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Signature Healthcare of Monteagle Rehab and Wellness Center
Nursing Home & Skilled Nursing · Monteagle, TN
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Signature Healthcare of Monteagle Rehab and Wellness Center

Nursing Home & Skilled Nursing · Monteagle, TN
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
26 Second Street, Monteagle, TN 37356-7415 View map Calculator: See prices in your area
Signature Healthcare of Monteagle Rehab and Wellness Center accepts Medicare, Medicaid, and private pay.
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Signature Healthcare of Monteagle Rehab and Wellness Center accepts Medicare, Medicaid, and private pay.

Overview of Signature Healthcare of Monteagle Rehab and Wellness Center

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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.

Facility Direct Line (931) 392-3003
Facility Direct Line (931) 392-3003
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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.
▲ 5.9% Above TN avg. ▲ 5.9% Above TN avg.TN average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▼ 28.2% Below TN avg. ▼ 28.2% Below TN avg.TN average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▼ 17.2% Below TN avg. ▼ 17.2% Below TN avg.TN average: 2.4Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 45.3% Above TN avg. ▲ 45.3% Above TN avg.TN average: 3.4Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Tennessee averages

Rank #41 / 179Nurse hours — State benchmarkedThis home is ranked 41st out of 179 homes we track in Tennessee for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 179 Tennessee facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 41st out of 179 homes we track in Tennessee for nurse hours. 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 52m

7% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
23m
−38% State avg: 37m per day · National avg: 41m per day
LPN / LVN Info 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 20m
+24% State avg: 1h 5m per day · National avg: 52m per day
Nurse Aide Info 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 9m
Avg State avg: 2h 9m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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 17m
Avg State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Info 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.
3m
−30% State avg: 5m per day · National avg: 4m per day
Weekend RN Info 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
−14% State avg: 24m per day · National avg: 28m per day

3 of 6 metrics below state avg

Standout metric: LPN / LVN is +24% above Tennessee average

By The Numbers

Community insights.

Bed count Info A larger shared setting that may offer more common spaces and organized community services. 150 Rank #36 / 425Bed count — State benchmarkedThis home is ranked 36th out of 425 homes we track in Tennessee for bed count. Shows this facility's certified or reported bed count compared to other Tennessee facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Medium-capacity home · Offers a balance of services and community atmosphere.

Years of operating Info A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. Rank #48 / 386Years in operation — State benchmarkedThis home is ranked 48th out of 386 homes we track in Tennessee for years in operation. Shows how long this facility has been in operation compared to other Tennessee facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
34 years
Walk Score Info Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation. Rank #202 / 520Walk Score — State benchmarkedThis home is ranked 202nd out of 520 homes we track in Tennessee for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Tennessee facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
43 / 100
Occupancy rate Info Occupancy lower than 85% suggests more openings may be available. Rank #242 / 268Occupancy rate — State benchmarkedThis home is ranked 242nd out of 268 homes we track in Tennessee for occupancy. Shows this facility's occupancy rate versus the Tennessee average, with its Statewide rank out of 268. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
46% This home usually has availability
Lower than the Tennessee average: 71.6%
Occupied beds
69 / 150
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
181 days

About this community

License Details

Facility TypeAssisted Care Living Facility
IssuanceJuly 1, 1992
License Number00000099
CMS Certification Number445393

Ownership & Operating Entity

Signature Healthcare of Monteagle Rehab and Wellness Center is administered by Douglas Malin.

Owner NameLP Monteagle LLC

Therapy & Rehabilitation

1 service
Rehabilitation Services

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Specific ProgramsClinical Services, Care Navigation
Religious Services
Touring HoursMonday-Friday: 9:00 AM - 9:00 PM, Saturday & Sunday: 10:00 AM - 6:30 PM

Contact Signature Healthcare of Monteagle Rehab and Wellness Center

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.

Since 2023 · 3 years of data These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability. 0 citations
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2021 · 5 years of data
Total health inspections 4

State average 3.5

Last Health inspection on Sep 2025

Total health citations
21 Rank #134 / 180Health citations — State benchmarkedThis home is ranked 134th out of 180 homes we track in Tennessee for health citations. Shows this facility's total health deficiency citations benchmarked to the Tennessee State average, with a ranking across all 180 TN facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 15.4

Citations per inspection
5.25 Rank #131 / 180Citations per inspection — State benchmarkedThis home is ranked 131st out of 180 homes we track in Tennessee for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 180 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State 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).

