Nursing home
Standing Stone Care and Rehab
410 W Crawford Avenue, Monterey, TN 38574 · Map
For profit - Corporation · Part of Signature Healthcare (71 facilities) · 115 certified beds
Standing Stone Care and Rehab is a Medicare-certified nursing home in Monterey, Tennessee. CMS rates it 4 out of 5 stars overall (2/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.48 hours per resident per day, below the Tennessee average of 3.85. Its most recent inspection on Mar 4, 2025 cited 3 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Standing Stone Care and Rehab 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) | 3.48 | 3.85 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.71 | 0.61 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.94 | 2.15 | 2.34 | below avg |
| Nursing staff turnover | 39.7% | 48.7% | 46.4% | below avg |
| Deficiencies cited, last inspection | 3.0 | 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.
What inspectors found at Standing Stone Care and Rehab
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
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Mar 4, 2025 · Full report (PDF) - Potential for harm
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 · Mar 4, 2025 · Full report (PDF) - Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Mar 4, 2025 · Full report (PDF) - 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 · Jan 15, 2025 · Full report (PDF) - Potential for harm
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 · Jan 15, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Sep 24, 2019 - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 24, 2019 - 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 · Sep 24, 2019 - 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 · Oct 24, 2018 - Potential for harm
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 · Oct 24, 2018 - Potential for harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Oct 24, 2018 - Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Oct 24, 2018
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
- 410 W Crawford Avenue
Monterey, TN 38574 - CMS certification #
- 445363
- Ownership
- For profit - Corporation
- Certified beds
- 115
- Avg residents/day
- 76.4
- Provider type
- Medicare and Medicaid
- First certified
- 1996-01-04
- 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 Standing Stone Care and Rehab using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2021, no violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Sep 14, 2021: referral inspection, partial (health). Case closed Feb 28, 2022. No violations cited. OSHA record. OSHA recorded the employer as LP Monterey, INC. Matched by street address; the name OSHA recorded differs from the community's.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Cookeville Regional Medical Center, Cookeville. 13.4 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Signature Healthcare of Putnam County, Cookeville. 10.4 miles away, straight line.
- Nearest home health agency office
- Cookeville Regional Home Health, Cookeville. 11.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Pharmacy. 11.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 38574 as rural (rural area).
- Dialysis within 15 miles
- Fkc Cookeville, Cookeville, 13.4 miles away, straight line (CMS rating 1 of 5 stars)
Davita Cookeville Dialysis, Cookeville, 13.6 miles away, straight line (CMS rating 3 of 5 stars)
Davita Foreman Drive Home Training, Cookeville, 14.5 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 38574.
Kindred Hospice, office in Cookeville, 12.3 miles away, straight line (CMS family survey rating 5 of 5 stars)
Hospice Of Cumberland County Inc, office in Crossville, 19.8 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Pardeep Sharma, MD, Cookeville. 13.4 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 relatively 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 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively 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 |
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Frequently asked questions
Is Standing Stone Care and Rehab a good nursing home?
CMS gives Standing Stone Care and Rehab an overall rating of 4 out of 5 stars, including 2/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Standing Stone Care and Rehab staffed?
Standing Stone Care and Rehab reports 3.48 total nurse hours per resident per day, compared with the Tennessee average of 3.85.
Has Standing Stone Care and Rehab had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Standing Stone Care and Rehab have?
Standing Stone Care and Rehab is certified for 115 beds.