Signature Healthcare of Fentress County
208 DUNCAN ST NORTH, Jamestown, TN 38556
Jamestown, Tennessee · CMS verdict
Signature Healthcare of Fentress County's CMS overall star rating stands at 2 of 5, below the Tennessee state average (3.0) and reflecting below-average quality by the federal five-star measure.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Signature Healthcare of Fentress County in Jamestown, Tennessee holds a CMS overall rating of 2 of 5 stars and a PlainElderCare Quality & Compliance Index of 43 of 100 (grade F). The 140-bed facility operates where a semi-private nursing-home room in Tennessee runs a median of $9,429 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 2 of 5 stars. How this is calculated.
How the 43 is built
Each segment is a dimension's weighted points toward the score, summing to 43.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) puts Signature Healthcare of Fentress County's overall quality rating at 2 out of 5 stars, a composite of three sub-ratings: health inspection (2/5), staffing (2/5), and quality measures (4/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Jamestown, Tennessee, this facility operates 140 certified beds with an average daily census of roughly 79 residents - an occupancy rate of about 56%. The facility is classified under for profit - corporation ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 56% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Same-ownership peers
Within Tennessee, Signature Healthcare of Fentress County is one of 113 for profit - corporation nursing homes CMS rates. Its 2-star overall rating sits below the for profit - corporation-segment average of 3.2 stars, ahead of roughly 16% of same-ownership peers in the state. Peer comparisons within the same ownership type are more apples-to-apples than a state-wide average, since for-profit, non-profit, and government operators tend to differ systematically in staffing and reinvestment.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (22 total). CMS has levied no enforcement penalties over the equivalent window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Signature Healthcare of Fentress County compares to Tennessee
CMS five-star sub-ratings (0–5) for this facility against the Tennessee facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Tennessee state average. Higher is better on all four CMS measures.
Where Signature Healthcare of Fentress County ranks in Tennessee
Among the 298 CMS-rated nursing homes in Tennessee, Signature Healthcare of Fentress County’s 2-star overall rating is higher than 20% of them. The bars show how all Tennessee homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
60 Tennessee homes share this 2-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 140 |
| Residents | 79 |
| Ownership | For profit - Corporation |
| County | Fentress |
| Penalties | 0 |
| Deficiencies | 22 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Signature Healthcare of Fentress County? ▾
CMS rates Signature Healthcare of Fentress County at 2 out of 5 stars overall. The three sub-ratings behind that number: health inspection 2/5, staffing 2/5, quality measures 4/5.
How much does a nursing home cost per month in Tennessee? ▾
CareScout's 2025 survey puts Tennessee's median semi-private nursing home rate at $9,429 per month ($113,150 per year), with private rooms averaging $10,038 per month.
What services does Signature Healthcare of Fentress County offer? ▾
Signature Healthcare of Fentress County operates as a skilled nursing facility (140 beds with approximately 79 current residents) under for profit - corporation ownership. CMS inspections have recorded 22 deficiencies and 0 penalties there.
Does Signature Healthcare of Fentress County have any deficiencies or penalties? ▾
Signature Healthcare of Fentress County has multiple deficiencies (22 total) and 0 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Tennessee? ▾
In Tennessee, alternatives include assisted living ($5,845/mo), home health aides ($5,911/mo), and adult day care ($1,733/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Tennessee elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 445362.
Read our methodology - how this data is sourced, computed, and verified.