Nursing home
Signature Healthcare of Putnam County
278 Dry Valley Rd, Cookeville, TN 38506 · Map
For profit - Limited Liability company · Part of Signature Healthcare (71 facilities) · 175 certified beds
Signature Healthcare of Putnam County is a Medicare-certified nursing home in Cookeville, Tennessee. CMS rates it 2 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.54 hours per resident per day, below the Tennessee average of 3.85. Its most recent inspection on May 18, 2023 cited 13 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Signature Healthcare of Putnam County 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) | 3.54 | 3.85 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.45 | 0.61 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.04 | 2.15 | 2.34 | below avg |
| Nursing staff turnover | 48.8% | 48.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 13.0 | 5.9 | 9.5 | above 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.
What inspectors found at Signature Healthcare of Putnam County
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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
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 · Apr 3, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · May 18, 2023 - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · May 18, 2023
Show all 12 deficiencies
- Potential for harm
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · May 18, 2023 - Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · May 18, 2023 - Potential for harm
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.
Resident Rights Deficiencies · May 18, 2023 - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · May 18, 2023 - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · May 18, 2023 - Potential for harm
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 18, 2023 - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · May 18, 2023
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 Dry Valley Rd
Cookeville, TN 38506 - CMS certification #
- 445136
- Ownership
- For profit - Limited Liability company
- Certified beds
- 175
- Avg residents/day
- 137.3
- Provider type
- Medicare and Medicaid
- First certified
- 1980-09-29
- 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 Putnam County using Google Maps.
Other public records
Full public records, with dates and sources
Care and services
From the community’s website
What Signature Healthcare of Putnam County says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Apartment types named: private room.
is a designated unit compromised of dedicated staff, private suites, select dining options, and much more to assist with your road to recovery so we can
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Cookeville Regional Medical Center, Cookeville. 3.4 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Ahc Bethesda, Cookeville. 2.6 miles away, straight line.
- Nearest home health agency office
- Cookeville Regional Home Health, Cookeville. 3.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 38506 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Fkc Cookeville, Cookeville, 3.6 miles away, straight line (CMS rating 1 of 5 stars)
Davita Cookeville Dialysis, Cookeville, 3.6 miles away, straight line (CMS rating 3 of 5 stars)
Davita Foreman Drive Home Training, Cookeville, 5.4 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 8 Medicare hospices tell CMS they serve ZIP code 38506.
Kindred Hospice, office in Cookeville, 2.8 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Pardeep Sharma, MD, Cookeville. 3.5 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 low. 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 | See above |
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Frequently asked questions
Is Signature Healthcare of Putnam County a good nursing home?
CMS gives Signature Healthcare of Putnam County an overall rating of 2 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Signature Healthcare of Putnam County staffed?
Signature Healthcare of Putnam County reports 3.54 total nurse hours per resident per day, compared with the Tennessee average of 3.85.
Has Signature Healthcare of Putnam County had inspection problems?
Its most recent CMS inspection cited 13 deficiencies.
How many beds does Signature Healthcare of Putnam County have?
Signature Healthcare of Putnam County is certified for 175 beds.