How many deficiencies did Signature Healthcare of Fentress County get at its last inspection?

4 health deficiencies at the standard inspection on January 7, 2026. The Tennessee average is 4.4.

Has Signature Healthcare of Fentress County been fined?

CMS lists no fines in the last three years.

Does Signature Healthcare of Fentress County 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 Fentress County?

CMS lists 8 owners and managers, and links the home to Signature Healthcare. Legal business name: LP JAMESTOWN LLC.

Signature Healthcare of Fentress County: Inspections

The record in brief

At its most recent standard inspection, on January 7, 2026, inspectors cited 4 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

None of its 23 health citations since May 2019 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 3.49 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.56 of those hours.

41.8% 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.

305/19

1406/22

202/24

401/26

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 23 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

20D

Potential for minimal harm

January 7, 2026Standard inspection · 4 citations

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) January 16, 2026

Inspectors wroteBased on facility policy review, observations, and interviews, the facility failed to ensure the kitchen equipment was maintained in a sanitary working condition.
D

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 16, 2026

Inspectors wroteBased on review of the Centers for Medicare and Medicaid (CMS) Resident Assessment Instrument (RAI) Version 3.0 Manual, medical record review, and interview, the facility failed to accurately complete a Minimum Data Set (MDS) assessment for weight loss and weight gain for 1 resident (Resident #7) of 19 residents reviewed.
D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 16, 2026

Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to provide resident-centered interventions to prevent pressure injury development for one 1 resident (Resident #10) of 3 residents reviewed with pressure injuries.
D

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, isolated · Corrected (the home has a date of correction) January 16, 2026

Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to meet safety requirements for personal refrigerator temperatures and foods in date for 1 resident (Resident #76) of 18 residents with personal refrigerators.

February 23, 2024Complaint inspection · 2 citations

D

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

F678 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 29, 2024

Inspectors wroteBased on facility policy review, facility investigation review, medical record review, and interview, the facility failed to ensure current advance directive preferences were reflected in the electronic medical record (EMR) for 1 (Resident #5) of 89 residents reviewed.
D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 29, 2024

Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to follow the Advanced Directive as ordered by the physician for 1 (Residents #3) of 84 residents reviewed.

June 15, 2022Standard inspection · 14 citations

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 · Corrected (the home has a date of correction) July 12, 2022

Inspectors wroteBased on facility policy review, observation, and interview the facility failed to clean 1 of 2 ice machines, cover drinks in the walk-in refrigerator, separate staff food from the kitchen food in the reach-in refrigerator, label and date food in the reach-in refrigerator, have a thermometer in the reach-in refrigerator, and failed to serve food within the temperature safety zone for 1 of 10 trays.
E

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 12, 2022

Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to post a Transmission Based Precaution (TBP) sign on 4 of 6 TBP rooms (room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], and room [ROOM NUMBER]) and failed to apply Personal Protective Equipment (PPE) prior to entering a TBP room, failed to properly label and store bedpans and urinals in shared bathrooms for 6 of 39 residents.
D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 12, 2022

Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to ensure the call light was within reach for 1 of 84 residents (Resident #38) observed. The facility failed to ensure staff knocked and announced themselves when entering 2 of 84 resident rooms (room [ROOM NUMBER] and room [ROOM NUMBER]). The facility also failed to ensure dignity for 3 of 13 sampled residents (Resident #3, #18 and #61) who required assistance with meals, 1 of 2 residents sitting at the same table were served their meal at the same time, and 1 of 5 sampled residents (Resident #49) who required an indwelling urinary catheter.
D

Reasonably accommodate the needs and preferences of each resident.

F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 12, 2022

Inspectors wroteBased on facility policy review, medical record review, observation, and interview the facility failed to honor 1 of 39 sampled residents (Resident #3) food preferences.
D

Keep residents' personal and medical records private and confidential.

F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 12, 2022

Inspectors wroteBased on facility policy review, observation, and interviews, the facility failed to maintain resident confidentiality.
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 · Corrected (the home has a date of correction) July 12, 2022

Inspectors wroteBased on facility policy review, observations, and interview, the facility failed to ensure a homelike environment for 2 of 4 residents observed in the Main Dining Room.
D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 12, 2022

Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to report 2 resident to resident altercations for 4 of 39 sampled residents (Resident #36 and Resident #52; Resident #34 and Resident #49) and failed to report an injury of unknown origin for 1 of 39 sampled residents (Resident #38). [...]
D

Respond appropriately to all alleged violations.

