Tennessee average 3.5
Last Health inspection on Apr 2025

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Delivering a full continuum of care since 1992, Signature HealthCARE of Putnam County coordinates long-term skilled nursing, medical rehabilitation, and short-term respite stays within a 175-bed building. Administrator Paula Boone manages daily operations, which include multi-denominational chaplain programs, a beauty salon, private rooms, and an on-site physician. Payer distribution covers a varied mix, with 56% paying privately, 35% utilizing Medicare, and 9% relying on Medicaid. Residents record an average stay of 77 days, and the property maintains a 75.3% occupancy rate in a highly walkable city-center neighborhood carrying a Walk Score of 79.
State records point to thin staffing configurations, noting that daily nursing attention averages 3 hours and 7 minutes per resident to fall roughly 15% below the Tennessee benchmark. This reduction becomes more pronounced on weekends, when registered nurse coverage averages 13 minutes daily, marking a 46% drop below the state baseline. To balance these low nursing averages, the property’s dedicated physical therapy presence tracks 20% above the state standard, matching its focus on short-term recovery.
Operational data also reveals significant local financial friction, with the home reporting a net loss of $1.4 million in 2023 on total revenues of $19 million. On the clinical side, quality logs show strong preventive performance, including favorable vaccination updates and low rates of serious fall injuries, though resident anti-psychotic medication use runs higher than the state average.
Prospective residents weighing regional post-acute rehabilitation choices can look through these public health summaries to evaluate the facility’s day-to-day patterns. Since the official tracking profiles document solid physical therapy scores and positive long-term wellness indicators alongside below-average nursing hours and notable financial deficits, examining the facility’s clinical oversight and administrative stability is a helpful precaution.
Signature Healthcare Of Putnam County is administrated by Paula Boone.
Key information about the people who lead and staff this community.
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 Apr 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.
11 of 14 citations resulted from standard inspections; and 3 of 14 resulted from complaint investigations.
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
142 contractor hours this quarter
| Certified Nursing Assistant | 82 | 0 | 82 | 26,450 | 92 | 100% | 9.6 |
| Licensed Practical Nurse | 33 | 0 | 33 | 10,814 | 92 | 100% | 9.7 |
| Registered Nurse | 16 | 1 | 17 | 4,112 | 92 | 100% | 10 |
| Clinical Nurse Specialist | 7 | 0 | 7 | 1,641 | 66 | 72% | 8.4 |
| RN Director of Nursing | 3 | 0 | 3 | 1,381 | 66 | 72% | 7.9 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 1,379 | 66 | 72% | 7.9 |
| Physical Therapy Assistant | 5 | 0 | 5 | 1,140 | 83 | 90% | 6.5 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,078 | 82 | 89% | 7.9 |
| Speech Language Pathologist | 3 | 0 | 3 | 1,012 | 70 | 76% | 7.1 |
| Physical Therapy Aide | 4 | 0 | 4 | 861 | 66 | 72% | 6.7 |
| Dental Services Staff | 1 | 0 | 1 | 597 | 64 | 70% | 9.3 |
| Dietitian | 1 | 0 | 1 | 540 | 64 | 70% | 8.4 |
| Nurse Practitioner | 1 | 0 | 1 | 524 | 66 | 72% | 7.9 |
| Qualified Social Worker | 2 | 0 | 2 | 497 | 62 | 67% | 8 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Mental Health Service Worker | 3 | 0 | 3 | 299 | 43 | 47% | 6.9 |
| Occupational Therapy Assistant | 0 | 3 | 3 | 93 | 30 | 33% | 2.9 |
| Medical Director | 0 | 1 | 1 | 46 | 41 | 45% | 1.1 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
35% of new residents, usually for short-term rehab.
56% of new residents, often for short stays.
9% 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 Putnam County 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 Cookeville's city center to Signature Healthcare Of Putnam County's address, calculated via Google Maps.
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Signature Healthcare Of Putnam County is located in Cookeville, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
Signature Healthcare Of Putnam County is in the West Side neighborhood of Cookeville.
The legal owner and operator of Signature Healthcare Of Putnam County is LP Cookeville LLC.
Signature Healthcare Of Putnam County has a walk score of 79. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to TN state health department records, Signature Healthcare Of Putnam County's license number is 00000206.
According to TN state health department records, Signature Healthcare Of Putnam County's license expires on January 10, 2026.
Paula Boone is the administrator of Signature Healthcare Of Putnam County.
Signature Healthcare Of Putnam County has 175 beds.
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