Signature Health of Portland Rehab & Wellness Cent — nursing home in Portland, TN

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 112 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 61.5 CMS, MDS-derived
CMS Certification Number: 445306
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 1, 1993
Ownership type: For profit - Corporation
Operator (legal business name): LP Portland, LLC
CMS chain: Signature Healthcare 67 facilities
Phone: (615) 325-9263
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

10

latest Dec 4, 2025

Citations

49

24 health · 25 fire

Harm or worse

10

6 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J6	K·	L·
Actual harm	G4	H·	I·
Potential harm	D32	E3	F3
Minimal	A·	B·	C1

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

5

$171,234

Payment denials

1

Latest

Dec 4, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 445306
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 112
First approved: Jan 1, 1993
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Tennessee.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Dec 4, 2025	Fire safety	Fire Safety Standard	14	Potential harm	—	Open →
Dec 4, 2025	Health	Health Standard	2	Actual harm	—	Open →
Sep 11, 2025	Health	Health Complaint	1	Actual harm	—	Open →
Apr 11, 2025	Health	Health Complaint	6	Immediate jeopardy	—	Open →
Mar 28, 2025	Fire safety	Fire Safety Complaint	2	Actual harm	—	Open →
Aug 23, 2024	Health	Health Complaint	3	Immediate jeopardy	—	Open →
Jan 29, 2020	Fire safety	Fire Safety Standard	7	Potential harm	—	Open →
Jan 29, 2020	Health	Health Standard	6	Potential harm	—	Open →
Feb 7, 2019	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Feb 7, 2019	Health	Health Standard	6	Actual harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Dec 4, 2025	Civil money penalty (fine)	$53,138	—	445306\|Fine\|137511
Sep 11, 2025	Civil money penalty (fine)	$10,868	—	445306\|Fine\|135053
Apr 11, 2025	Civil money penalty (fine)	$91,582	—	445306\|Fine\|33650
Aug 23, 2024	Denial of payment for new admissions	—	Aug 29, 2024 · 2 days	445306\|Payment Denial\|2024-08-29
Aug 23, 2024	Civil money penalty (fine)	$7,823	—	445306\|Fine\|33618
Aug 23, 2024	Civil money penalty (fine)	$7,823	—	445306\|Fine\|33619

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J6	K·	L·
Actual harm	G4	H·	I·
Potential harm	D32	E3	F3
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Dec 4, 2025	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Dec 19, 2025
Dec 4, 2025	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Dec 31, 2025
Dec 4, 2025	E-0015	Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Dec 31, 2025
Dec 4, 2025	E-0025	Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Dec 31, 2025
Dec 4, 2025	E-0030	List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Dec 22, 2025
Dec 4, 2025	E-0032	Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Dec 31, 2025
Dec 4, 2025	E-0033	Establish methods for sharing information. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Dec 31, 2025
Dec 4, 2025	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 31, 2025
Dec 4, 2025	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 31, 2025
Dec 4, 2025	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 31, 2025
Dec 4, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 31, 2025
Dec 4, 2025	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 31, 2025
Dec 4, 2025	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 31, 2025
Dec 4, 2025	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 31, 2025
Dec 4, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 31, 2025
Dec 4, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Dec 19, 2025
Sep 11, 2025	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Sep 26, 2025	Complaint
Apr 11, 2025	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	J · Immediate jeopardy Isolated	Corrected May 6, 2025	Complaint
Apr 11, 2025	F-0678	Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Past non-compliance Jan 20, 2025	Complaint
Apr 11, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected May 6, 2025	Complaint
Apr 11, 2025	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 6, 2025	Complaint
Apr 11, 2025	F-0626	Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 6, 2025	Complaint
Apr 11, 2025	F-0867	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records	F · Potential harm Widespread	Corrected May 6, 2025	Complaint
Mar 28, 2025	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	G · Actual harm Isolated	Corrected May 29, 2025	Complaint
Mar 28, 2025	K-0921	Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 29, 2025	Complaint
Aug 23, 2024	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	J · Immediate jeopardy Isolated	Corrected Aug 31, 2024	Complaint
Aug 23, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Aug 31, 2024	Complaint
Aug 23, 2024	F-0835	Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Administration & records	J · Immediate jeopardy Isolated	Corrected Aug 31, 2024	Complaint
Jan 29, 2020	E-0006	Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Mar 10, 2020
Jan 29, 2020	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 10, 2020
Jan 29, 2020	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 10, 2020
Jan 29, 2020	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 10, 2020
Jan 29, 2020	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 10, 2020
Jan 29, 2020	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 10, 2020
Jan 29, 2020	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 10, 2020
Jan 29, 2020	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 11, 2020
Jan 29, 2020	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 11, 2020
Jan 29, 2020	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 11, 2020
Jan 29, 2020	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 11, 2020
Jan 29, 2020	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Mar 11, 2020
Jan 29, 2020	F-0908	Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 11, 2020
Feb 7, 2019	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Feb 13, 2019
Feb 7, 2019	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 4, 2019
Feb 7, 2019	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 4, 2019
Feb 7, 2019	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 4, 2019
Feb 7, 2019	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Mar 4, 2019
Feb 7, 2019	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Mar 4, 2019
Feb 7, 2019	F-0761	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 4, 2019
Feb 7, 2019	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	C · Minimal Widespread	Corrected Mar 4, 2019

