★★★★★CMS 5/5104 bedsFor-profitMedicaid
- Nurse hours
- 4.09 /day
- Staff turnover
- 40%
- Serious cites
- 0
Nhc Healthcare, Cookeville runs on a corporate for-profit model with 104 certified beds, and the numbers are mostly steady. Nurse staffing sits at 4.09 hours per resident day, about 6% above the national average, though weekends drop roughly 15% below what the home provides during the week, a gap worth asking about if your family member needs consistent weekend coverage. Staff turnover is 40%, slightly better than the 45.8% national figure. Six deficiencies appear on the current record, none at the harm level and none abuse-related, and the last inspection was February 2025. That combination, recent inspection, no serious citations, solid quality scores, explains why this home grades out reasonably well despite average staffing marks.
★★☆☆☆CMS 2/5175 bedsFor-profitMedicaid
- Nurse hours
- 3.67 /day
- Staff turnover
- 41%
- Serious cites
- 0
Signature Healthcare of Putnam County runs 175 certified beds under for-profit LLC ownership, and its staffing sits at 3.67 nurse hours per resident day, about 5% under the national average of 3.86. Weekends drop roughly 15% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 41.4%, a bit better than the 45.8% national figure, which matters for whether you see the same faces month to month. The bigger concern is the 1-out-of-5 health inspection rating, with 14 deficiencies on record, though none reached harm or jeopardy and none were abuse-related. The last inspection was May 2023.
★☆☆☆☆CMS 1/5120 bedsFor-profitMedicaid
- Nurse hours
- 4.42 /day
- Staff turnover
- 54%
- Serious cites
- 0
Grandview Post Acute runs 120 certified beds in Cookeville under corporate ownership, and its staffing numbers are genuinely above average, 4.42 nurse hours per resident day against a national 3.86. That's worth something. But turnover sits at 54.4% versus 45.8% nationally, and weekend coverage drops about 8% below its own weekday level, so the people providing that care keep changing.
The inspection record is where things get harder to explain away: 37 deficiencies, including one at the harm level and two tied to abuse, with the most recent inspection in May 2025. CMS rated health inspections and quality measures both 1 out of 5, staffing 2 out of 5. Above-average hours don't offset that pattern on their own.