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Assisted Living in USA

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Signature Healthcare of Erin

Assisted Living in USA

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Signature Healthcare of Erin

278 Rocky Hollow Road, Erin, TN 37061-6053 View map
Overview of Signature Healthcare of Erin
Signature HealthCARE of Erin is a healthcare facility located in Erin, Tennessee. It offers a variety of services including clinical care, rehabilitation, and life enrichment programs. The facility is committed to providing resident-centered healthcare services and enhancing the quality of life for its residents.
(931) 289-4141

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
1/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
1/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
2/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
3/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 30m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 164

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the state average
Occupancy rate 57.4%
Residents per day (avg) 100
Occupancy rate
57.4%
Residents per day (avg)
100

Who this home usually serves

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.

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

Finances and operations

Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$13.6M
Operating loss
-$782.3K
Privately-owned community Operated by a partnership between two or more business owners.
Home revenue
$13,640,532.00
Operating loss
$-782,306.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.0M
29.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$10.5M
Total costs $14.4M
Bed community size
164-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Years in operation
33 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

About this community

Occupancy

Occupancy rate
57%
20% lower than the state average

the state average: 72%

Occupied beds
94 / 164

License details

Facility type
Nursing Home
Status Licensed
Issuance July 1, 1992
Expiration June 15, 2026

Additional licensing details

License number: 00000133
CMS Certification Number: 445377

Ownership & operating entity

Signature Healthcare of Erin is administrated by Teresa Wall.

Owner name: LP Erin, LLC

Care Services

Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Licensed Nurses/CNAs
Short-Term Rehab

Amenities & Lifestyle

Private Rooms
Satellite Television
Concierge Services
Onsite Chapel
Elder Vacations
Transportation To Community Events
Community Involvement
Small Neighborhoods

Programs & Activities

Specific Programs
Clinical Services, Rehabilitation, Care Navigation, Life Enrichment
Operating Hours
Monday-Friday: 9:00 AM - 9:00 PM, Saturday & Sunday: 10:00 AM - 6:30 PM
Contact Signature Healthcare of Erin

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.

Tennessee average: 9 complaint visits

Latest inspection

Date March 18, 2020

Health Inspection History

Inspections
Total health inspections 4

State average N/A


Last Health inspection on Apr 2024

Total health citations 11

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 3 years)
Critical Health citations More info 4
In line with State average

State average: N/A


Serious Health citations More info 1
In line with State average

State average: N/A

4 critical citations More info State average: N/A

1 serious citation More info State average: N/A

6 moderate citations More info State average: N/A

0 minor citations More info State average: N/A
Citations history (last 3 years)
Abuse/Neglect critical citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Apr 03, 2024
Corrected

Pharmacy critical citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Apr 03, 2024
Corrected

Pharmacy critical citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Apr 03, 2024
Corrected

Quality of Care serious citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Apr 03, 2024
Corrected

Compare Assisted Living around Usa The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.

Filter by care type
Signature Healthcare of Erin
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Erin
164
No
-
-
Job Haines Home
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Bloomfield
40
No
85
Studio / 1 Bed / Private / Semi-Private Rooms
Village Care Homes Assisted Living – Stephen F Austin
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Conroe
16
No
27
Private / Semi-Private Suite
Countryside Manor Assisted Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Conroe
12
No
8
-
Anton’s Assisted Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Boerne
10
No
-
-

Places of interest near Signature Healthcare of Erin

Address 0.0 miles from city center

Address 278 Rocky Hollow Road, Erin, TN 37061-6053

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 248
Employees 142
Contractors 106
Staff to resident ratio 1.85:1
0% compared with State average

State average ratio: 0:0

Avg staff/day 50
Average shift 8.6 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 39,001
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 78
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 112
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

11.2%

4,368 contractor hours this quarter

Licensed Practical Nurse: 58 Certified Nursing Assistant: 43 Registered Nurse: 3 Occupational Therapy Assistant: 1 Medical Director: 1
Staff by category
Certified Nursing Assistant694311218,60791100%9.2
Licensed Practical Nurse2058788,68091100%8.7
Other Dietary Services Staff5051,94891100%8.3
Clinical Nurse Specialist110111,5126976%7.7
Medication Aide/Technician3031,2499099%10.6
RN Director of Nursing5051,0086875%7.9
Physical Therapy Assistant3039646774%7.5
Registered Nurse6398657582%8.3
Speech Language Pathologist2027136673%6
Physical Therapy Aide5055737279%5.9
Mental Health Service Worker3035726470%8.7
Nurse Practitioner2025205965%7.7
Administrator1015126470%8
Qualified Activities Professional2024956571%7.6
Qualified Social Worker3033696571%5
Respiratory Therapy Technician1012985257%5.7
Occupational Therapy Assistant011551314%4.3
Dietitian1014667%7.6
Medical Director0111655%3.2
112 Certified Nursing Assistant
% of Days 100%
78 Licensed Practical Nurse
% of Days 100%
5 Other Dietary Services Staff
% of Days 100%
11 Clinical Nurse Specialist
% of Days 76%
3 Medication Aide/Technician
% of Days 99%
5 RN Director of Nursing
% of Days 75%
3 Physical Therapy Assistant
% of Days 74%
9 Registered Nurse
% of Days 82%
2 Speech Language Pathologist
% of Days 73%
5 Physical Therapy Aide
% of Days 79%
3 Mental Health Service Worker
% of Days 70%
2 Nurse Practitioner
% of Days 65%
1 Administrator
% of Days 70%
2 Qualified Activities Professional
% of Days 71%
3 Qualified Social Worker
% of Days 71%
1 Respiratory Therapy Technician
% of Days 57%
1 Occupational Therapy Assistant
% of Days 14%
1 Dietitian
% of Days 7%
1 Medical Director
% of Days 5%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
134 residents
Residents by payment source
Medicare
15 residents (11.2%)
Medicaid
103 residents (76.9%)
Private pay or other
16 residents (11.9%)
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.

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 17.1
64% worse than State average

State average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 30.5
56% worse than State average

State average: 19.5

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 35.0%
118% worse than State average

State average: 16.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 30.5%
40% worse than State average

State average: 21.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 26.1%
26% worse than State average

State average: 20.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 6.9%
89% worse than State average

State average: 3.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.3%
In line with State average

State average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.9%
56% better than State average

State average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 8.1%
28% worse than State average

State average: 6.3%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 6.0%
45% better than State average

State average: 11.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 15.3%
7% better than State average

State average: 16.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 79.5%
12% worse than State average

State average: 89.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.7%
In line with State average

State average: 94.5%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 46.0%
42% worse than State average

State average: 79.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.7%
59% better than State average

State average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 51.1%
36% worse than State average

State average: 79.8%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

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 Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than State average

State average: 0.5

Fines amount comparison
Fines amount comparison
This facility $211K
State average $86K
Penalty History

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

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Apr 3, 2024
$148K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 1, 2023
$63K

Last updated: Jan 2026

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