# Signature Healthcare of Putnam County

Signature Healthcare of Putnam County is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Cookeville, TN, CMS Certification Number 445136, with 175 certified beds and about 133 residents per day. CMS rates it 2/5 overall (health inspections 2/5, staffing 2/5, quality measures 4/5).

## Key facts
- Status: Active CMS certification
- Address: 278 Dry Valley Rd, Cookeville, TN 38506 (Putnam County)
- Ownership type: For profit - Limited Liability company

- Operator (legal business name): [LP Cookeville LLC](https://carefield.site/operator/op-lp-cookeville-llc)
- CMS chain: [Signature Healthcare](https://carefield.site/chain/cms-chain-474) — 67 facilities

- Phone: 9315376524
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/445136

## Inspection record
7 inspections in the CMS window (latest 2026-07-22); 18 citations (15 health, 3 fire safety); 0 at actual harm and 0 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history.
- 2026-07-22 — [K-0324](https://carefield.site/deficiency/cms-k0324) Provide properly protected cooking facilities. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-07-22 — [F-0609](https://carefield.site/deficiency/cms-f0609) Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-07-22 — [F-0695](https://carefield.site/deficiency/cms-f0695) Provide safe and appropriate respiratory care for a resident when needed. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-04-03 — [F-0657](https://carefield.site/deficiency/cms-f0657) Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-04-03 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-04-03 — [F-0755](https://carefield.site/deficiency/cms-f0755) Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. — scope/severity D (No actual harm, potential for more than minimal harm); Past non-compliance; complaint survey
- 2023-05-18 — [K-0222](https://carefield.site/deficiency/cms-k0222) Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2023-05-18 — [F-0550](https://carefield.site/deficiency/cms-f0550) Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2023-05-18 — [F-0584](https://carefield.site/deficiency/cms-f0584) Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2023-05-18 — [F-0657](https://carefield.site/deficiency/cms-f0657) Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2023-05-18 — [F-0684](https://carefield.site/deficiency/cms-f0684) Provide appropriate treatment and care according to orders, resident’s preferences and goals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2023-05-18 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2023-05-18 — [F-0695](https://carefield.site/deficiency/cms-f0695) Provide safe and appropriate respiratory care for a resident when needed. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2023-05-18 — [F-0725](https://carefield.site/deficiency/cms-f0725) Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2023-05-18 — [F-0802](https://carefield.site/deficiency/cms-f0802) Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2023-05-18 — [F-0804](https://carefield.site/deficiency/cms-f0804) Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2023-05-18 — [F-0812](https://carefield.site/deficiency/cms-f0812) Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2019-04-10 — [K-0911](https://carefield.site/deficiency/cms-k0911) Meet requirements for the installation and maintenance of electrical systems. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected

## Penalties
No fines or payment denials in the CMS penalties file (about the last three years).

## Staffing (PBJ, hours per resident per day)
- Total nurse: 3.69185 (state avg 3.81924, US 3.90085)
- RN: 0.47431
- Nursing staff turnover: 40%

## Owners and managers of record (CMS disclosures)
- [Shc LP Holdings LLC](https://carefield.site/owner/org-shc-lp-holdings-llc) — Direct owner, 100%, since 2014-05-01
- [Asbr Holdings LLC](https://carefield.site/owner/org-asbr-holdings-llc) — Indirect owner, since 2018-05-01
- [Jjla LLC](https://carefield.site/owner/org-jjla-llc) — Indirect owner, since 2014-05-01
- [Lpsnf LLC](https://carefield.site/owner/org-lpsnf-llc) — Indirect owner, since 2014-05-01
- [Wheaten LLC](https://carefield.site/owner/org-wheaten-llc) — Indirect owner, since 2014-05-01
- Elmer Steier III — Indirect owner, since 2014-05-01

## Nearby nursing homes
- [Grandview Post Acute](https://carefield.site/facility/cms-445427) — 4.1 km, CMS overall 1/5
- [Nhc Healthcare, Cookeville](https://carefield.site/facility/cms-445110) — 6.8 km, CMS overall 5/5

## Sources
- cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445136&conditions%5B0%5D%5Boperator%5D=%3D
- cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445136&conditions%5B0%5D%5Boperator%5D=%3D
- cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445136&conditions%5B0%5D%5Boperator%5D=%3D
- cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445136&conditions%5B0%5D%5Boperator%5D=%3D
- cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445136&conditions%5B0%5D%5Boperator%5D=%3D
- cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445136&conditions%5B0%5D%5Boperator%5D=%3D

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Source page: https://carefield.site/facility/cms-445136 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.