Find a nursing home

Home / Tennessee / Cleveland

Signature Healthcare of Cleveland

2750 Executive Park Place, Cleveland, TN 37312 · Bradley County · (423) 476-4444

100 certified beds, about 90 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1996

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 445369 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 19, 2026, inspectors cited 5 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

None of its 11 health citations since January 2020 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.55 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.52 of those hours.

47.2% of nursing staff left within the year CMS measured (Tennessee average 48.9%).

CMS links it to Signature Healthcare, an affiliated group of 67 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 11 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
4E
1F
Potential for minimal harm
0A
0B
0C
February 19, 2026Standard inspection · 5 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 6, 2026
    Inspectors wroteBased on facility policy, observations, and interviews, the facility failed to label, and date opened food items and maintain kitchen equipment in a sanitary condition in 1 of 1 kitchen and failed to discard expired cold food items in 1 of 1 nourishment rooms which had the potential to affect 93 of 95 residents residing in the facility.
  2. E
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    F813 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 6, 2026
    Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to ensure resident personal refrigerators were maintained in a clean and sanitary manner, failed to ensure temperature logs were maintained and temperatures were within facility policy recommendations, and failed to ensure expired foods were not available for resident use for 6 residents (Residents #114, #71, #11, #31, #18, and #9) of 11 resident personal refrigerators observed.
  3. D
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 6, 2026
    Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to label the intravenous (IV) medication tubing for 1 resident (Resident #97) of 2 residents reviewed with IV medications.
  4. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 6, 2026
    Inspectors wroteBased on manufacturer's recommendations, facility policy review, facility document review, observation, and interview, the facility failed to properly store medications in 1 of 1 medication room observed.
  5. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 6, 2026
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to ensure proper infection control practices related to indwelling urinary catheter use were followed for 1 resident (Resident #11) reviewed of 9 residents reviewed for urinary catheters.
September 27, 2023Standard inspection, Complaint inspection · 5 citations
  1. E
    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
    F800 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 27, 2023
    Inspectors wroteBased on facility policy review, observation and interview, the facility failed to provide milk products for 2 meals, affecting 85 of 87 residents in the facility.
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 27, 2023
    Inspectors wroteBased on product label review, facility policy review, facility vendor instruction review, observation, and interview the facility failed to maintain a safe and sanitary food procurement and storage of thickened liquids affecting 2 Residents (#3 and #71) of 2 resident reviewed for thickened liquids, during meal observation, and failed to maintain a clean and sanitary kitchen which had the potential to affect 85 of 87 residents.
  3. E
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 27, 2023
    Inspectors wroteBased on facility policy review, observation and interview the facility failed to ensure kitchen equipment was maintained in good repair in 1 of 1 kitchen which had the potential to affect 85 of 87 residents.
  4. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 27, 2023
    Inspectors wroteBased on observations and interviews, the facility failed to maintain a safe, comfortable, and homelike environment for 1 of 4 hallways observed, affecting 8 of 16 rooms (RM 400, RM [ROOM NUMBER], RM [ROOM NUMBER], RM [ROOM NUMBER], RM [ROOM NUMBER], RM [ROOM NUMBER], RM [ROOM NUMBER], and RM [ROOM NUMBER]) on the 400 hallway.
  5. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 27, 2023
    Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure 2 of 8 hand sanitizing stations were in a good working order on 1 hallway (400 hall) of 4 hallways observed, failed to ensure the staff had performed appropriate hand hygiene during meal observation on 1 of 4 hallways observed for dining, and failed to properly store the emergency water supply in a sanitary manner in one storage room (laundry storage room) observed.
January 8, 2020Standard inspection · 1 citation
  1. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 6, 2020
    Inspectors wroteBased on review of facility policy, observation, and interview the facility failed to properly label and store medications and supplies in 1 of 1 medication rooms.

Fire safety inspections

9 fire safety citations on file: 1 on February 19, 2026, 6 on September 27, 2023, 2 on January 8, 2020.

