Tennessee average 3.5
Last Health inspection on Sep 2025

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A 150-bed private nursing community operating under administrator Douglas Malin and owner Amanda Levieux, Signature HealthCARE of Monteagle Rehab & Wellness Center focuses on long-term clinical care and physical rehabilitation. The payer demographic consists of 46% private-pay, 34% Medicare, and 20% Medicaid admissions, which together average a 181-day length of stay. The property, situated in a rural setting with a Walk Score of 43, maintains an occupancy rate of 55.9% and posted a modest net income of $145.3 thousand on $11 million in revenue.
Government archives show some operational and compliance hurdles, noting 21 total citations across four inspections since 2021. The latest review in September 2025 flagged four moderate deficiencies spanning nutrition, infection control, nursing services, and basic care quality, adding to a historical federal fine total of $40,000 with zero payment denials.
Daily nursing attention tracks closely to the state benchmark at 3 hours and 32 minutes per resident, but registered nurse coverage is low, averaging just 14 minutes daily, 62% below the Tennessee standard. Clinical logs point to positive long-term outcomes for resident pressure ulcer prevention, walking stability, and depression management, though temporary rehabilitation residents experienced lower rates of successful community discharge compared to the state average.
Older adults analyzing regional skilled nursing alternatives can consult these public health summaries to evaluate the operator’s long-term performance trends. Since the official databases verify strong physical and behavioral health scores for permanent residents alongside low direct registered nurse hours and repeated standard inspection citations, reviewing current clinical staffing updates with management is a helpful precaution.
Signature Healthcare of Monteagle Rehab and Wellness Center is administrated by Douglas Malin.
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 3.5
Last Health inspection on Sep 2025
Tennessee average 15.4
Tennessee average 4.39
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).
Tennessee average: 1.1
Tennessee average: 0.6
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
1,573 contractor hours this quarter
| Certified Nursing Assistant | 34 | 11 | 45 | 12,769 | 92 | 100% | 9.6 |
| Licensed Practical Nurse | 26 | 13 | 39 | 6,733 | 92 | 100% | 9.1 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,533 | 92 | 100% | 6.7 |
| RN Director of Nursing | 7 | 0 | 7 | 1,052 | 77 | 84% | 7.2 |
| Clinical Nurse Specialist | 8 | 0 | 8 | 1,016 | 65 | 71% | 7.7 |
| Registered Nurse | 10 | 8 | 18 | 872 | 65 | 71% | 8.5 |
| Physical Therapy Assistant | 2 | 0 | 2 | 845 | 68 | 74% | 7.3 |
| Administrator | 3 | 0 | 3 | 736 | 61 | 66% | 8 |
| Dietitian | 1 | 0 | 1 | 525 | 61 | 66% | 8.6 |
| Nurse Practitioner | 2 | 0 | 2 | 474 | 58 | 63% | 8.2 |
| Mental Health Service Worker | 1 | 0 | 1 | 447 | 57 | 62% | 7.8 |
| Speech Language Pathologist | 1 | 1 | 2 | 362 | 49 | 53% | 7.4 |
| Qualified Social Worker | 1 | 0 | 1 | 298 | 40 | 43% | 7.4 |
| Respiratory Therapy Technician | 3 | 1 | 4 | 209 | 35 | 38% | 6 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 54 | 14 | 15% | 3.8 |
| Medical Director | 0 | 1 | 1 | 39 | 33 | 36% | 1.2 |
| Physical Therapy Aide | 1 | 0 | 1 | 4 | 1 | 1% | 4 |
Includes penalties issued in 2023-2024
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)
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.
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
34% of new residents, usually for short-term rehab.
46% of new residents, often for short stays.
20% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Signature Healthcare of Monteagle Rehab and Wellness Center based on CMS SNF Cost Reports.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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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Signature Healthcare of Monteagle Rehab and Wellness Center is located in Monteagle, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
Signature Healthcare of Monteagle Rehab and Wellness Center is in the Middle Tennessee neighborhood of Monteagle.
The legal owner and operator of Signature Healthcare of Monteagle Rehab and Wellness Center is LP Monteagle LLC.
Signature Healthcare of Monteagle Rehab and Wellness Center has a walk score of 43. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to TN state health department records, Signature Healthcare of Monteagle Rehab and Wellness Center's license number is 00000099.
According to TN state health department records, Signature Healthcare of Monteagle Rehab and Wellness Center's license expires on June 2, 2026.
Douglas Malin is the administrator of Signature Healthcare of Monteagle Rehab and Wellness Center.
Signature Healthcare of Monteagle Rehab and Wellness Center has 150 beds.
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