Breakdown of citation severity (last 5 years)
Critical health citations
0
100% better than State average

State average: 1.1

Serious health citations
2
233% worse than State average

State average: 0.6

0 critical citations State average: 1.1
2 serious citations State average: 0.6
19 moderate citations State average: 13.7
0 minor citations State average: 0.1
Citations history (last 5 years)
Infection Control moderate citation Sep 17, 2025
Corrected
Nursing Services moderate citation Sep 17, 2025
Corrected
Nutrition moderate citation Sep 17, 2025
Corrected
Quality of Care moderate citation Sep 17, 2025
Corrected

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 141
Employees 104
Contractors 37
Staff to resident ratio 2.07 : 1
19% more staff per resident than Tennessee average
Tennessee average ratio: 1.75 : 1 Tennessee average ratio: 1.75 : 1See full Tennessee ranking
Avg staff/day 35
Average shift 8.7 hours
5% better than Tennessee average
Tennessee average: 8.3 hours Tennessee average shift: 8.3 hoursSee full Tennessee ranking
Total staff hours (quarter) 27,966

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 18 total: 10 full-time employees and 8 contractors. 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 39 total: 26 full-time employees and 13 contractors. 39
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 45 total: 34 full-time employees and 11 contractors. 45
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.6 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

5.6%

1,573 contractor hours this quarter

Licensed Practical Nurse: 13 Certified Nursing Assistant: 11 Registered Nurse: 8 Occupational Therapy Assistant: 2 Medical Director: 1 Respiratory Therapy Technician: 1 Speech Language Pathologist: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant34114512,76992100%9.6
Licensed Practical Nurse2613396,73392100%9.1
Other Dietary Services Staff4041,53392100%6.7
RN Director of Nursing7071,0527784%7.2
Clinical Nurse Specialist8081,0166571%7.7
Registered Nurse108188726571%8.5
Physical Therapy Assistant2028456874%7.3
Administrator3037366166%8
Dietitian1015256166%8.6
Nurse Practitioner2024745863%8.2
Mental Health Service Worker1014475762%7.8
Speech Language Pathologist1123624953%7.4
Qualified Social Worker1012984043%7.4
Respiratory Therapy Technician3142093538%6
Occupational Therapy Assistant022541415%3.8
Medical Director011393336%1.2
Physical Therapy Aide101411%4
45 Certified Nursing Assistant
% of Days 100%
39 Licensed Practical Nurse
% of Days 100%
4 Other Dietary Services Staff
% of Days 100%
7 RN Director of Nursing
% of Days 84%
View All Staffing Data

Penalties and fines

Includes penalties issued in 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)

Total fines amount $40K Rank #147 / 181Federal fines — State benchmarkedThis home is ranked 147th out of 181 homes we track in Tennessee for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Tennessee average among facilities with fines, and where it ranks among 181 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
54% lower than Tennessee average

Tennessee average: $86K

Number of fines 2
15% more fines than Tennessee average

Tennessee 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 Tennessee average

Tennessee average: 0.5

Fines amount comparison
Fines amount comparison
This facility $40K
Tennessee average $86K
Penalty History

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

1 penalty in the past 3 years

Jul 31, 2024 · $32K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jul 31, 2024
$32K

Last updated: Jan 2026

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. 9.3
11% better than Tennessee average

Tennessee average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 18.2
7% better than Tennessee average

Tennessee average: 19.5

Long-stay resident measures
Significantly above average Tennessee avg: 3.7 Info 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 Info Percent of long-stay residents whose need for help with daily activities has increased 18.1%
13% worse than Tennessee average

Tennessee average: 16.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 15.1%
31% better than Tennessee average

Tennessee 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 21.4%
In line with Tennessee average

Tennessee average: 20.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.0%
17% better than Tennessee average

Tennessee average: 3.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.8%
30% better than Tennessee average

Tennessee average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Tennessee average

Tennessee average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.6%
6% worse than Tennessee average

Tennessee average: 6.3%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.5%
86% better than Tennessee average

Tennessee average: 11.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 20.0%
21% worse than Tennessee average

Tennessee average: 16.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 81.1%
10% worse than Tennessee average

Tennessee average: 89.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 83.6%
12% worse than Tennessee average

Tennessee average: 94.5%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.25
21% better than Tennessee average

Tennessee average: 1.58

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.23
22% better than Tennessee average

Tennessee average: 1.57

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 85.6%
7% better than Tennessee average

Tennessee average: 79.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Tennessee average

Tennessee average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 84.0%
5% better than Tennessee average

Tennessee average: 79.8%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 44.3%
12% worse than Tennessee average

Tennessee average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

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.

