Signature Healthcare of Ridgely Rehab&wellness Ctr
117 N Main Street, Ridgely, TN 38080 · Lake County · (731) 264-5555
100 certified beds, about 77 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1994
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445327 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 25, 2023, inspectors cited 9 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 15 health citations since June 2018 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 0.66 of those hours.
39.1% 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.
206/18
405/19
908/23
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 15 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
3E
1F
Potential for minimal harm
0A
0B
0C
August 25, 2023Standard inspection · 9 citations
- E 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.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure medications were properly stored and secured when 1 of 4 staff members Licensed Practical Nurse (LPN #3) left medications unattended at the resident's bedside and when in 3 of 5 (100 Hall Medication (Med) Cart, 200 Hall Med Cart, and 300 Hall Med Cart) medication storage areas had an expired and open and undated medications.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure staff changed gloves and sanitized their hands while going back and forth from dirty to clean dishes, when 2 of 3 (Dietary Staff #1 and #2) dietary staff members were observed in the dish room going from dirty to clean areas, then back to dirty, without changing gloves or washing hands. The facility had a census of 64 and 63 residents received a tray from the kitchen.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on policy review, observation, and interview the facility failed to ensure infection control practices to prevent the spread of infection when 4 of 4 nurses (LPN #1, LPN #3, LPN #4, and LPN #6) (Licensed Practical Nurses) failed to perform hand hygiene during medication administration.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to accurately assess residents for the Brief Interview for Mental Status (BIMS) score and pressure ulcers for 3 of 18 residents (Resident #13, #28, and #41) reviewed for accuracy of assessments.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on the policy review, medical record review, and interview, the facility failed to resubmit a PASRR after the resident had the addition of a new mental health diagnosis for 1 of 2 sampled residents (Resident #38) reviewed for PASRR.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to conduct Care Plan meetings for 1 of 8 (Resident #3) sampled residents.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on policy review, medical review, observation, and interview, the facility failed to ensure weekly wound assessments were completed for 2 of 3 (Resident #1 and #41) residents reviewed for pressure ulcers.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure residents were free from significant medication errors when 1 of 4 Licensed Practical Nurses (LPN) #6) failed to obtain a pulse prior to administration of a medication for high blood pressure.
- D Provide routine and 24-hour emergency dental care for each resident.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to provide dental services for 1 of 1 (Resident #41) resident reviewed for dental services.
May 8, 2019Standard inspection · 4 citations
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure the environment was free from accident hazards for 1 of 12 (Resident #38) sampled residents observed for smoking.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to maintain respiratory equipment for suction equipment, nebulizer, and oxygen for 2 of 2 (Resident #57 and #79) sampled residents reviewed for respiratory care.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on medical record review, observation, and interview, the facility failed to ensure 2 of 5 (Licensed Practical Nurse (LPN) #1 and #2) nurses administered medications with a medication error rate of less than 5 percent (%). A total of 3 errors were observed out of 29 opportunities, resulting in an error rate of 10.34482759 %.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on review of the National Pressure Ulcer Advisory Panel (NAUAP) Pressure Ulcer Prevention quick reference guide, medical record review, and interview, the facility failed to accurately document treatment and services related to pressure ulcers for 1 of 2 (Resident #64) sampled residents reviewed for pressure ulcers.
June 27, 2018Standard inspection · 2 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure food was prepared and served under sanitary conditions as evidenced by dust above the stove and on the oven fan, carbon build up on the deep fat fryer, 1 large roasting pan, 20 cookie sheets and 2 frying pans, the inside black coating flaking off of 2 frying pans, and grease build up in the oven's drip pan and the filter under the deep fat fryer. The facility had a census of 75, with 73 of those residents receiving a meal tray from the kitchen.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on policy review, manufacturer's recommendations, medical record review, observation, and interview the facility failed to appropriately disinfect a glucometer (a machine that checks blood sugar) before and after use for 1 of 2 (Resident #2) sampled residents observed during medication administration.
