Nursing home
Signature Healthcare of Erin
278 Rocky Hollow Road, Erin, TN 37061 · Map
For profit - Limited Liability company · Part of Signature Healthcare (71 facilities) · 164 certified beds
Signature Healthcare of Erin is a Medicare-certified nursing home in Erin, Tennessee. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.63 hours per resident per day, below the Tennessee average of 3.85. Its most recent inspection on Mar 18, 2020 cited 1 deficiencies.
- 2 fines totaling $210,753In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Signature Healthcare of Erin compares
This facility vs. the Tennessee and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Tennessee avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.63 | 3.85 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.26 | 0.61 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.27 | 2.15 | 2.34 | above avg |
| Nursing staff turnover | 44.0% | 48.7% | 46.4% | below avg |
| Deficiencies cited, last inspection | 1.0 | 5.9 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the March 18, 2026 inspection was corrected by March 30, 2026
Penalties in CMS records: 2 fines totaling $210,753, 2 total penalties.
What inspectors found at Signature Healthcare of Erin
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 18, 2026 · Full report (PDF) - Potential for harm
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 · Mar 18, 2026 · Full report (PDF) - Immediate jeopardy
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Apr 3, 2024 · Full report (PDF) - Immediate jeopardy
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Apr 3, 2024 · Full report (PDF) - Immediate jeopardy
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Apr 3, 2024 · Full report (PDF)
Show all 12 deficiencies
- Actual harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Apr 3, 2024 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · May 1, 2023 - Potential for harm
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Quality of Life and Care Deficiencies · May 1, 2023 - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 1, 2023 - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 1, 2023 - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 18, 2020 - Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Apr 18, 2019
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 278 Rocky Hollow Road
Erin, TN 37061 - CMS certification #
- 445377
- Ownership
- For profit - Limited Liability company
- Certified beds
- 164
- Avg residents/day
- 104.1
- Provider type
- Medicare and Medicaid
- First certified
- 1996-07-01
- Chain
- Signature Healthcare (71 facilities)
- Setting
- Rural
Part of Signature Healthcare
Signature Healthcare operates 71 nursing facilities across the United States. View all Signature Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Signature Healthcare of Erin using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Houston County Community Hospital, Erin. 1.1 miles away, straight line.
- Nearest Medicare nursing home
- Dover Care Center, Dover. 13.9 miles away, straight line.
- Nearest home health agency office
- Suncrest Home Health, Clarksville. 29.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 16.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 37061 as rural (rural area).
- Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 37061.
- Nearest geriatric medicine practice
- Tapestry Telehealth PLLC, Nashville. 51.1 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire very low, tornado relatively high, heat wave relatively low, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Signature Healthcare of Erin a good nursing home?
CMS gives Signature Healthcare of Erin an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Signature Healthcare of Erin staffed?
Signature Healthcare of Erin reports 3.63 total nurse hours per resident per day, compared with the Tennessee average of 3.85.
Has Signature Healthcare of Erin had inspection problems?
Its most recent CMS inspection cited 1 deficiencies.
How many beds does Signature Healthcare of Erin have?
Signature Healthcare of Erin is certified for 164 beds.