Show Inspection Reports
Total health inspections
4
State average N/A
Last Health inspection on Sep 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 Monteagle Rehab and Wellness Center
Assisted Living in USA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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 Monteagle Rehab and Wellness Center
Assisted Living in USA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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 Monteagle Rehab and Wellness Center accepts Medicare, Medicaid, and private pay.
Signature HealthCARE of Monteagle Rehab & Wellness Center is dedicated to providing resident-centered healthcare services. The facility offers a variety of clinical services, rehabilitation programs, and life enrichment activities. It aims to enhance the quality of life for its residents through personalized care and community engagement.
Quality ratings
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.
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.
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.
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.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 32m per day
Rank #59 / 134Nurse hours — state benchmarkedThis home is ranked 59th out of 134 homes in Tennessee.Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 134 Tennessee SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs avg
| Staff type | Hours / day | 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.
| 14m per day | ▼ 62% 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.
| 1h 2m per day | ▼ 5% 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 | ■ Avg State avg: 2h 9m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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 | ▼ 9% 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 | ▼ 20% State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 13m per day | ▼ 46% State avg: 24m per day · National avg: 28m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
55.9%
Rank #121 / 139Occupancy rate — state benchmarkedThis home is ranked 121st out of 139 homes in Tennessee.Shows this facility's occupancy rate versus the Tennessee average, with its statewide rank out of 139. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
181 days
Occupancy rate
55.9%
Rank #121 / 139Occupancy rate — state benchmarkedThis home is ranked 121st out of 139 homes in Tennessee.Shows this facility's occupancy rate versus the Tennessee average, with its statewide rank out of 139. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
181 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Breakdown by payment type
Medicare
34% of new residents, usually for short-term rehab.
Typical stay
27 days
Private pay
46% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
20% of new residents, often for long-term daily care.
Typical stay
2 years
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$11.0M
Profit
$145.3K
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$11.0M Rank #89 / 139Revenue — state benchmarkedThis home is ranked 89th out of 139 homes in Tennessee.Shows this facility's annual revenue compared to the Tennessee SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Profit
$145.3K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #106 / 139Payroll — state benchmarkedThis home is ranked 106th out of 139 homes in Tennessee.Shows total annual staff payroll benchmarked to the Tennessee average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$3.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #106 / 139Payroll — state benchmarkedThis home is ranked 106th out of 139 homes in Tennessee.Shows total annual staff payroll benchmarked to the Tennessee average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$10.9M
150-bed community
A larger shared setting that may offer more common spaces and organized community services.
33 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
Facility TypeNursing Home
StatusLicensed
IssuanceJuly 1, 1992
ExpirationJune 2, 2026
License Number00000099
CMS Certification Number445393
Signature Healthcare of Monteagle Rehab and Wellness Center is administrated by Douglas Malin.
Owner NameLP Monteagle LLC
Rehabilitation Services
Specific ProgramsClinical Services, Care Navigation, Life Enrichment
Religious ServicesYes
Operating HoursMonday-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.
Tennessee average: 9 complaint visits
Latest inspection
Date
July 31, 2024
1
enforcement action
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety, or regulatory standards.
1
Health Inspection History
Inspections
Total health citations
21
Rank #107 / 138Health citations — state benchmarkedThis home is ranked 107th out of 138 homes in Tennessee.Shows this facility's total health deficiency citations benchmarked to the Tennessee state average, with a ranking across all 138 TN SNFs. Lower citation counts earn a better rank.
State average N/A
Citations per inspection
5.25
Rank #97 / 138Citations per inspection — state benchmarkedThis home is ranked 97th out of 138 homes in Tennessee.Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 138 SNFs with citation data. Lower is better.
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
19 of 21 citations resulted from standard inspections; 1 of 21 resulted from complaint investigations; and 1 of 21 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
In line with State averageState average: N/A
Serious Health citations
2
2
In line with State averageState average: N/A
0 critical citations
2 serious citations
19 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 17, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 17, 2025
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Sep 17, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
Sep 17, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Sep 17, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Sep 17, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 17, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 17, 2025
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.
Places of interest near Signature Healthcare of Monteagle Rehab and Wellness Center
0.0 miles from city center
Estimated distance in miles from Monteagle's city center to Signature Healthcare of Monteagle Rehab and Wellness Center's address, calculated via Google Maps.
