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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D21 | E1 | F1 |
| Minimal | A· | B· | C· |
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.
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.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jun 17, 2026 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jun 17, 2026 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Apr 9, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Apr 9, 2025 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Feb 12, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 17, 2021 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Nov 17, 2021 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D21 | E1 | F1 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 17, 2026 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jun 30, 2026 | |
| Jun 17, 2026 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 30, 2026 | |
| Jun 17, 2026 | F-0687 |
“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.
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.
CMS legal business name of the certified provider. Operates this facility only.
67 facilities in 5 states. CMS chain ID 474.
Chain average overall rating (CMS): 3.1
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| LP Cr Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 1, 2007 |
| Agemo Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2016 |
| Jjla LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2007 |
| Lpsnf II LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2016 |
| Wheaten LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2007 |
| Elmer Steier III | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2007 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| LP Cr Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 1, 2007 |
| Agemo Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Oct 1, 2016 |
| Jjla LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2007 |
| Lpsnf II LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided |
| Facility | Beds | CMS overall | 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 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Clinton County Care and Rehabilitation Center 404 North Washington Street, Albany, KY 42602 CCN 185315 | 13.5 km | 52 | May 8, 2025 | 12 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 445390 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 445390 | 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 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care |
| D · Potential harm Isolated |
| Corrected Jun 30, 2026 |
| Jun 17, 2026 | 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 Jun 30, 2026 |
| Jun 17, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 30, 2026 |
| Apr 9, 2025 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected May 22, 2025 |
| Apr 9, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected May 22, 2025 |
| Apr 9, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 14, 2025 |
| Apr 9, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 14, 2025 |
| Apr 9, 2025 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 14, 2025 |
| Apr 9, 2025 | 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 May 14, 2025 |
| Apr 9, 2025 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected May 14, 2025 |
| Apr 9, 2025 | F-0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected May 14, 2025 |
| Apr 9, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 14, 2025 |
| Feb 12, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 27, 2025 | Complaint |
| Feb 12, 2025 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Past non-compliance Apr 12, 2024 | Complaint |
| Nov 17, 2021 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 10, 2021 |
| Nov 17, 2021 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 10, 2021 |
| Nov 17, 2021 | 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 Dec 10, 2021 |
| Nov 17, 2021 | F-0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Dec 10, 2021 |
| Nov 17, 2021 | 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 Dec 10, 2021 |
| Nov 17, 2021 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 10, 2021 |
| Nov 17, 2021 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 10, 2021 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.03 (case-mix index 1.38).
| Oct 1, 2016 |
| Wheaten LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2007 |
| Elmer Steier III | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Nov 1, 2007 |
| Signature Healthcare LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2007 |
| John Harrison | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 1, 2007 |
| Noah Foster | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | May 23, 2023 |
| 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 Health of Portland Rehab & Wellness Cent 215 Highland Circle Drive, Portland, TN 37148 CCN 445306 | 112 | Dec 4, 2025 | 496 IJ4 harm | $171k |