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Signature Healthcare of South Pittsburg Rehab & We

201 East 10th Street, South Pittsburg, TN 37380 · Marion County · (423) 837-7981

165 certified beds, about 77 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1995

CMS abuse icon: cited for abuse in a recent inspection 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 445343 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on October 16, 2024, inspectors cited 5 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

Of 14 health citations since March 2019, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists 2 fines totaling $20,050 in the last three years; the largest was $12,149, and the latest is dated October 16, 2024.

Nurses and nurse aides worked 3.36 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.80 of those hours.

25.0% 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 14 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
10D
1E
1F
Potential for minimal harm
0A
0B
0C
October 16, 2024Standard inspection, Complaint inspection · 5 citations
  1. G
    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 · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 4, 2024
    Inspectors wroteBased on facility policy review, medical record review, facility investigation review, observation and interview, the facility failed to protect the residents' right to be free from physical abuse by another resident for 2 residents (Resident #65 and Resident #6) of 13 residents reviewed for abuse. On 8/6/2024, Resident #6 grabbed Resident #65 by the shirt causing Resident #65 to turn over in his wheelchair causing scratches to the left shoulder, 3 skin tears to the left forearm, and a skin tear on the right hand to reopen. Resident #65 retaliated and struck Resident #6 in the face causing a laceration to the resident's right upper lip. The facility's failure to protect the residents' right to be free from physical abuse resulted in actual Harm for Resident #65 and Resident #6.
  2. E
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 4, 2024
    Inspectors wroteBased on facility policy review, medical record review, facility documentation review, resident financial statements review, and interviews, the facility failed to protect the residents' right to be free from misappropriation and/or exploitation when a staff member deliberately used multiple residents' personal monetary funds without consent for personal gain for 7 residents (Resident #16, Resident #55, Resident #69, Resident #25, Resident #54, Resident #52, and Resident #61) of 53 sampled residents reviewed for misappropriation of personal funds.
  3. 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) November 4, 2024
    Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to provide a homelike environment for 3 residents (Resident #73, Resident #40, and Resident #33) of 81 residents reviewed for a homelike environment.
  4. 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) November 4, 2024
    Inspectors wroteBased on facility policy review, Resident Assessment Instrument (RAI) Manual 3.0 review, medical record review, and interviews the facility failed to accurately complete a Minimum Data Set (MDS) assessment for 1 resident (Resident #55) of 20 residents reviewed for accuracy of MDS assessments.
  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) November 4, 2024
    Inspectors wroteBased on facility policy review, medical record review, observation, and interviews the facility failed to follow infection control practices during medication administration for 1 resident (Resident #59) of 3 residents observed for medication administration.
September 21, 2023Complaint inspection · 3 citations
  1. G
    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 · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on review of a facility policy, medical record review, review of a facility investigation, and interview the facility failed to protect the resident's right to be free from physical abuse of 1 resident (#3) of 7 residents review for abuse of 13 resident sampled residents. The Facility's failure to prevent resident to resident altercation resulted in actual harm for Resident #3 when Resident #4 threw a plastic coke bottle and hit Resident #3 in the face causing a contusion under her left eye and yelled at Resident #3 causing her to cry and be afraid.
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) September 26, 2023
    Inspectors wroteBased on review of a facility policy, facility investigations, medical record review, observation and interview, the facility failed to report allegations of abuse for 1 resident (#4) and failed to report an allegation of abuse within the federal required timeframe for 1 resident (#12) of 8 residents reviewed for abuse.
  3. D
    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
    F635 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on facility policy review, medical record review, observation and interview, the facility failed to obtain an admission Physician's Order for wound care for 1 Resident (#2) of 3 residents reviewed for wound care.
December 1, 2021Standard inspection · 3 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) December 31, 2021
    Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to separate resident and staff food items in 3 of 3 resident pantry rooms, failed to discard expired food in 3 of 3 resident pantry rooms, and failed to maintain a sanitary environment in 3 of 3 resident pantry rooms.
  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) December 31, 2021
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to maintain a falls intervention for 1 resident (#29) of 6 residents reviewed for accidents.
  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) December 31, 2021
    Inspectors wroteBased on medical record review, observation, and interview, the facility failed to provide an appropriate set-up for intravenous (IV) fluid administration for 1 resident (#18) of 4 residents observed.
March 27, 2019Standard inspection · 3 citations
  1. 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) May 4, 2019
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to revise a comprehensive care plan to address use of an anticoagulant medication (a blood thinner) for 1 resident #79 of 8 residents reviewed for anticoagulant medication use.
  2. 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) May 4, 2019
    Inspectors wroteBased on medical record review, observation, and interview the facility failed to ensure resident (#19) had a right hand wrist orthosis (splint) device was in place for 1 resident (#19) of 4 residents reviewed for positioning and mobility of 31 sampled residents.
  3. D
    Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
    F840 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 4, 2019
    Inspectors wroteBased on facility policy review, observation, and interview the facility failed to provide timely dental services for 1 resident #86 of 31 sampled residents.