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
94
Employees
92
Contractors
2
Staff to resident ratio
1.38:1
0% compared with State averageState average ratio: 0:0
Avg staff/day
33
Average shift
8.6 hours
0% compared with State averageState average: 0 hours
Total staff hours (quarter)
25,689
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
4
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.6 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
18
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
40
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0.3%
76 contractor hours this quarter
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 40 | 0 | 40 | 12,172 | 91 | 100% | 9.3 |
| Licensed Practical Nurse | 18 | 0 | 18 | 5,792 | 91 | 100% | 9.7 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,598 | 91 | 100% | 7 |
| Mental Health Service Worker | 4 | 0 | 4 | 1,063 | 66 | 73% | 7.9 |
| RN Director of Nursing | 5 | 0 | 5 | 989 | 70 | 77% | 6.6 |
| Physical Therapy Assistant | 2 | 0 | 2 | 854 | 68 | 75% | 7.2 |
| Registered Nurse | 4 | 0 | 4 | 618 | 52 | 57% | 10.6 |
| Dietitian | 1 | 0 | 1 | 618 | 69 | 76% | 9 |
| Administrator | 3 | 0 | 3 | 552 | 61 | 67% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 491 | 61 | 67% | 8 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 441 | 61 | 67% | 7.2 |
| Qualified Social Worker | 1 | 0 | 1 | 277 | 38 | 42% | 7.3 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 126 | 16 | 18% | 7 |
| Medical Director | 0 | 1 | 1 | 39 | 33 | 36% | 1.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 37 | 7 | 8% | 5.3 |
| Speech Language Pathologist | 3 | 0 | 3 | 24 | 8 | 9% | 3 |
40 Certified Nursing Assistant
% of Days
100%
18 Licensed Practical Nurse
% of Days
100%
5 Other Dietary Services Staff
% of Days
100%
4 Mental Health Service Worker
% of Days
73%
5 RN Director of Nursing
% of Days
77%
2 Physical Therapy Assistant
% of Days
75%
4 Registered Nurse
% of Days
57%
1 Dietitian
% of Days
76%
3 Administrator
% of Days
67%
1 Nurse Practitioner
% of Days
67%
1 Respiratory Therapy Technician
% of Days
67%
1 Qualified Social Worker
% of Days
42%
4 Clinical Nurse Specialist
% of Days
18%
1 Medical Director
% of Days
36%
1 Occupational Therapy Assistant
% of Days
8%
3 Speech Language Pathologist
% of Days
9%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
68
Medicare
1
1.5% of residents
Medicaid
52
76.5% of residents
Private pay or other
15
22.1% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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.
9.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.3
11% better than State averageState average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.2
7% better than State averageState average: 19.5
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
18.1%
Percent of long-stay residents whose need for help with daily activities has increased
18.1%
13% worse than State averageState average: 16.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
15.1%
Percent of long-stay residents whose ability to move independently worsened
15.1%
31% better than 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
21.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.4%
In line with State averageState average: 20.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.0%
Percent of long-stay residents experiencing one or more falls with major injury
3.0%
17% better than State averageState average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.8%
Percent of long-stay high risk residents with pressure ulcers
3.8%
30% better than State averageState average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than State averageState average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.6%
Percent of long-stay residents who lose too much weight
6.6%
6% worse than State averageState average: 6.3%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.5%
Percent of long-stay residents who have depressive symptoms
1.5%
86% better than State averageState average: 11.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
20.0%
Percent of long-stay residents who received an antipsychotic medication
20.0%
21% worse than State averageState average: 16.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
81.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
81.1%
10% worse than State averageState average: 89.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
83.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
83.6%
12% worse than State averageState average: 94.5%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.25
Number of hospitalizations per 1,000 long-stay resident days.
1.25
21% better than State averageState average: 1.58
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.23
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.23
22% better than State averageState average: 1.57
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.6%
7% better than State averageState average: 79.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than State averageState average: 1.7%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
84.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
84.0%
5% better than State averageState average: 79.8%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
44.3%
Rate of successful return to home or community from a skilled nursing facility.
44.3%
12% worse than State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
$40K
54% lower than State averageState average: $86K
Number of fines
2
15% more fines than State averageState average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than State averageState average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$40K
State average
$86K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 31, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 31, 2024
$32K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 3, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 3, 2023
$8K
Last updated: Jan 2026
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 Monteagle Rehab and Wellness Center |
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).
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| Job Haines Home |
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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).
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| Village Care Homes Assisted Living – Stephen F Austin |
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| Countryside Manor Assisted Living |
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| 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 | - | - |
Financial Trends
Historical financial and operational data for Signature Healthcare of Monteagle Rehab and Wellness Center based on CMS SNF Cost Reports.
Occupancy Rate
55.9%
↑ 0.4pp vs 2022
Net Income
$145.3K
↑ ~$20.7K vs 2022
Total Payroll
$4.1M
↑ ~$518.6K vs 2022
Profit Margin
1.4%
↑ 0.2pp vs 2022
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