F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 12, 2022

Inspectors wroteBased on facility policy review, medical record review and interview, the facility failed to report an injury of unknown origin for 1 of 5 sampled residents (Resident #38) reviewed for potential abuse.
D

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 12, 2022

Inspectors wroteBased on facility policy review, medical record review, and interview the facility failed to provide a bed hold notification for 1 of 6 sampled residents (Resident #22).
D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 12, 2022

Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure the Residents and/or Residents' Representative were invited to care plan meetings for 2 of 39 sampled residents (Resident #2 and #19).
D

Provide safe and appropriate respiratory care for a resident when needed.

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 12, 2022

Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to administer oxygen (O2) per physician's order for 1 of 22 sampled residents (Resident #21). The facility failed to date and properly store oxygen tubing and nebulizer mask with tubing when not in use for 4 of 26 sampled residents (Resident #21, Resident #22, Resident #38, and Resident #78).
D

Post nurse staffing information every day.

F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 12, 2022

Inspectors wroteBased on observation, and interview, the facility failed to post the daily staffing hours for 5 of 30 days reviewed.
D

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 12, 2022

Inspectors wroteBased on medical record review, and interview the facility failed to follow-up on a pharmacy recommendation for 1 of 5 sampled residents (Resident #3) reviewed for unnecessary medications.
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) July 12, 2022

Inspectors wroteBased on observation and interviews the facility failed to store medications and biologicals appropriately.

May 15, 2019Standard inspection · 3 citations

D

Provide care and assistance to perform activities of daily living for any resident who is unable.

F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 14, 2019

Inspectors wroteBased on facility policy review, medical record review, observation and interview, the facility failed to provide nail care and grooming for 1 resident (#78) of 4 residents reviewed for activities of daily living of 19 sampled residents.
D

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 14, 2019

Inspectors wroteBased on medical record review, observation, and interview the facility failed to provide an assistive device for 1 resident (#42) of 3 residents reviewed with limited range of motion of 19 residents sampled.
D

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 14, 2019

Inspectors wroteBased on observation and interview the facility failed to ensure a sanitary environment for 1 room (Resident #15's) of 91 resident' rooms observed.

Fire safety inspections

12 fire safety citations on file: 6 on January 7, 2026, 4 on June 15, 2022, 2 on May 15, 2019.

Every fire safety citation12 citations

F
Ensure that testing and maintenance of electrical equipment is performed.

K 921 · January 7, 2026 · Corrected (the home has a date of correction)
E
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · January 7, 2026 · Corrected (the home has a date of correction)
D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · January 7, 2026 · Corrected (the home has a date of correction)
D
Have properly located and lighted "Exit" signs.

K 293 · January 7, 2026 · Corrected (the home has a date of correction)
D
Provide properly protected cooking facilities.

K 324 · January 7, 2026 · Corrected (the home has a date of correction)
D
Ensure proper usage of power strips and extension cords.

K 920 · January 7, 2026 · Corrected (the home has a date of correction)
D
Install emergency lighting that can last at least 1 1/2 hours.

K 291 · June 15, 2022 · Corrected (the home has a date of correction)
D
Have properly located and lighted "Exit" signs.

K 293 · June 15, 2022 · Corrected (the home has a date of correction)
D
Provide properly protected cooking facilities.

K 324 · June 15, 2022 · Corrected (the home has a date of correction)
D
Ensure proper usage of power strips and extension cords.

K 920 · June 15, 2022 · Corrected (the home has a date of correction)
F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · May 15, 2019 · Corrected (the home has a date of correction)
D
Meet requirements for the use of electrical equipment.

K 919 · May 15, 2019 · 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.

