About Signature Healthcare Of Putnam CountySignature Healthcare Of Putnam County is located at 278 Dry Valley Rd, Cookeville, TN, reachable at (931) 537-6524. This For profit – Limited Liability company facility operates 175.0 certified beds and serves an average of 137 residents per day. It is part of the Signature Healthcare network (71 facilities nationwide). Medicare and Medicaid services have been provided since 1980-09-29. The facility currently holds a below average (2-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
#7253 of 14703 nationally – #154 of 303 in Tennessee
Who Is This Facility Best For?
Signature Healthcare Of Putnam County may be considered for families with limited options in Cookeville, TN, but its lower CMS ratings suggest careful due diligence is warranted. It scores well for both long-term residents and short-stay rehabilitation patients. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 2 out of 5. Its clean five-year compliance record adds confidence for families making this important decision.
Overall Rating 2022-2026
Total Nurse Hours/Day 2022-2026
Current Ratings (2026)
Overall Rating
★★★★★2 / 5
Health Inspection
★★★★★2 / 5
Staffing Rating
★★★★★2 / 5
Quality Measures (QM)
★★★★★4 / 5
Long-Stay QM Rating
★★★★★5 / 5
Short-Stay QM Rating
★★★★★4 / 5
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM)
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightSignature Healthcare Of Putnam County currently provides 3 hours 33 minutes of total nurse staffing per resident per day, including 27 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover stands at 48.8% — above the national average of ~35%.
Current Staffing Hours Per Resident Per Day (2026)
National average total nurse staffing is approximately 3.5 hours per day
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend Total Nurse Hours2 hours 59 minutes
Weekend Registered Nurse (RN) Hours13 minutes
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
Compliance SummarySignature Healthcare Of Putnam County has received zero fines across all five years of available data (2022–2026), reflecting a strong regulatory compliance record. No substantiated complaints have been recorded in the available data.
Nationally, Signature Healthcare Of Putnam County ranks 7253rd out of 14,703 facilities (composite score: 72.2/100), placing it in the above average nationwide. Within TN, it ranks 154th out of 303 nursing homes. In Cookeville, it ranks 2nd out of 3 facilities. For 2026 staffing: total nurse hours rank #8,661 nationally and RN hours rank #9,854 nationally (#213 in TN).
Total Nurse Staffing – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
TN State Rank
Note
2022
3.50
#7,857 / 14,703
#164 / 303
Below average
2023
3.48
#8,052 / 14,703
#178 / 303
Below average
2024
3.46
#8,574 / 14,703
#182 / 303
Below average
2025
3.57
#8,119 / 14,703
#169 / 303
Below average
2026
3.54
#8,661 / 14,703
#200 / 303
Below average
Registered Nurse (RN) Hours – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
TN State Rank
Note
2022
0.45
#9,733 / 14,703
#198 / 303
Below average
2023
0.62
#5,934 / 14,703
#82 / 303
Above average
2024
0.43
#9,712 / 14,703
#192 / 303
Below average
2025
0.38
#11,048 / 14,703
#240 / 303
⚠️ Bottom 25%
2026
0.45
#9,854 / 14,703
#213 / 303
Below average
Total Nurse Rank – National (lower number = better)
Registered Nurse Rank – National (lower number = better)
Frequently Asked Questions
Signature Healthcare Of Putnam County is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1980-09-29. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (931) 537-6524 or your local Medicaid office to verify current eligibility.
Signature Healthcare Of Putnam County holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (2★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 72.2/100, placing it #7253 of 14703 facilities nationally and #154 of 303 in Tennessee. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.
Each resident at Signature Healthcare Of Putnam County receives a reported average of 3 hours 33 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 27 minutes; Licensed Practical Nurse (LPN) — 1 hour 3 minutes; Nurse Aide — 2 hours 2 minutes. On weekends, total nurse staffing is 2 hours 59 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 48.8%. Families are encouraged to ask about current staffing schedules during their facility visit.
Signature Healthcare Of Putnam County has received zero fines across all five years of available data (2022–2026), reflecting a strong regulatory compliance record. No substantiated complaints have been recorded in the available data. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 81.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, Signature Healthcare Of Putnam County ranks 7253rd out of 14,703 facilities (composite score: 72.2/100), placing it in the above average nationwide. Within TN, it ranks 154th out of 303 nursing homes. In Cookeville, it ranks 2nd out of 3 facilities. For 2026 staffing: total nurse hours rank #8,661 nationally and RN hours rank #9,854 nationally (#213 in TN). Our composite quality score of 72.2/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Cookeville, visit: https://nursinghomesnearme.org/tennessee/cookeville/
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.