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 3

Staffingstate 2.5

Quality measuresstate 3.7

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.67

State avg 3.82US avg 3.90

Registered nurse (RN)0.79

State avg 0.60US avg 0.69

Licensed practical nurse0.96

State avg 1.08US avg 0.86

Nurse aide1.92

State avg 2.14US avg 2.35

Weekend total nurse3.03

State avg 3.32US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.51 (case-mix index 1.46).

Staff turnover

Total nursing staff turnover50.7%

State avg 48.6%US avg 45.3%

Registered nurse turnover46.7%

State avg 43.2%US avg 42.5%

Administrators who left2

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Dec 4, 2025
Cycle 1 health score: 28
Total weighted score: 133.5

Operating entity

LP Portland, LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Signature Healthcare

67 facilities in 5 states. CMS chain ID 474.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.1

Ownership disclosures

Disclosures

8

Organizations

5

Individuals

3

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Distinct Group Holdings, LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	May 1, 2018
Jjla LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2010
Lpsnf LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2010
Wheaten LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2010
Elmer Steier III	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2010

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Distinct Group Holdings, LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	May 1, 2018
Jjla LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2010
Lpsnf LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2010
Wheaten LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2010
Elmer Steier III	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Dec 1, 2010
Signature Healthcare LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2012
John Harrison	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Dec 15, 2014
Tyler Masden	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	May 17, 2022

Same chain in Tennessee

All 66 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Signature Healthcare of Putnam County 278 Dry Valley Rd, Cookeville, TN 38506 CCN 445136	175	Jul 22, 2026	18	—
Signature Healthcare of Primacy 6025 Primacy Parkway, Memphis, TN 38119 CCN 445140	120	Mar 3, 2026	11	—
Signature Healthcare of Rockwood Rehab & Wellness 5580 Roane State Hwy, Rockwood, TN 37854 CCN 445143	157	Aug 5, 2026	16	—
Spring City Care and Rehabilitation Center 331 Hinch Street, Spring City, TN 37381 CCN 445209	138	May 6, 2026	211 harm	$8,512
Mountain City Care & Rehabilitation Center 919 Medical Park Drive, Mountain City, TN 37683 CCN 445214	120	Apr 22, 2026	13	—
Signature Healthcare of Elizabethton Rehab & Welln 1200 Spruce Lane, Elizabethton, TN 37643 CCN 445217	94	Jul 29, 2026	7	—
Signature Healthcare of Memphis 1150 Dovecrest Rd, Memphis, TN 38134 CCN 445241	140	May 13, 2026	9	—
Signature Healthcare of Ridgely Rehab&Wellness Ctr 117 N Main Street, Ridgely, TN 38080 CCN 445327	100	Aug 25, 2023	31	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 215 Highland Circle Drive, Portland, TN 37148
ZIP: 37148
County: Sumner County FIPS 47165
State: Tennessee
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

No nearby facilities with coordinates.

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	445306	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	445306	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 445306

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction