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Signature Healthcare Of Monteagle Rehab & Wellness

26 Second Street, Monteagle, TN 373569313923003Ownership: For profit - Limited Liability companyCertified beds: 150Avg. daily residents: 69Chain: Signature Healthcare (67 facilities)County: Grundy

The complete public record on Signature Healthcare Of Monteagle Rehab & Wellness, a Medicare & Medicaid–certified nursing home in Monteagle, Tennessee, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★★☆☆
CMS’s composite of the three ratings below. Tennessee average: 3.0 stars.
Health inspection
★★☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★★★
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Signature Healthcare Of Monteagle Rehab & Wellness holds a 3-star overall rating, CMS’s middle tier. Its health-inspection rating is lower than its overall rating — the overall score is being lifted by staffing or quality-measure ratings, which draw partly on facility-reported data. Federal regulators have fined this facility $31,902 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.54 total nurse staff hours per resident per day
below the state average (3.80)
0.35 RN hours per resident per day
below the state average (0.60)
3.00 weekend nurse staff hours per resident per day
53.2% total nursing staff turnover
above the state average (48.9)
85.7% RN turnover
3 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

September 17, 2025 most recent standard health inspection
10 health deficiencies cited in the most recent inspection cycle
above the state average (4.7)
9 health deficiencies in the two prior cycles combined
$31,902 in federal fines across 1 penalty (last 3 years)
above the state average ($24,364)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

21 citations on record across recent inspections, 2 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
September 17, 20250727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.F · Potential for more than minimal harm
September 17, 20250569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.D · Potential for more than minimal harm
September 17, 20250584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and…D · Potential for more than minimal harm
September 17, 20250636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D · Potential for more than minimal harm
September 17, 20250640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D · Potential for more than minimal harm
September 17, 20250641Ensure each resident receives an accurate assessment.D · Potential for more than minimal harm
September 17, 20250657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health…D · Potential for more than minimal harm
September 17, 20250686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D · Potential for more than minimal harm
September 17, 20250814Dispose of garbage and refuse properly.D · Potential for more than minimal harm
September 17, 20250880Provide and implement an infection prevention and control program.D · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.