than State average

State average: 1.57

Short-stay resident measures

Below average State avg: 3.4

Pneumococcal Vaccine 46.0%

42% worse than State average

State average: 79.7%

Antipsychotic medication increase 0.7%

59% better than State average

State average: 1.7%

Influenza Vaccine 51.1%

36% worse than State average

State average: 79.8%

Re-hospitalized after SNF stay 29.2%

32% worse than State average

State average: 22.2%

Emergency department visits 17.0%

52% worse than State average

State average: 11.2%

Falls with major injury 2.4%

217% worse than State average

State average: 0.8%

Ability to care for self at discharge 55.9%

In line with State average

State average: 53.7%

Successful return to home or community 48.5%

In line with State average

State average: 50.6%

Breakdown by payment type

Medicare

26% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

47% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

28% of new residents, often for long-term daily care.

Typical stay 9 - 10 months

Total residents 134

Medicare

11.2% of residents

Medicaid

103

76.9% of residents

Private pay or other

11.9% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Signature Healthcare of Erin from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 57.4% ↑ 9.4pp vs 2022

Net Patient Income -$1.5M ↑ ~$1.0M vs 2022

Payroll Costs $4.4M ↑ ~$456.8K vs 2022

Operating Margin -14.4% ↑ 16.9pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	86.8%	87.9%	85.4%	88.1%	84.5%	86.0%	78.3%	77.5%	78.6%	73.7%	62.7%	48.0%	57.4%
Beds	164	164	164	164	164	164	164	164	164	164	164	164	164
Net Income	$1,144,752	$593,490	$915,917	$921,909	$191,293	-$151,115	-$133,093	$639,117	$102,595	$43,915	-$374,735	-$1,967,356	-$782,306
Gross Revenue	$13,494,404	$14,759,499	$16,343,333	$17,081,359	$16,265,111	$16,924,402	$16,362,214	$15,894,784	$15,878,421	$19,748,328	$13,373,415	$10,029,670	$12,925,299
Operating Expenses	$11,459,438	$11,286,253	$10,906,027	$11,183,413	$11,563,937	$12,101,764	$11,825,735	$12,055,712	$12,301,340	$13,508,717	$11,786,810	$10,548,555	$11,889,192
Net Patient Income	$1,144,555	$592,051	$917,973	$918,227	$95,654	-$170,950	-$136,495	-$126,712	$78,205	-$928,694	-$1,306,351	-$2,512,872	-$1,497,539
Net Patient Revenue	$12,603,993	$11,878,304	$11,824,000	$12,101,640	$11,659,591	$11,930,814	$11,689,240	$11,929,000	$12,379,545	$12,580,023	$10,480,459	$8,035,683	$10,391,653
Payroll Costs	$5,687,987	$6,027,638	$6,198,819	$4,973,400	$5,225,805	$5,633,435	$4,770,933	$5,071,241	$5,348,968	$4,847,486	$4,170,518	$3,986,632	$4,443,440
Operating Margin %	9.1%	5.0%	7.8%	7.6%	0.8%	-1.4%	-1.2%	-1.1%	0.6%	-7.4%	-12.5%	-31.3%	-14.4%
Medicare %	19.7%	16.9%	17.1%	14.2%	13.9%	11.9%	12.1%	11.9%	12.6%	14.9%	9.0%	6.7%	7.4%
Medicaid %	69.3%	73.9%	73.1%	74.2%	72.8%	72.5%	74.7%	75.0%	72.4%	69.9%	76.6%	77.1%	70.3%
Private %	11.0%	9.2%	9.8%	11.6%	13.3%	15.6%	13.2%	13.1%	15.1%	15.2%	14.5%	16.2%	22.4%
Net Patient Revenue/Day	$242	$225	$231	$229	$230	$231	$249	$257	$263	$284	$279	$280	$302
Cost/Day	$220	$214	$213	$212	$229	$234	$252	$260	$261	$305	$314	$367	$346
Avg Length of Stay	256.1 days	238.7 days	115.4 days	237.6 days	204.8 days	270.4 days	212.0 days	190.0 days	143.5 days	160.8 days	194.5 days	140.8 days	115.3 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$10.4M

Net patient income

-$1.5M

For-profit Operated by a single business entity.

Net patient revenue

$10.4M

Net patient income

-$1.5M

Other income

$715.2K

Payroll costs

$4.4M 42.8% of net patient revenue

Other operating costs

$7.4M

Total costs

$11.9M

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

New residents most often arrive under private pay (47% of admissions), and a typical private pay stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 26%

Private pay 47%

Medicaid 28%

Coverage residents most often leave under.

Medicare 16%

Private pay 47%

Medicaid 37%

0.0 miles from city center Estimated distance in miles from Erin's city center to Signature Healthcare of Erin's address, calculated via Google Maps.

Quick search

Calculate Travel Distance to Signature Healthcare of Erin

Add your location

Compare Nursing Homes around the area

The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.


Signature Healthcare of Erin	NH HC MC PC RC	Erin (Middle Tennessee)	-	164	-	34	-
The Premier Neighborhood at Tellico Village	NH AL MC	Loudon	-	112	F	1	Studio / 1 Bed / 2 Bed
The Bridge at Hickory Woods	NH AL RC	Antioch	-	143	A+	57	Studio / 1 Bed / 2 Bed
Viva Senior Living at Oak Ridge	NH AL IL MC RC	Oak Ridge (Jackson Square)	-	62	-	45	Private / Companion / 1 Bed / 2 Bed Rooms
The Waters of Shelbyville	NH HC MC RC	Shelbyville (Union Street)	-	96	-	39	Private / Shared Rooms

Nursing Home Explorer

What neighborhood is Signature Healthcare of Erin in?

Signature Healthcare of Erin is in the Middle Tennessee neighborhood of Erin.

Who is the owner of Signature Healthcare of Erin?

Signature Healthcare of Erin is legally operated by LP Erin, LLC, and administered by Teresa Wall.

Is Signature Healthcare of Erin in a walkable area?

Signature Healthcare of Erin has a walk score of 34. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Signature Healthcare of Erin?

According to TN state health department records, Signature Healthcare of Erin's license number is 00000133.

When does Signature Healthcare of Erin's license expire?

According to TN state health department records, Signature Healthcare of Erin's license expires on June 15, 2026.

What is the occupancy rate at Signature Healthcare of Erin?

Signature Healthcare of Erin's occupancy is 57%.

Does Signature Healthcare of Erin operate as a for-profit or non-profit?

Signature Healthcare of Erin is registered as a for-profit in TN.

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Signature Healthcare of Erin

Overview of Signature Healthcare of Erin

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Amenities & Lifestyle

Contact Signature Healthcare of Erin

Inspection History

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the Tennessee state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Citations Citations are formal regulatory issues recorded during state inspections.

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

61 Certified Nursing Assistant

25 Licensed Practical Nurse

10 Registered Nurse

10 Other Dietary Services Staff

3 RN Director of Nursing

7 Clinical Nurse Specialist

2 Medication Aide/Technician

6 Physical Therapy Aide

4 Speech Language Pathologist

3 Physical Therapy Assistant

4 Qualified Social Worker

3 Respiratory Therapy Technician

1 Mental Health Service Worker

2 Administrator

4 Nurse Practitioner

1 Dietitian

2 Qualified Activities Professional

1 Occupational Therapy Assistant

1 Medical Director

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

Places of interest near Signature Healthcare of Erin

Calculate Travel Distance to Signature Healthcare of Erin

Compare Nursing Homes around the area

Guides for Better Senior Living