Finances and operations

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

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$8.6M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$481.9K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$8.6M Rank #113 / 174Net patient revenue — State benchmarkedThis home is ranked 113th out of 174 homes we track in Tennessee. Shows this facility's net patient revenue compared to the Tennessee average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$481.9K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$627.2K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #137 / 174Payroll costs — State benchmarkedThis home is ranked 137th out of 174 homes we track in Tennessee. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Tennessee average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$3.6M 41.6% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #154 / 174Payroll % of net patient revenue — State benchmarkedThis home is ranked 154th out of 174 homes we track in Tennessee. Shows payroll as a percentage of net patient revenue versus the Tennessee average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Tennessee that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$5.5M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$9.0M
How we calculate these figures

This home is administered by Douglas Malin.

This home is owned by Amanda Levieux

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 445393

Show certification details

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.

New residents most often arrive under private pay (46% of admissions), and a typical private pay stay runs around 1 - 2 months.

Admissions
157 total

Coverage residents most often arrive under.

Medicare 34%
Private pay 46%
Medicaid 20%
Discharges
169 total

Coverage residents most often leave under.

Medicare 20%
Private pay 37%
Medicaid 44%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Signature Healthcare of Monteagle Rehab and Wellness Center

Address 0.0 miles from city center Info Estimated distance in miles from Monteagle's city center to Signature Healthcare of Monteagle Rehab and Wellness Center's address, calculated via Google Maps.

Calculate Travel Distance to Signature Healthcare of Monteagle Rehab and Wellness Center

