Total health inspections
3
State average N/A
Last Health inspection on Apr 2025
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.
Signature Healthcare Of Putnam County
Assisted Living Home
Signature Healthcare Of Putnam County
Assisted Living Home
Signature HealthCARE of Putnam County is a skilled nursing facility located in Cookeville, TN. It offers a range of services including rehabilitation, clinical services, and life enrichment programs. The facility is dedicated to providing personalized care and enhancing the quality of life for its residents.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
175
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
75.3%
Residents per day (avg)
136
Occupancy rate
75.3%
Residents per day (avg)
136
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
35% of new residents, usually for short-term rehab.
Typical stay
29 days
Private pay
56% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
9% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Proprietary home
Partnership
Home revenue
$19.0M
Operating loss
-$1.4M
Proprietary home
Partnership
Home revenue
$19,012,916.00
Operating loss
$-1,397,707.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$15.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$20.4M
175-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.
About this community
License Status
LicensedFacility Type
Nursing Home
License Date
July 1, 1992
License Expiration
January 10, 2026
Additional licensing details
License number:
00000206
CMS Certification Number:
445136
Ownership & operating entity
Signature Healthcare Of Putnam County is administrated by Paula Boone.
Owner name:
LP Cookeville LLC
Care Services
Doctor on Staff
Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
Amenities & Lifestyle
Programs & Activities
Specific Programs
Clinical Services, Rehabilitation, Care Navigation, Life Enrichment, Volunteer Program
Religious Services
Yes
Volunteer Programs
Yes
Operating Hours
Monday-Friday: 9:00 AM - 9:00 PM, Saturday & Sunday: 10:00 AM - 6:30 PM
Inspection History
In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.
Latest inspection
Date:May 18, 2023
0 enforcement actions
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety or regulatory standards.
Compare Assisted Living around Usa
The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
Signature Healthcare Of Putnam County
-23%
-14%
+3%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
TN 38506
175
No
-
BOONE, PAULA
75.3%
$18,191,197.00
$4,919,979.00
27%
135.70
3.1192
14
-23%-14%+3%-
Job Haines Home
-21%
+63%
-41%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Home Care
HC
Hospice Care
SNF
Nursing Homes 24/7 care needed
Bloomfield
40
No
85
HAVERON, NOREEN
45.5%
$13,340,016.00
$10,214,151.00
76.6%
36.90
6.3081
4
-21%+63%-41%Studio / 1 Bed / Private / Semi-Private Rooms
Village Care Homes Assisted Living – Stephen F Austin
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Conroe
16
No
27
VILLAGE CHANGE LLC
-
-
-
-
-
-
-
-
-
Private / Semi-Private Suite
Countryside Manor Assisted Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Conroe
12
No
8
GOLDEN OAKS VILLAS, LLC
-
-
-
-
-
-
-
-
-
-
Anton’s Assisted Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Boerne
10
No
-
-
-
-
-
-
-
-
-
-
-
-
Signature Healthcare Of Putnam County
Type of care:
SNF
AL
Community:
TN 38506
Bed Count:
175
Pets Allowed:
No
Operator:
BOONE, PAULA
CCN:
445136
Occupancy:
75.3%
Home Revenue:
$18,191,197.00
Payroll Costs:
$4,919,979.00
Payroll %:
27%
Avg Residents/Day:
135.70
Overall Rating:
Adj Nurse Hours:
3.1192
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
14
RN share vs State Avg:
-23%
-23%
Staffing vs State Avg:
-14%
-14%
Occupancy vs State Avg:
+3%
+3%
Job Haines Home
Type of care:
AL
HC
HC
SNF
Community:
Bloomfield
Bed Count:
40
Pets Allowed:
No
Operator:
HAVERON, NOREEN
CCN:
315392
Occupancy:
45.5%
Home Revenue:
$13,340,016.00
Payroll Costs:
$10,214,151.00
Payroll %:
76.6%
Avg Residents/Day:
36.90
Overall Rating:
Adj Nurse Hours:
6.3081
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
-21%
-21%
Staffing vs State Avg:
+63%
+63%
Occupancy vs State Avg:
-41%
-41%
Bed Options:
Studio / 1 Bed / Private / Semi-Private Rooms
Places of interest near Signature Healthcare Of Putnam County
0.0 miles from city center
Cookeville, TN 38506
Calculate Travel Distance to Signature Healthcare Of Putnam County
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
165
Total Staff
161
Employees
4
Contractors
53,399
Total Hours (Quarter)
64
Avg Staff/Day
9.2
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 11 | 10 | Yes |
| Licensed Practical Nurse | 36 | 9.7 | No |
| Certified Nursing Assistant | 71 | 9.8 | No |
Staff by Category
Administration ⓘ
2 staff
6hs shift avg
Nursing Staff ⓘ
121 staff
9.7hs shift avg
Physicians & Practitioners ⓘ
12 staff
8.5hs shift avg
Therapy Services ⓘ
21 staff