Fire safety inspections

11 fire safety citations on file: 7 on October 16, 2024, 1 on December 1, 2021, 3 on March 27, 2019.

Every fire safety citation11 citations
  1. D
    Address subsistence needs for staff and patients.
    E 15 · October 16, 2024 · Corrected (the home has a date of correction)
  2. D
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · October 16, 2024 · Corrected (the home has a date of correction)
  3. D
    Have properly located and lighted "Exit" signs.
    K 293 · October 16, 2024 · Corrected (the home has a date of correction)
  4. 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 · October 16, 2024 · Corrected (the home has a date of correction)
  5. D
    Have simulated fire drills held at unexpected times.
    K 712 · October 16, 2024 · Corrected (the home has a date of correction)
  6. D
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · October 16, 2024 · Corrected (the home has a date of correction)
  7. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · October 16, 2024 · Corrected (the home has a date of correction)
  8. E
    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 · December 1, 2021 · Corrected (the home has a date of correction)
  9. D
    Provide primary/alternate means for communication.
    E 32 · March 27, 2019 · Corrected (the home has a date of correction)
  10. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 27, 2019 · Corrected (the home has a date of correction)
  11. D
    Have proper medical gas storage and administration areas.
    K 923 · March 27, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
October 16, 2024Fine $12,149
September 21, 2023Fine $7,901

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

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)3.363.803.86
Registered nurses0.800.600.69
All nursing staff on weekends2.753.313.42
Nurse aides1.68
Licensed practical nurses0.88
Nursing staff turnover (share who left in a year)25.0%48.9%45.8%
Registered nurse turnover25.0%43.2%42.9%
Administrators who left0

CMS expects 4.22 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 3.62 on weekdays and 2.75 on weekends, 24% 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 3.19 in April to June 2025 to 3.36 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.360.803.622.75 0.0%0 of 9077
Oct to Dec 20253.230.733.432.72 0.0%0 of 9272
Jul to Sep 20253.200.733.402.69 0.0%0 of 9276
Apr to Jun 20253.190.683.322.87 0.0%0 of 9174
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
10.114.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.41.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.03.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.51.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
12.117.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
7.65.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
10.416.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
28.022.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
0.011.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.11.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.61.61.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Signature Healthcare of South Pittsburg Rehab & We's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (58.6% 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

58.6% 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. 63 eligible stays.

Potentially preventable readmissions

12.3% 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. 81 eligible stays.

Infections that led to a hospital stay

8.5% 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. 41 eligible stays.

Self-care and mobility at discharge

78.3% 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. 23 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. 36 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. 36 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. 16 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 SOUTH PITTSBURG 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
Love, DoyleW-2 managing employeeIndividual02/01/2021
Harrison, JohnCorporate officerIndividual11/01/2007
Love, DoyleOperational/managerial controlIndividual02/01/2021

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. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on October 16, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on October 16, 2024: "Ensure each resident receives an accurate assessment."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on December 1, 2021: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on October 16, 2024: "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."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.75 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 South Pittsburg Rehab & We's Medicare star rating?
CMS rates Signature Healthcare of South Pittsburg Rehab & We 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 South Pittsburg Rehab & We get at its last inspection?
5 health deficiencies at the standard inspection on October 16, 2024. The Tennessee average is 4.4.
Has Signature Healthcare of South Pittsburg Rehab & We been fined?
Yes. CMS lists 2 fines totaling $20,050 in the last three years.
Does Signature Healthcare of South Pittsburg Rehab & We 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 South Pittsburg Rehab & We?
CMS lists 9 owners and managers, and links the home to Signature Healthcare. Legal business name: LP SOUTH PITTSBURG LLC.

Sources

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