# Signature Healthcare of Fentress County Signature Healthcare of Fentress County is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Jamestown, TN, CMS Certification Number 445362, with 140 certified beds and about 78 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: 208 Duncan St North, Jamestown, TN 38556 (Fentress County) - Ownership type: For profit - Limited Liability company - Operator (legal business name): [LP Jamestown LLC](https://carefield.site/operator/op-lp-jamestown-llc) - CMS chain: [Signature Healthcare](https://carefield.site/chain/cms-chain-474) — 67 facilities - Phone: 9318795859 - Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/445362 ## Inspection record 7 inspections in the CMS window (latest 2026-01-07); 35 citations (23 health, 12 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. - 2026-01-07 — [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 - 2026-01-07 — [K-0293](https://carefield.site/deficiency/cms-k0293) Have properly located and lighted "Exit" signs. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-01-07 — [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 - 2026-01-07 — [K-0918](https://carefield.site/deficiency/cms-k0918) Have generator or other power source capable of supplying service within 10 seconds. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2026-01-07 — [K-0920](https://carefield.site/deficiency/cms-k0920) Ensure proper usage of power strips and extension cords. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-01-07 — [K-0921](https://carefield.site/deficiency/cms-k0921) Ensure that testing and maintenance of electrical equipment is performed. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2026-01-07 — [F-0641](https://carefield.site/deficiency/cms-f0641) Ensure each resident receives an accurate assessment. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-01-07 — [F-0686](https://carefield.site/deficiency/cms-f0686) Provide appropriate pressure ulcer care and prevent new ulcers from developing. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-01-07 — [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 - 2026-01-07 — [F-0813](https://carefield.site/deficiency/cms-f0813) Have a policy regarding use and storage of foods brought to residents by family and other visitors. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2024-02-23 — [F-0678](https://carefield.site/deficiency/cms-f0678) Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2024-02-23 — [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; complaint survey - 2022-06-15 — [K-0291](https://carefield.site/deficiency/cms-k0291) Install emergency lighting that can last at least 1 1/2 hours. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2022-06-15 — [K-0293](https://carefield.site/deficiency/cms-k0293) Have properly located and lighted "Exit" signs. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2022-06-15 — [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 - 2022-06-15 — [K-0920](https://carefield.site/deficiency/cms-k0920) Ensure proper usage of power strips and extension cords. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2022-06-15 — [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 D (No actual harm, potential for more than minimal harm); Corrected - 2022-06-15 — [F-0558](https://carefield.site/deficiency/cms-f0558) Reasonably accommodate the needs and preferences of each resident. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2022-06-15 — [F-0583](https://carefield.site/deficiency/cms-f0583) Keep residents' personal and medical records private and confidential. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2022-06-15 — [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 D (No actual harm, potential for more than minimal harm); Corrected - …and 15 more on the source page. ## 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: 3.54139 (state avg 3.81924, US 3.90085) - RN: 0.4515 - Nursing staff turnover: 39.4% ## Owners and managers of record (CMS disclosures) - [LP Cr Holdings LLC](https://carefield.site/owner/org-lp-cr-holdings-llc) — Direct owner, 100%, since 2007-11-01 - [Agemo Holdings LLC](https://carefield.site/owner/org-agemo-holdings-llc) — Indirect owner, since 2016-10-01 - [Jjla LLC](https://carefield.site/owner/org-jjla-llc) — Indirect owner, since 2007-11-01 - [Lpsnf II LLC](https://carefield.site/owner/org-lpsnf-ii-llc) — Indirect owner, since 2016-10-01 - [Wheaten LLC](https://carefield.site/owner/org-wheaten-llc) — Indirect owner, since 2007-11-01 - Elmer Steier III — Indirect owner, since 2007-11-01 ## 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=445362&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=445362&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=445362&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=445362&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=445362&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=445362&conditions%5B0%5D%5Boperator%5D=%3D --- Source page: https://carefield.site/facility/cms-445362 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.