ElderGrade
F

33/100

Poor

Signature Healthcare Of Erin

278 Rocky Hollow Road, Erin, TN 37061

CMS 1/5 stars (931) 289-4141
Certified beds
164
Occupancy
62%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 4 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $147,898 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 6/30 Staffing 13/30 Stability 7/15 Outcomes 5/15 Enforcement 2/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

6/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 3 immediate-jeopardy citation(s) in the last 3 years
  • -4 for 1 actual-harm citation(s) in the last 3 years

Staffing

13/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.68 total nurse hours per resident per day (national median 3.77)
  • 0.52 RN hours per resident per day
  • Weekend staffing drops 14% against weekdays

Staff stability

7/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 48% of nursing staff left in the last year
  • -2 for 2 administrator departures

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 2 of 5 stars on the CMS quality-measure rating

Enforcement history

2/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $147,898 in federal fines across 1 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.70 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.52 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.17 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 47.70%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 9 citations

Last standard health inspection: March 18, 2026 (5 months ago).

D Mar 18, 2026 F0761

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

D Mar 18, 2026 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

K Apr 3, 2024 F0602 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Immediate jeopardy to resident health or safety

K Apr 3, 2024 F0755 From a complaint

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Immediate jeopardy to resident health or safety

J Apr 3, 2024 F0760 From a complaint

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Immediate jeopardy to resident health or safety

G Apr 3, 2024 F0697 From a complaint

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Actual harm to a resident

D Mar 18, 2020 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Apr 18, 2019 F0580

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of SIGNATURE HEALTHCARE, which operates 68 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
BASTON, ANDREA Individual W-2 MANAGING EMPLOYEE
HARRISON, JOHN Individual CORPORATE OFFICER
SIGNATURE HEALTHCARE LLC Organization OPERATIONAL/MANAGERIAL CONTROL
AGEMO HOLDINGS LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
JJLA LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
LPSNF II LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
WHEATEN LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
STEIER III, ELMER Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
LP CR HOLDINGS LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Signature Healthcare Of Erin

What is the ElderGrade for Signature Healthcare Of Erin? +

Signature Healthcare Of Erin holds an ElderGrade of F (33 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Signature Healthcare Of Erin? +

Residents receive an average of 3.70 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Signature Healthcare Of Erin been cited for harming residents? +

Yes. 4 of the 9 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Signature Healthcare Of Erin accept Medicaid? +

Yes, Signature Healthcare Of Erin is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.