Signature Healthcare of Putnam County: Staffing, Turnover, and Inspection Record
Signature Healthcare of Putnam County is a 175-bed for-profit nursing home in Cookeville, Tennessee, part of Signature Healthcare. In the CMS August 2026 release it reported 2.20 nurse aide hours per resident per day, 4% above the Tennessee average of 2.12, and 41.4% nursing staff turnover (Tennessee average 48.9%).
Signature Healthcare of Putnam County
278 Dry Valley RdCookeville, TN 38506
Putnam County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Signature Healthcare of Putnam County, nurse aides logged 2.20 hours per resident per day, 4% above the Tennessee average. With about 139 residents a day, that works out to roughly 307 aide hours a day, or about 38 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 15% below the all-days figure.
| Hours per resident per day | This home | Tennessee avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.20 | 2.12 | 2.32 |
| Licensed practical nurses | 0.99 | 1.09 | 0.86 |
| Registered nurses | 0.48 | 0.60 | 0.69 |
| All nursing staff | 3.67 | 3.80 | 3.86 |
| All nursing staff, weekends | 3.12 | 3.31 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
41.4% of nursing staff at Signature Healthcare of Putnam County left over the year CMS measured, against a Tennessee average of 48.9% and a US average of 45.8%. Registered nurse turnover was 26.7%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 18, 2023. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 10 health deficiencies (Tennessee average 4.7). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Signature Healthcare of Putnam County holds 1 of 5 overall; the Tennessee average is 3.0.
About Signature Healthcare of Putnam County
- Ownership: For profit - Limited Liability company
- Chain: Signature Healthcare, 67 homes
- Legal name: LP Cookeville LLC
- Medicare and Medicaid certified since: Sep 29, 1980
- Councils: resident council
- Area: rural
Nursing homes near Signature Healthcare of Putnam County
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Grandview Post Acute Cookeville | 2.6 | 120 | 2.70 | 4.42 | 54.4% | 1 | None |
| NHC Healthcare, Cookeville Cookeville | 4.2 | 104 | 2.49 | 4.09 | 40.0% | 5 | None |
| Standing Stone Care and Rehab Monterey | 10.4 | 115 | 2.08 | 3.58 | 43.9% | 5 | None |
| Overton County Health and Rehab Center Livingston | 15.2 | 125 | 2.74 | 4.36 | 35.1% | 4 | None |
| Life Care Center of Sparta Sparta | 16.3 | 100 | 2.14 | 3.77 | 38.6% | 5 | None |
| Mabry Health Care Gainesboro | 16.4 | 80 | 1.83 | 3.15 | 55.7% | 3 | None |
| NHC Healthcare, Sparta Sparta | 18.0 | 96 | 2.05 | 3.69 | 36.7% | 3 | None |
| Wharton Nursing Home Pleasant Hill | 20.1 | 62 | 1.79 | 4.20 | — | 1 | $69,885 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.