Every fire safety citation9 citations
  1. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · February 19, 2026 · Corrected (the home has a date of correction)
  2. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · September 27, 2023 · Corrected (the home has a date of correction)
  3. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · September 27, 2023 · Corrected (the home has a date of correction)
  4. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · September 27, 2023 · Corrected (the home has a date of correction)
  5. D
    Provide properly protected cooking facilities.
    K 324 · September 27, 2023 · Corrected (the home has a date of correction)
  6. D
    Install corridor and hallway doors that block smoke.
    K 363 · September 27, 2023 · Corrected (the home has a date of correction)
  7. D
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · September 27, 2023 · Corrected (the home has a date of correction)
  8. F
    Have simulated fire drills held at unexpected times.
    K 712 · January 8, 2020 · Corrected (the home has a date of correction)
  9. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 8, 2020 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTennesseeUnited States
All nursing staff (RN, LPN and aides)3.553.803.86
Registered nurses0.520.600.69
All nursing staff on weekends3.013.313.42
Nurse aides2.06
Licensed practical nurses0.97
Nursing staff turnover (share who left in a year)47.2%48.9%45.8%
Registered nurse turnover20.0%43.2%42.9%
Administrators who left0

CMS expects 4.59 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.76 on weekdays and 3.01 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.59 in April to June 2025 to 3.55 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.550.523.763.01 0.0%0 of 9090
Oct to Dec 20253.520.513.723.00 0.0%0 of 9290
Jul to Sep 20253.560.533.802.94 0.0%0 of 9286
Apr to Jun 20253.590.513.803.06 0.0%0 of 9189
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Tennessee, Jan to Mar 20263.750.563.953.274.0%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Tennessee

JobMedianMiddle halfEmployed
Tennessee, all employers
CNAs (nursing assistants)$18.27$17.09 to $19.6627,040
LPNs and LVNs$28.31$23.64 to $30.1220,830
Registered nurses$39.18$36.28 to $45.7972,200
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTennesseeUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
5.014.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.20.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.63.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.41.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
4.417.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.45.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
17.216.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
16.822.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.211.212.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Signature Healthcare of Cleveland's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (64.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

64.8% this home

Better than the national rate

US median of homes 51.5% · Tennessee: 62 better, 16 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 285 eligible stays.

Potentially preventable readmissions

10.9% this home

No different from the national rate

US median of homes 10.7% · Tennessee: 1 better, 7 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 302 eligible stays.

Infections that led to a hospital stay

5.5% this home

No different from the national rate

US median of homes 7.1% · Tennessee: 2 better, 1 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 185 eligible stays.

Self-care and mobility at discharge

76.9% this home

Median of homes: Tennessee58.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 78 residents counted.

Falls with major injury

0.0% this home

Median of homes: Tennessee0.8% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 84 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Tennessee1.6% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 84 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Tennessee98.7% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 14 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: LP CLEVELAND LLC. CMS links this home to Signature Healthcare, a group of 67 nursing homes averaging 3.1 stars overall.

NameRoleTypeShareSince
LP Cr Holdings LLC5% or greater direct ownership interestOrganization100%10/01/2016
Agemo Holdings LLC5% or greater indirect ownership interestOrganization10/01/2016
Jjla LLC5% or greater indirect ownership interestOrganization11/01/2007
Lpsnf II LLC5% or greater indirect ownership interestOrganization10/01/2016
Wheaten LLC5% or greater indirect ownership interestOrganization11/01/2007
Steier III, Elmer5% or greater indirect ownership interestIndividual11/01/2007
Spence, JaquelyneW-2 managing employeeIndividual05/02/2022
Harrison, JohnCorporate officerIndividual11/01/2007
Spence, JaquelyneOperational/managerial controlIndividual05/02/2022

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on February 19, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on February 19, 2026: "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."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on February 19, 2026: "Provide and implement an infection prevention and control program."
  4. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on February 19, 2026: "Provide for the safe, appropriate administration of IV fluids for a resident when needed."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.01 hours per resident per day, below the Tennessee average of 3.31.

Other nursing homes nearby

Tennessee contacts for a concern about a nursing home

These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.

Common questions

What is Signature Healthcare of Cleveland's Medicare star rating?
CMS rates Signature Healthcare of Cleveland 3 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Signature Healthcare of Cleveland get at its last inspection?
5 health deficiencies at the standard inspection on February 19, 2026. The Tennessee average is 4.4.
Has Signature Healthcare of Cleveland been fined?
CMS lists no fines in the last three years.
Does Signature Healthcare of Cleveland accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Signature Healthcare of Cleveland?
CMS lists 9 owners and managers, and links the home to Signature Healthcare. Legal business name: LP CLEVELAND LLC.

Sources

Find a nursing home Read an inspection