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Signature Healthcare of Rockwood Rehab & Wellness

5580 Roane State Hwy, Rockwood, TN 37854 · Roane County · (865) 354-3366

157 certified beds, about 72 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1981

Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 445143 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 17, 2023, inspectors cited 1 health deficiency (the Tennessee average is 4.4, the national average 9.2).

None of its 8 health citations since September 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 3.66 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.

20.0% 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 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
0E
1F
Potential for minimal harm
0A
0B
0C
May 17, 2023Standard inspection · 1 citation
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 12, 2023
    Inspectors wroteBased on facility policy review, medical record review, facility investigation, and interview the facility failed to prevent abuse for 1 Resident (#50) of 24 residents reviewed for abuse.
October 16, 2019Standard inspection · 2 citations
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 18, 2019
    Inspectors wroteBased on review of facility policy, medical record review, observation, and interview, the facility failed to revise the care plan to include the use of the back and collar brace for 1 resident (#35) of 25 residents reviewed for care plans.
  2. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 18, 2019
    Inspectors wroteBased on facility policy review, medical record review, review of the facility's falls documentation, observation, and interview, the facility failed to implement appropriate interventions to prevent falls, failed to complete a fall risk assessment, and failed to complete a fall investigation for 1 resident (#70) of 3 residents reviewed for accidents.
September 19, 2018Standard 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) October 26, 2018
    Inspectors wroteBased on facility policy review, observation, and interview the facility failed to maintain a sanitary kitchen with undated, unlabeled foods, expired foods, opened to air food items, and dirt and/or debris in 1 of 3 food storage bins, and improper cleaning of 1 of 3 food storage bins in the kitchen. The facility failed to maintain sanitary resident nourishment refrigerators with undated, unlabeled foods and expired foods, in 3 of 3 food nourishment refrigerators affecting 75 of 76 residents.
  2. D
    Assure that each resident’s assessment is updated at least once every 3 months.
    F638 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 26, 2018
    Inspectors wroteBased on medical record review and interview, the facility failed to complete an annual Minimum Data Set (MDS) for 1 resident (#1) of 25 residents reviewed.
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 26, 2018
    Inspectors wroteBased on review of facility policy, medical record review, observation, and interview, the facility failed to revise the Comprehensive Care Plan to address post fall interventions for 1 resident (#22) of 25 residents reviewed.
  4. 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) October 26, 2018
    Inspectors wroteBased on medical record review, observation, and interview, the facility failed to attempt a Gradual Dose Reduction (GDR) of psychotropic medications for 1 resident (#38) of 5 residents reviewed for unnecessary medications of 25 residents sampled.
  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) October 26, 2018
    Inspectors wroteBased on review of facility policy, observation, and interview, the facility failed to distribute and serve food under sanitary conditions for 1 unit of 3 units observed for dining, and failed to perform proper hand hygiene after providing peri-care for 1 resident of 2 residents observed for peri-care.

Fire safety inspections

9 fire safety citations on file: 3 on May 17, 2023, 2 on October 16, 2019, 4 on September 19, 2018.

Every fire safety citation9 citations
  1. F
    Properly install and monitor supervisory attachments on automatic sprinkler systems.
    K 352 · May 17, 2023 · Corrected (the home has a date of correction)
  2. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · May 17, 2023 · Corrected (the home has a date of correction)
  3. D
    Install corridor and hallway doors that block smoke.
    K 363 · May 17, 2023 · Corrected (the home has a date of correction)
  4. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · October 16, 2019 · Corrected (the home has a date of correction)
  5. D
    Provide primary/alternate means for communication.
    E 32 · October 16, 2019 · Corrected (the home has a date of correction)
  6. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · September 19, 2018 · Corrected (the home has a date of correction)
  7. E
    Install an approved automatic sprinkler system.
    K 351 · September 19, 2018 · Corrected (the home has a date of correction)
  8. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · September 19, 2018 · Corrected (the home has a date of correction)
  9. C
    Establish an Emergency Preparedness Program (EP).
    E 1 · September 19, 2018 · 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)3.663.803.86
Registered nurses0.490.600.69
All nursing staff on weekends3.073.313.42
Nurse aides2.03
Licensed practical nurses1.14
Nursing staff turnover (share who left in a year)20.0%48.9%45.8%
Registered nurse turnover18.2%43.2%42.9%
Administrators who left0

CMS expects 3.95 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 3.89 on weekdays and 3.07 on weekends, 21% 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 3.77 in April to June 2025 to 3.66 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.660.493.893.07 0.0%0 of 9072
Oct to Dec 20253.790.594.013.24 0.0%0 of 9273
Jul to Sep 20253.810.594.033.23 0.0%0 of 9280
Apr to Jun 20253.770.513.983.23 0.0%0 of 9181
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
5.614.013.9
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
1.61.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.33.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.31.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
7.317.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.05.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
8.516.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
36.022.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
15.011.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.21.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.41.61.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Signature Healthcare of Rockwood Rehab & Wellness's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (53.5% 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

53.5% 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. 126 eligible stays.

Potentially preventable readmissions

13.0% 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. 145 eligible stays.

Infections that led to a hospital stay

6.2% 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. 77 eligible stays.

Self-care and mobility at discharge

59.5% 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. 37 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. 58 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. 58 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. 10 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 ROCKWOOD 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%11/01/2007
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
Parker, RogerW-2 managing employeeIndividual07/01/2022
Harrison, JohnCorporate officerIndividual11/01/2007

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.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on October 16, 2019: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  2. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on May 17, 2023: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  3. 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 October 16, 2019: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on September 19, 2018: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.07 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 Rockwood Rehab & Wellness's Medicare star rating?
CMS rates Signature Healthcare of Rockwood Rehab & Wellness 5 out of 5 stars overall, with 5 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 Rockwood Rehab & Wellness get at its last inspection?
1 health deficiency at the standard inspection on May 17, 2023. The Tennessee average is 4.4.
Has Signature Healthcare of Rockwood Rehab & Wellness been fined?
CMS lists no fines in the last three years.
Does Signature Healthcare of Rockwood Rehab & Wellness 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 Rockwood Rehab & Wellness?
CMS lists 8 owners and managers, and links the home to Signature Healthcare. Legal business name: LP ROCKWOOD LLC.

Sources

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