7.1hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
8.2hs shift avg
Dietary Services ⓘ
6 staff
7.9hs shift avg
Other Services ⓘ
2 staff
9hs shift avg
Contractor Analysis
0.7%
of total hours from contractors
359 contractor hours this quarter
Registered Nurse: 1
Physical Therapy Aide: 1
Medical Director: 1
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 71 | 0 | 71 | 25,470 | 91 | 100% | 9.8 |
| Licensed Practical Nurse | 36 | 0 | 36 | 12,496 | 91 | 100% | 9.7 |
| Clinical Nurse Specialist | 11 | 0 | 11 | 2,640 | 90 | 99% | 8.6 |
| Registered Nurse | 10 | 1 | 11 | 2,450 | 81 | 89% | 10 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,632 | 87 | 96% | 7.8 |
| Physical Therapy Assistant | 8 | 0 | 8 | 1,216 | 75 | 82% | 6.7 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,180 | 71 | 78% | 7.2 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 1,047 | 65 | 71% | 8.2 |
| RN Director of Nursing | 3 | 0 | 3 | 1,019 | 64 | 70% | 8 |
| Physical Therapy Aide | 3 | 1 | 4 | 907 | 65 | 71% | 7.3 |
| Dental Services Staff | 1 | 0 | 1 | 617 | 68 | 75% | 9.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 580 | 65 | 71% | 8.9 |
| Qualified Social Worker | 1 | 0 | 1 | 532 | 65 | 71% | 8.2 |
| Dietitian | 1 | 0 | 1 | 521 | 64 | 70% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 82 | 26 | 29% | 3.1 |
| Medical Director | 0 | 1 | 1 | 29 | 25 | 27% | 1.2 |
Health Inspection History
Inspections
Total health citations
14
Citations per inspection
4.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
11 of 14 citations resulted from standard inspections; and 3 of 14 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
In line with State averageState average: N/A
Serious Health citations
0
0
In line with State averageState average: N/A
0 critical citations
0 serious citations
14 moderate citations
0 minor citations
Citations history (last 3 years)
Pharmacy moderate citation
Apr 03, 2025
Corrected
Quality of Care moderate citation
Apr 03, 2025
Corrected
Care Planning moderate citation
Apr 03, 2025
Corrected
Nursing Services moderate citation
May 18, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Part of: Signature Healthcare
Resident Census by Payment Source
127
Total Residents
Medicare
17
(13.4%)
ⓘ
Medicaid
81
(63.8%)
ⓘ
Private Pay/Other
29
(22.8%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.6
In line with State averageState average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.3
In line with State averageState average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
17.1%
Percent of long-stay residents whose need for help with daily activities has increased
17.1%
7% worse than State averageState average: 16.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
22.4%
Percent of long-stay residents whose ability to move independently worsened
22.4%
In line with State averageState average: 21.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.4%
11% better than State averageState average: 20.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.4%
Percent of long-stay residents experiencing one or more falls with major injury
2.4%
34% better than State averageState average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.6%
Percent of long-stay high risk residents with pressure ulcers
5.6%
In line with State averageState average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.2%
Percent of long-stay residents with a urinary tract infection
2.2%
8% worse than State averageState average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.2%
Percent of long-stay residents who lose too much weight
5.2%
17% better than State averageState average: 6.3%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.2%
Percent of long-stay residents who have depressive symptoms
2.2%
80% better than State averageState average: 11.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
20.8%
Percent of long-stay residents who received an antipsychotic medication
20.8%
26% worse than State averageState average: 16.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.2%
6% better than State averageState average: 89.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.9%
In line with State averageState average: 94.5%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.8%
9% better than State averageState average: 79.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
75% better than State averageState average: 1.7%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.9%
9% better than State averageState average: 79.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Signature Healthcare Of Putnam County based on CMS SNF Cost Reports.
Occupancy Rate
75.3%
↑ 7.2pp vs 2022
Net Income
-$1,397,707
↑ ~$1.9M vs 2022
Total Payroll
$6,508,449
↑ ~$1.1M vs 2022
Profit Margin
-7.7%
↑ 14.9pp vs 2022
Loading trend charts...
Guides for Better Senior Living
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