Total health inspections
3
State average N/A
Last Health inspection on Apr 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Assisted Living in USA
CMS overall rating
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.
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 Putnam County
Assisted Living in USA
CMS overall rating
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.
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 Putnam County
Signature HealthCARE of Putnam County is a skilled nursing facility located in Cookeville, TN. It offers a range of services including rehabilitation, clinical services, and life enrichment programs. The facility is dedicated to providing personalized care and enhancing the quality of life for its residents.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
175
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
75.3%
Residents per day (avg)
136
Occupancy rate
75.3%
Residents per day (avg)
136
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
35% of new residents, usually for short-term rehab.
Typical stay
29 days
Private pay
56% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
9% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$19.0M
Operating loss
-$1.4M
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$19,012,916.00
Operating loss
$-1,397,707.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$15.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$20.4M
175-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
33 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
Facility TypeNursing Home
StatusLicensed
IssuanceJuly 1, 1992
ExpirationJanuary 10, 2026
License Number00000206
CMS Certification Number445136
Signature Healthcare Of Putnam County is administrated by Paula Boone.
Owner NameLP Cookeville LLC
Staffing
Key information about the people who lead and staff this community.
ContactLee Rooney
Rehabilitation Services
Respite Care
Short-Term Rehab
Doctor on Staff
Nursing Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Facility-Wide Wifi
Beauty Shop
Private Room Available
24-Hour Visitation
Bereavement Accommodations
Annual Hall Of Fame Café Event
Quality Of Life Program
Full-Time Chaplain
Multi-Denominational Weekly Religious Services
Specific ProgramsClinical Services, Rehabilitation, Care Navigation, Life Enrichment, Volunteer Program
Religious ServicesYes
Volunteer ProgramsYes
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
May 18, 2023
0
enforcement actions
No actions on recordPenalties or interventions imposed by state regulators when facilities do not comply with quality, safety, or regulatory standards.
Health Inspection History
Inspections
Total health citations
14
State average N/A
Citations per inspection
4.67
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
11 of 14 citations resulted from standard inspections; and 3 of 14 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
In line with State averageState average: N/A
Serious Health citations
0
0
In line with State averageState average: N/A
0 critical citations
0 serious citations
14 moderate citations
0 minor citations
Citations history (last 3 years)
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 03, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 03, 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.
Apr 03, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 03, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Apr 03, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Apr 03, 2025
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
May 18, 2023
Issues related to the availability and quality of nursing staff and the care they provide.
May 18, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
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 Putnam County
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.
Cookeville
175
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 Putnam County
0.0 miles from city center
278 Dry Valley Road, Cookeville, TN 38506
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
165
Employees
161
Contractors
4
Staff to resident ratio
1.30:1
0% compared with State averageState average ratio: 0:0
Avg staff/day
64
Average shift
9.2 hours
0% compared with State averageState average: 0 hours
Total staff hours (quarter)
53,399
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
36
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
71
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0.7%
359 contractor hours this quarter
Registered Nurse: 1
Physical Therapy Aide: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 71 | 0 | 71 | 25,470 | 91 | 100% | 9.8 |
| Licensed Practical Nurse | 36 | 0 | 36 | 12,496 | 91 | 100% | 9.7 |
| Clinical Nurse Specialist | 11 | 0 | 11 | 2,640 | 90 | 99% | 8.6 |
| Registered Nurse | 10 | 1 | 11 | 2,450 | 81 | 89% | 10 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,632 | 87 | 96% | 7.8 |
| Physical Therapy Assistant | 8 | 0 | 8 | 1,216 | 75 | 82% | 6.7 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,180 | 71 | 78% | 7.2 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 1,047 | 65 | 71% | 8.2 |
| RN Director of Nursing | 3 | 0 | 3 | 1,019 | 64 | 70% | 8 |
| Physical Therapy Aide | 3 | 1 | 4 | 907 | 65 | 71% | 7.3 |
| Dental Services Staff | 1 | 0 | 1 | 617 | 68 | 75% | 9.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 580 | 65 | 71% | 8.9 |
| Qualified Social Worker | 1 | 0 | 1 | 532 | 65 | 71% | 8.2 |
| Dietitian | 1 | 0 | 1 | 521 | 64 | 70% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 82 | 26 | 29% | 3.1 |
| Medical Director | 0 | 1 | 1 | 29 | 25 | 27% | 1.2 |
71 Certified Nursing Assistant
% of Days
100%
36 Licensed Practical Nurse
% of Days
100%
11 Clinical Nurse Specialist
% of Days
99%
11 Registered Nurse
% of Days
89%
5 Other Dietary Services Staff
% of Days
96%
8 Physical Therapy Assistant
% of Days
82%
5 Speech Language Pathologist
% of Days
78%
3 Respiratory Therapy Technician
% of Days
71%
3 RN Director of Nursing
% of Days
70%
4 Physical Therapy Aide
% of Days
71%
1 Dental Services Staff
% of Days
75%
1 Mental Health Service Worker
% of Days
71%
1 Qualified Social Worker
% of Days
71%
1 Dietitian
% of Days
70%
1 Nurse Practitioner
% of Days
69%
1 Administrator
% of Days
66%
1 Occupational Therapy Assistant
% of Days
29%
1 Medical Director
% of Days
27%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
127 residents
Residents by payment source
Medicare
17 residents (13.4%)
Medicaid
81 residents (63.8%)
Private pay or other
29 residents (22.8%)
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.
10.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.6
In line with State averageState average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.3
In line with State averageState average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
17.1%
Percent of long-stay residents whose need for help with daily activities has increased
17.1%
7% worse than State averageState average: 16.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
22.4%
Percent of long-stay residents whose ability to move independently worsened
22.4%
In line with State averageState average: 21.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.4%
11% better than State averageState average: 20.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.4%
Percent of long-stay residents experiencing one or more falls with major injury
2.4%
34% better than State averageState average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.6%
Percent of long-stay high risk residents with pressure ulcers
5.6%
In line with State averageState average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.2%
Percent of long-stay residents with a urinary tract infection
2.2%
8% worse than State averageState average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.2%
Percent of long-stay residents who lose too much weight
5.2%
17% better than State averageState average: 6.3%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.2%
Percent of long-stay residents who have depressive symptoms
2.2%
80% better than State averageState average: 11.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
20.8%
Percent of long-stay residents who received an antipsychotic medication
20.8%
26% worse than State averageState average: 16.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.2%
6% better than State averageState average: 89.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.9%
In line with State averageState average: 94.5%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.8%
9% better than State averageState average: 79.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
75% better than State averageState average: 1.7%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.9%
9% better than State averageState average: 79.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Signature Healthcare Of Putnam County based on CMS SNF Cost Reports.
Occupancy Rate
75.3%
↑ 7.2pp vs 2022
Net Income
-$1,397,707
↑ ~$1.9M vs 2022
Total Payroll
$6,508,449
↑ ~$1.1M vs 2022
Profit Margin
-7.7%
↑ 14.9pp vs 2022
Loading trend charts...
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