Measure	This home	Tennessee	United States
All nursing staff (RN, LPN and aides)	3.49	3.80	3.86
Registered nurses	0.56	0.60	0.69
All nursing staff on weekends	2.87	3.31	3.42
Nurse aides	1.73
Licensed practical nurses	1.20
Nursing staff turnover (share who left in a year)	41.8%	48.9%	45.8%
Registered nurse turnover	11.1%	43.2%	42.9%
Administrators who left	2

CMS expects 3.96 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 3.74 on weekdays and 2.87 on weekends, 23% 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 3.46 in April to June 2025 to 3.49 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	3.49	0.56	3.74	2.87	0.0%	0 of 90	71
Oct to Dec 2025	3.34	0.37	3.54	2.81	0.0%	0 of 92	79
Jul to Sep 2025	3.61	0.47	3.87	2.95	0.0%	0 of 92	79
Apr to Jun 2025	3.46	0.45	3.70	2.88	0.0%	0 of 91	80
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Tennessee, Jan to Mar 2026	3.75	0.56	3.95	3.27	4.0%	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

Job	Median	Middle half	Employed
Tennessee, all employers
CNAs (nursing assistants)	$18.27	$17.09 to $19.66	27,040
LPNs and LVNs	$28.31	$23.64 to $30.12	20,830
Registered nurses	$39.18	$36.28 to $45.79	72,200
United States, nursing care facilities
CNAs (nursing assistants)	$20.67	$17.91 to $22.55	534,270
LPNs and LVNs	$33.86	$30.05 to $37.40	188,210
Registered nurses	$41.11	$37.85 to $47.68	142,270

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.

Measure	This home	Tennessee	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	18.4	14.0	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.5	0.7	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	1.1	1.8	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	2.6	3.4	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	1.5	1.7	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	25.1	17.2	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	6.8	5.0	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	39.4	16.9	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	18.7	22.6	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	11.3	11.2	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.3	1.7	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.4	1.6	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Signature Healthcare of Fentress County's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (57.5% 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

57.5% this home

No different from 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. 139 eligible stays.

Potentially preventable readmissions

12.7% 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. 188 eligible stays.

Infections that led to a hospital stay

8.4% 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. 106 eligible stays.

Self-care and mobility at discharge

56.8% 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. 81 residents counted.

Falls with major injury

0.8% 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. 119 residents counted.

New or worsened pressure ulcers

0.7% 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. 119 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. 4 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 JAMESTOWN LLC. CMS links this home to Signature Healthcare, a group of 67 nursing homes averaging 3.1 stars overall.

Name	Role	Type	Share	Since
LP Cr Holdings LLC	5% or greater direct ownership interest	Organization	100%	11/01/2007
Agemo Holdings LLC	5% or greater indirect ownership interest	Organization		10/01/2016
Jjla LLC	5% or greater indirect ownership interest	Organization		11/01/2007
Lpsnf II LLC	5% or greater indirect ownership interest	Organization		10/01/2016
Wheaten LLC	5% or greater indirect ownership interest	Organization		11/01/2007
Steier III, Elmer	5% or greater indirect ownership interest	Individual		11/01/2007
McKenney, Allison	W-2 managing employee	Individual		04/14/2024
Harrison, John	Corporate officer	Individual		11/01/2007

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.

How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on January 7, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on June 15, 2022: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on January 7, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on January 7, 2026: "Ensure each resident receives an accurate assessment."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.87 hours per resident per day, below the Tennessee average of 3.31.
How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

Other nursing homes nearby

Pickett Care and Rehabilitation Center
Byrdstown, 14.4 mi · 4 of 5 stars · 18 citations
Clinton County Care and Rehabilitation Center
Albany, 20.9 mi · 4 of 5 stars · 8 citations
Overton County Health and Rehab Center
Livingston, 21.8 mi · 4 of 5 stars · 5 citations

Tennessee contacts for a concern about a nursing home

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

Inspections and complaints: Tennessee Health Facilities Commission, Division of Licensure and Regulation, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Tennessee Long-Term Care Ombudsman, Department of Disability and Aging, 877-236-0013. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.

Common questions

What is Signature Healthcare of Fentress County's Medicare star rating?: CMS rates Signature Healthcare of Fentress County 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Signature Healthcare of Fentress County get at its last inspection?: 4 health deficiencies at the standard inspection on January 7, 2026. The Tennessee average is 4.4.
Has Signature Healthcare of Fentress County been fined?: CMS lists no fines in the last three years.
Does Signature Healthcare of Fentress County 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 Fentress County?: CMS lists 8 owners and managers, and links the home to Signature Healthcare. Legal business name: LP JAMESTOWN LLC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.