Nursing Home Alerts

Signature Healthcare of Fentress County

208 Duncan St North, Jamestown, TN 38556

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Signature Healthcare of Fentress County is a nursing home in Jamestown, Tennessee. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

Get an email when CMS publishes something new about this home

One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

CMS flags

CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

  2. CMS update of July 29, 2026

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 3 of 5.

  3. Health inspection on January 7, 2026

    4 citations

    CMS lists this as a standard inspection.

    Show the 4 citations
    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on January 16, 2026.

      CMS has cited this home for F0812 2 times since 2022.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on January 16, 2026.

    • Citation F0686. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on January 16, 2026.

    • Citation F0813. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have a policy regarding use and storage of foods brought to residents by family and other visitors.

      CMS lists it as corrected on January 16, 2026.

    See this home on CMS Care Compare

  4. Fire safety inspection on January 7, 2026

    6 citations

    CMS lists this as a standard inspection and a complaint inspection.

    Show the 6 citations
    • Citation K0921. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure that testing and maintenance of electrical equipment is performed.

      CMS lists it as corrected on February 4, 2026.

    • Citation K0918. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on February 4, 2026.

    • Citation K0222. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on February 4, 2026.

      CMS has cited this home for K0222 2 times since 2019.

    • Citation K0293. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have properly located and lighted "Exit" signs.

      CMS lists it as corrected on February 4, 2026.

      CMS has cited this home for K0293 2 times since 2022.

    • Citation K0324. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on February 4, 2026.

      CMS has cited this home for K0324 2 times since 2022.

    • Citation K0920. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on February 4, 2026.

      CMS has cited this home for K0920 2 times since 2022.

    See this home on CMS Care Compare

  5. CMS update of November 20, 2025

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

  6. CMS update of July 30, 2025

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

  7. CMS update of April 30, 2025

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

  8. CMS update of February 26, 2025

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

  9. CMS update of October 30, 2024

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

  10. Health inspection on February 23, 2024

    2 citations

    CMS lists this as a complaint inspection.

    Show the 2 citations
    • Citation F0678. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

      CMS lists it as corrected on March 29, 2024.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on March 29, 2024.

    See this home on CMS Care Compare

  11. CMS update of January 31, 2024

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 3 of 5.

  12. Health inspection on June 15, 2022

    14 citations

    CMS lists this as a standard inspection.

    Show the 14 citations
    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on July 12, 2022.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on July 12, 2022.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on July 12, 2022.

    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on July 12, 2022.

    • Citation F0583. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Keep residents' personal and medical records private and confidential.

      CMS lists it as corrected on July 12, 2022.

    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on July 12, 2022.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on July 12, 2022.

    • Citation F0610. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Respond appropriately to all alleged violations.

      CMS lists it as corrected on July 12, 2022.

    • Citation F0625. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

      CMS lists it as corrected on July 12, 2022.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on July 12, 2022.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on July 12, 2022.

    • Citation F0732. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Post nurse staffing information every day.

      CMS lists it as corrected on July 12, 2022.

    • Citation F0758. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on July 12, 2022.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

      CMS lists it as corrected on July 12, 2022.

    See this home on CMS Care Compare

  13. Fire safety inspection on June 15, 2022

    4 citations

    CMS lists this as a standard inspection.

    Show the 4 citations
    • Citation K0291. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Install emergency lighting that can last at least 1 1/2 hours.

      CMS lists it as corrected on July 11, 2022.

    • Citation K0293. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have properly located and lighted "Exit" signs.

      CMS lists it as corrected on July 11, 2022.

    • Citation K0324. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on July 11, 2022.

    • Citation K0920. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on July 1, 2022.

    See this home on CMS Care Compare

  14. Health inspection on May 15, 2019

    3 citations

    CMS lists this as a standard inspection.

    Show the 3 citations
    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on June 14, 2019.

    • Citation F0688. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 14, 2019.

    • Citation F0921. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

      CMS lists it as corrected on June 14, 2019.

    See this home on CMS Care Compare

  15. Fire safety inspection on May 15, 2019

    2 citations

    CMS lists this as a standard inspection.

    Show the 2 citations
    • Citation K0222. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 3, 2019.

    • Citation K0919. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Meet requirements for the use of electrical equipment.

      CMS lists it as corrected on May 16, 2019.

    See this home on CMS Care Compare

CMS star ratings

Facts from CMS

Phone
(931) 879-5859
Last standard health inspection
January 7, 2026 (10 months ago)
Certified beds
140
Residents per day, on average
77.8
Ownership type
For profit - Limited Liability company
Legal business name
LP Jamestown LLC
Chain
Signature Healthcare
Takes part in
Medicare and Medicaid

More health citations than the Tennessee average (23 vs 14).

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Show 1 more
  • STEIER III, ELMER5% or greater indirect ownership interest · no percentage provided · since 11/01/2007

Questions

When was Signature Healthcare of Fentress County last inspected?

CMS lists January 7, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Signature Healthcare of Fentress County have?

CMS lists 23 health citations since May 15, 2019. CMS also calls these deficiencies.

Has Signature Healthcare of Fentress County been fined?

CMS lists no fines for this home in the past three years.

What is the CMS star rating of Signature Healthcare of Fentress County?

Its CMS overall star rating is 2 of 5.

Is Signature Healthcare of Fentress County a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.