Signature Healthcare of Monteagle Rehab & Wellness
26 Second Street, Monteagle, TN 37356


Signature Healthcare of Monteagle Rehab & Wellness is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 445393. The address is 26 Second Street, Monteagle, TN 37356. The zip code is 37356. The phone number is 9319242041.


Signature Healthcare of Monteagle Rehab & Wellness · 26 Second Street, Monteagle, TN 37356

Federal Provider Number 445393
Provider Name SIGNATURE HEALTHCARE OF MONTEAGLE REHAB & WELLNESS
Address 26 SECOND STREET
MONTEAGLE, TN 37356
Phone Number 9319242041
SSA County Code 300
County Name Grundy
Ownership Type For profit - Corporation
Certified Beds 150
Certified Beds Residents 91
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name LP MONTEAGLE LLC
Date First Approved to Provide Medicare Medicaid Services 07/01/1997
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 5
Quality Measure Rating 5
Staffing Rating 3
RN Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 2.01429
Reported LPN Staffing Hours per Resident per Day 1.20604
Reported RN Staffing Hours per Resident per Day 0.49505
Reported Licensed Staffing Hours per Resident per Day 1.7011
Reported Total Nurse Staffing Hours per Resident per Day 3.71538
Reported Physical Therapist Staffing Hours per Resident Per Day 0.05989
Expected CNA Staffing Hours per Resident per Day 2.38371
Expected LPN Staffing Hours per Resident per Day 0.6046
Expected RN Staffing Hours per Resident per Day 1.04702
Expected Total Nurse Staffing Hours per Resident per Day 4.03533
Adjusted CNA Staffing Hours per Resident per Day 2.07343
Adjusted LPN Staffing Hours per Resident per Day 1.65567
Adjusted RN Staffing Hours per Resident per Day 0.35329
Adjusted Total Nurse Staffing Hours per Resident per Day 3.7113
Cycle 1 Total Number of Health Deficiencies 1
Cycle 1 Number of Standard Health Deficiencies 1
Cycle 1 Standard Survey Health Date 03/29/2017
Cycle 1 Number of Health Revisits 1
Cycle 2 Total Number of Health Deficiencies 1
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 4
Cycle 2 Standard Health Survey Date 02/24/2016
Cycle 2 Total Health Score 4
Cycle 3 Standard Health Survey Date 12/03/2014
Total Weighted Health Survey Score 1.333
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Signature Healthcare of Monteagle Rehab & Wellness

Owner Name Role Association Date
ADAMS, SANDRA (Individual) OFFICER since 11/01/2007
ASCHENBECK, JAMES (Individual) OPERATIONAL/MANAGERIAL CONTROL since 08/28/2014
HARRISON, JOHN (Individual) OFFICER since 11/01/2007
HULGAN, DARREN (Individual) OPERATIONAL/MANAGERIAL CONTROL since 10/22/2012
JJLA LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2007
LP CR HOLDINGS LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 11/01/2007
LPSNF II, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/01/2016
SIGNATURE HEALTHCARE CLINICAL CONSULTING SERVICES LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 11/01/2007
SIGNATURE HEALTHCARE CONSULTING SERVICES LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 11/01/2007
SIGNATURE HEALTHCARE LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 11/01/2007
SIGNATURE HOLDINGS II, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/01/2016
SMEDRA, IRA (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2007
STEIER, E (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2007
WHEATEN LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2007
WINTNER, JACOB (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2007

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