Fire safety inspections
16 fire safety citations on file: 6 on August 25, 2023, 2 on May 8, 2019, 8 on June 27, 2018.
Every fire safety citation16 citations
- 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.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Install an approved automatic sprinkler system.
- D Have proper medical gas storage and administration areas.
- D Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
- D Establish roles under a Waiver declared by secretary.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure proper usage of power strips and extension cords.
- C Address subsistence needs for staff and patients.
- C Establish policies and procedures for volunteers.
- C Create arrangements with other facilities to receive patients.
- C List the names and contact information of those in the facility.
- C Establish staff and initial training requirements.
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) | 3.55 | 3.80 | 3.86 |
| Registered nurses | 0.66 | 0.60 | 0.69 |
| All nursing staff on weekends | 2.94 | 3.31 | 3.42 |
| Nurse aides | 2.01 | ||
| Licensed practical nurses | 0.88 | ||
| Nursing staff turnover (share who left in a year) | 39.1% | 48.9% | 45.8% |
| Registered nurse turnover | 12.5% | 43.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.04 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 3.79 on weekdays and 2.94 on weekends, 22% 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 3.73 in April to June 2025 to 3.55 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 | 3.55 | 0.66 | 3.79 | 2.94 | 0.0% | 0 of 90 | 77 |
| Oct to Dec 2025 | 3.51 | 0.61 | 3.71 | 2.99 | 0.0% | 0 of 92 | 80 |
| Jul to Sep 2025 | 3.69 | 0.57 | 3.92 | 3.10 | 0.0% | 1 of 92 | 75 |
| Apr to Jun 2025 | 3.73 | 0.48 | 3.99 | 3.09 | 0.0% | 0 of 91 | 71 |
| 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.
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 | 6.4 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.7 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.3 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.1 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.3 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.9 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 28.8 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 15.9 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 21.0 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.3 | 1.6 | 1.8 |
Owners and operators
Legal business name: LP RIDGELY 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 | |
| Norvell, Sherry | W-2 managing employee | Individual | 02/06/2024 | |
| 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.
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on August 25, 2023: "Ensure each resident receives an accurate assessment."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on August 25, 2023: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on August 25, 2023: "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."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on August 25, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.94 hours per resident per day, below the Tennessee average of 3.31.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Reelfoot Manor Health and Rehab Tiptonville, 7.4 mi · 2 of 5 stars · 19 citations
- Southgate Living Center Caruthersville, 10.9 mi · 4 of 5 stars · 20 citations
- Okeena Health and Rehabilitation Center LLC Dyersburg, 15.9 mi · 4 of 5 stars · 20 citations
- Dyersburg Health and Rehabilitation Center Dyersburg, 16.1 mi · 4 of 5 stars · 18 citations
- Oakwood Community Living Center Dyersburg, 16.1 mi · 3 of 5 stars · 13 citations
- Portageville Health Care Center Portageville, 16.8 mi · 3 of 5 stars · 25 citations
- River Oaks Care Center Steele, 22 mi · 3 of 5 stars · 15 citations
- Obion County Nursing Home Union City, 22.5 mi · 2 of 5 stars · 22 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 Ridgely Rehab&wellness Ctr's Medicare star rating?
- CMS rates Signature Healthcare of Ridgely Rehab&wellness Ctr 3 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Signature Healthcare of Ridgely Rehab&wellness Ctr get at its last inspection?
- 9 health deficiencies at the standard inspection on August 25, 2023. The Tennessee average is 4.4.
- Has Signature Healthcare of Ridgely Rehab&wellness Ctr been fined?
- CMS lists no fines in the last three years.
- Does Signature Healthcare of Ridgely Rehab&wellness Ctr 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 Ridgely Rehab&wellness Ctr?
- CMS lists 8 owners and managers, and links the home to Signature Healthcare. Legal business name: LP RIDGELY 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.