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SIGNATURE HEALTHCARE OF MONTEAGLE REHAB & WELLNESS Inspection Report, Violations & Safety Grade (MONTEAGLE, Tennessee)

26 SECOND STREET, MONTEAGLE, Tennessee 37356

Phone: 9313923003

CMS Overall:3/5

Overview & Bed Count

Certified Beds
150
Avg Residents/Day
70.9
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Grundy
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health2/5
Staffing2/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityTennessee AvgDifference
RN Hours per Resident per Day0.350.60-0.24
Total Nurse Hours per Resident per Day3.583.82-0.24
CMS Staffing Rating2/52.5/5-
Nursing Staff Turnover48.3%48.6%-

Health Citation History

20 health citations on record

DateCategoryDescriptionSeverity
2025-09-17Nursing and Physician Services DeficienciesHave 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 – Moderate Harm Potential
2025-09-17Resident Rights DeficienciesNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.D – Moderate Harm Potential
2025-09-17Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2025-09-17Resident Assessment and Care Planning DeficienciesAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D – Moderate Harm Potential
2025-09-17Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D – Moderate Harm Potential
2025-09-17Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2025-09-17Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2025-09-17Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2025-09-17Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.D – Moderate Harm Potential
2025-09-17Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-07-31Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G – Actual Harm
2024-07-31Nursing and Physician Services DeficienciesPost nurse staffing information every day.F – Moderate Harm Potential
2024-07-31Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2024-07-31Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2024-07-31Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2024-07-31Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2024-07-31Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2024-07-31Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2021-08-04Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2021-08-04Nursing and Physician Services DeficienciesHave 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.D – Moderate Harm Potential

Fire Safety Citation History

18 fire safety citations on record

DateCategoryDescriptionSeverity
2025-09-17Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.D – Moderate Harm Potential
2025-09-17Emergency Preparedness DeficienciesList the names and contact information of those in the facility.D – Moderate Harm Potential
2025-09-17Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2025-09-17Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential
2024-07-31Emergency Preparedness DeficienciesList the names and contact information of those in the facility.D – Moderate Harm Potential
2024-07-31Emergency Preparedness DeficienciesProvide primary/alternate means for communication.D – Moderate Harm Potential
2024-07-31Emergency Preparedness DeficienciesEstablish staff and initial training requirements.D – Moderate Harm Potential
2024-07-31Emergency Preparedness DeficienciesConduct testing and exercise requirements.D – Moderate Harm Potential
2024-07-31Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.D – Moderate Harm Potential
2024-07-31Egress DeficienciesAdd 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 – Moderate Harm Potential
2024-07-31Egress DeficienciesHave exits that are accessible at all times.D – Moderate Harm Potential
2024-07-31Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2024-07-31Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2024-07-31Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2024-07-31Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.D – Moderate Harm Potential
2024-07-31Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.D – Moderate Harm Potential
2024-07-31Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential
2024-07-31Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.D – Moderate Harm Potential

Total Penalties & Fines

$31,902
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2024-07-31Fine$31,902-

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