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Address

Compare Nursing Homes around the area

Info below is compiled from CMS reports & the TN Dept. of Health (TDH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Tennessee average is: 54.1% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Trezevant ★ ★ ★ ★ ★
NH
AL
IL
MC
SNF
Memphis (Waynoka)
104
Facility 104
TN AVG 88
Rank #132 / 425
--
6.24
Facility 6.24
TN AVG 3.63
Rank #4 / 179
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ +66%+72%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 181
3
Facility 3
TN AVG 15.4
Rank #10 / 180
1.5
Facility 1.5
TN AVG 4.4
Rank #5 / 180
-13A+
29
Facility 29
TN AVG 36
Rank #317 / 520
Paul Martin
$11.8MFiscal year ending 07/2024
Facility $11.8MFiscal year ending 07/2024
TN AVG $11.1M
Rank #57 / 174
$17.3MFiscal year ending 07/2024
Facility $17.3MFiscal year ending 07/2024
TN AVG $5.9M
Rank #2 / 174
146.9%Fiscal year ending 07/2024
Facility 146.9%Fiscal year ending 07/2024
TN AVG 54.1%
Rank #3 / 174
445133
NHC HealthCare Johnson City ★ ★ ★ ★ ★
NH
HC
HOS
SNF
Johnson City
10
Facility 10
TN AVG 88
Rank #425 / 425
100.0%
Facility 100.0%
TN AVG 73.1%
Rank #1 / 268
+37%
3.58
Facility 3.58
TN AVG 3.63
Rank #73 / 179
 ★ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ -8%-1%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 181
3
Facility 3
TN AVG 15.4
Rank #10 / 180
1.5
Facility 1.5
TN AVG 4.4
Rank #5 / 180
-10-
2
Facility 2
TN AVG 36
Rank #507 / 520
Howard Nason Jr.
$19.1MFiscal year ending 12/2023
Facility $19.1MFiscal year ending 12/2023
TN AVG $11.1M
Rank #13 / 174
$10.6MFiscal year ending 12/2023
Facility $10.6MFiscal year ending 12/2023
TN AVG $5.9M
Rank #15 / 174
55.7%Fiscal year ending 12/2023
Facility 55.7%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #60 / 174
445024
West Meade Place LLP ★ ★ ★ ★ ★
NH
SNF
Nashville (West Meade)
120
Facility 120
TN AVG 88
Rank #81 / 425
84.8%
Facility 84.8%
TN AVG 73.1%
Rank #81 / 268
+16%
2.91
Facility 2.91
TN AVG 3.63
Rank #161 / 179
 ★ ★ ★ ★ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ★ +57%-20%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 181
16
Facility 16
TN AVG 15.4
Rank #98 / 180
5.3
Facility 5.3
TN AVG 4.4
Rank #131 / 180
-102A+
54
Facility 54
TN AVG 36
Rank #99 / 520
Barbara Friedbauer
$16.1MFiscal year ending 12/2023
Facility $16.1MFiscal year ending 12/2023
TN AVG $11.1M
Rank #31 / 174
$10.3MFiscal year ending 12/2023
Facility $10.3MFiscal year ending 12/2023
TN AVG $5.9M
Rank #16 / 174
64.2%Fiscal year ending 12/2023
Facility 64.2%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #22 / 174
445203
Ivy Hall Nursing Home ★ ★ ★ ★ ★
NH
RC
SNF
Elizabethton
101
Facility 101
TN AVG 88
Rank #139 / 425
83.5%
Facility 83.5%
TN AVG 73.1%
Rank #88 / 268
+14%
3.97
Facility 3.97
TN AVG 3.63
Rank #34 / 179
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ -10%+9%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 181
2
Facility 2
TN AVG 15.4
Rank #1 / 180
2.0
Facility 2.0
TN AVG 4.4
Rank #12 / 180
-84-
68
Facility 68
TN AVG 36
Rank #37 / 520
Judy Deloach
$9.3MFiscal year ending 12/2023
Facility $9.3MFiscal year ending 12/2023
TN AVG $11.1M
Rank #96 / 174
$5.6MFiscal year ending 12/2023
Facility $5.6MFiscal year ending 12/2023
TN AVG $5.9M
Rank #79 / 174
59.8%Fiscal year ending 12/2023
Facility 59.8%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #42 / 174
445469
Signature Healthcare of Monteagle Rehab and Wellness Center ★ ★ ★ ☆ ☆
NH
SNF
Monteagle (Middle Tennessee)
150
Facility 150
TN AVG 88
Rank #36 / 425
46.1%
Facility 46.1%
TN AVG 73.1%
Rank #242 / 268
-37%
3.87
Facility 3.87
TN AVG 3.63
Rank #41 / 179
 ★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ★ +46%+7%
$39.5k
Facility $39.5k
TN AVG $90.9k
Rank #147 / 181
21
Facility 21
TN AVG 15.4
Rank #134 / 180
5.3
Facility 5.3
TN AVG 4.4
Rank #131 / 180
269-
43
Facility 43
TN AVG 36
Rank #202 / 520
Amanda Levieux
$8.6MFiscal year ending 12/2023
Facility $8.6MFiscal year ending 12/2023
TN AVG $11.1M
Rank #113 / 174
$3.6MFiscal year ending 12/2023
Facility $3.6MFiscal year ending 12/2023
TN AVG $5.9M
Rank #137 / 174
41.6%Fiscal year ending 12/2023
Facility 41.6%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #154 / 174
445393
Nursing Home Explorer

Frequently Asked Questions about Signature Healthcare of Monteagle Rehab and Wellness Center

What neighborhood is Signature Healthcare of Monteagle Rehab and Wellness Center in?

Signature Healthcare of Monteagle Rehab and Wellness Center is in the Middle Tennessee neighborhood of Monteagle.

Who is the owner of Signature Healthcare of Monteagle Rehab and Wellness Center?

Signature Healthcare of Monteagle Rehab and Wellness Center is legally operated by LP Monteagle LLC, and administered by Douglas Malin.

Is Signature Healthcare of Monteagle Rehab and Wellness Center in a walkable area?

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.

What is the license number of Signature Healthcare of Monteagle Rehab and Wellness Center?

According to TN state health department records, Signature Healthcare of Monteagle Rehab and Wellness Center's license number is 00000099.

What is the occupancy rate at Signature Healthcare of Monteagle Rehab and Wellness Center?

Signature Healthcare of Monteagle Rehab and Wellness Center's occupancy is 46%.

How long has Signature Healthcare of Monteagle Rehab and Wellness Center been in business?

Signature Healthcare of Monteagle Rehab and Wellness Center has been operating for approximately 34 years, based on available licensing and registration records.

Are pets allowed at Signature Healthcare of Monteagle Rehab and Wellness Center?

No, Signature Healthcare of Monteagle Rehab and Wellness Center has a no-pet policy.

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