Signature HealthCARE of Putnam County

    278 Dry Valley Rd, Cookeville, TN, 38506
    4.0 · 98 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Caring staff, problematic facility management

    I have mixed feelings. The nurses, CNAs, therapists (Justin stood out), and activities team were caring, hardworking and treated residents like family - rehab and social programs were excellent. But the building felt dated and at times filthy; staffing shortages, slow call responses, lost belongings, poor admin communication and even safety lapses were real concerns. Management often seemed money-driven and accountability was inconsistent. Bottom line: wonderful staff, troubling system-verify cleanliness, staffing and responsiveness before placing a loved one.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    4.01 · 98 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.8
    • Staff

      4.2
    • Meals

      1.3
    • Amenities

      3.8
    • Value

      1.0

    Pros

    • Caring, compassionate CNAs and many dedicated nursing staff
    • Friendly, family-like atmosphere and southern hospitality
    • Strong therapy/rehab program with measurable progress (physical therapy)
    • Active, engaging activities program and frequent special events
    • Clean, fresh-smelling facility reported by many reviewers
    • Helpful front office staff, social worker, and supportive techs
    • Community-focused amenities (chapel, general store, outings)
    • Staff who keep residents busy and socially engaged
    • Staff who communicate and keep families updated in many cases
    • Peace of mind reported by some families and high recommendations
    • Welcoming reception and patient-centered hands-on care
    • Repeat praise for particular employees and teams (nurses, PTs)

    Cons

    • Inconsistent cleanliness and multiple reports of filthy rooms
    • Serious neglect allegations including lack of bathing and feces in rooms
    • Poor management/administration responsiveness and rude office staff
    • Communication failures (no in-room phones, unanswered calls, dropped calls)
    • Understaffing and slow response to call lights (30–40 minute delays)
    • Lost or mismanaged personal belongings and laundry/labeling errors
    • Medication concerns (withholding) and reports of nursing gaslighting
    • Safety issues: falls, injuries, weight loss, and wandering risks
    • Food quality problems and difficulties managing food allergies
    • Shared-room noise and lack of quiet rules affecting sleep/TV
    • Allegations of deceptive marketing practices and focus on money
    • Care decline during COVID and restrictive visitation policies

    Summary review

    Overall sentiment across reviews is highly mixed, ranging from strong praise for individual caregivers and therapy outcomes to alarming reports of neglect, poor management, and safety failures. A substantial number of reviewers describe very positive experiences: attentive, compassionate CNAs and nurses, a family-like culture, strong physical therapy/rehab results, an active activities calendar with frequent special events, and clean, well-kept common areas. Many families explicitly say the staff treated residents like family, kept them engaged, provided meaningful outings and events, and communicated well about care. These positive reports emphasize certain consistent strengths: dedicated frontline staff, an engaging activities program, and some effective therapy teams who helped residents regain mobility and independence.

    Counterbalancing those positives are repeated and serious negative themes. Several reviews allege severe neglect and unsanitary conditions, including reports of residents not being bathed for weeks, feces found in rooms and on curtains, and rooms left unclean. There are also multiple accounts of care decline during COVID, weight loss, lost glasses or dentures, and missing or mismanaged personal items and laundry. Reviewers describe inconsistent standards of cleanliness and dignity: while some describe a fresh-smelling, neat facility, others describe an outdated, filthy environment with a lack of basic respect for residents. These discrepancies suggest variability in day-to-day operations or differences between wings/floors or time periods.

    Management and communication emerge as a major fault line. Numerous reviews call out administration for poor responsiveness, missed appointments, rude or unhelpful office staff, and lack of proactive communication. Practical issues such as no in-room phones on parts of a floor, cordless phones not reaching, unanswered calls, and phone lines not working were specifically mentioned and contribute to family frustration. Understaffing is a recurring complaint, tied to slow response times to call lights (reports of 30–40 minute waits), staff being stretched thin during meals, and an impression that management prioritizes finances over resident care. Some reviewers explicitly mention state intervention or suggest the facility is negligent or deceptive in its marketing.

    Safety and clinical concerns are notably serious in some reviews. Reports include falls with injuries, medication withholding or unclear medication practices, alleged gaslighting by nursing staff, and a resident decline resulting in hospice. There are also mentions of dangerous or uncontrolled situations, such as a wandering dog in the halls, which raises questions about environmental safety and oversight. In contrast, other families attest to excellent clinical care and attentive nursing. This pattern points to inconsistent care quality: some residents receive very good oversight and rehab support, while others reportedly experience lapses with potentially harmful consequences.

    Dining and daily living issues are a mixed area. Several reviewers find the food passable and appreciate mealtime engagement, while others report nasty food, difficulties handling food allergies, and overall poor dining quality. Laundry and property management problems are frequently cited: missing clothing, broken dentures, and lost glasses appear in multiple accounts. Shared rooms create additional quality-of-life concerns: noisy TVs, lack of quiet rules, and cramped spaces were raised. Conversely, some reviewers praise the facility layout, patio, and home-like atmosphere.

    Activities and community life are a bright spot in many reviews. The facility is credited with a robust activities program that includes themed events, community outings, and special visits that uplift residents. The small-town, community-focused character — with mentions of a chapel, general store, and local celebration events — is seen as delivering dignity, normalcy, and joy for many residents. Those positive social elements are often cited as reasons families recommend the facility.

    In summary, the reviews paint a polarized picture: committed, compassionate staff and successful therapy outcomes exist alongside serious allegations of neglect, inconsistent cleanliness, administrative failures, and safety concerns. The large volume of both strong praise and severe criticism indicates variability in experience that could be due to staffing fluctuations, differences between units or shifts, or management issues. Prospective families should perform targeted due diligence: visit multiple times (including nights/weekends), ask about staffing ratios, phone/communication systems, laundry/property policies, infection control and bathing routines, the process for managing food allergies, incident/fall rates, and recent state inspection reports. Meet with the administration and frontline staff, request recent therapy outcomes and staffing schedules, and speak with current families on different units to better gauge consistency before making placement decisions.

    Location

    Map showing location of Signature HealthCARE of Putnam County

    About Signature HealthCARE of Putnam County

    Signature HealthCARE of Putnam County sits in Cookeville, TN, and serves as a skilled nursing facility where folks get personalized, full service care that covers rehab, short-term care, memory care, and medical services. The facility provides nursing home care for those who need ongoing help, intermediate care for frail folks, and short-term rehab for people heading home from the hospital, which is helpful because many just need a place to recover for a little bit before going back to their own place. Memory care at this facility has a secure environment and staff trained in Alzheimer's and other dementia-related challenges. Residents get support through different therapies including physical, occupational, and speech therapy, with added services like postsurgical care, wound care, tube feeding, infusion therapy, and pain management. Respiratory therapy, diet management, restorative services, and pharmacy support are available, too, so folks dealing with complex needs won't feel left out.

    Signature HealthCARE of Putnam County offers hospice and respite care for those needing comfort, as well as behavioral management, psychosocial support, and counseling for grief, which matters for folks and their families during difficult times. The facility includes dining rooms with a variety of meal choices, and you'll also find a beauty shop, transportation services, and pet therapy, which means there's a chance to find a bit of comfort and activity outside the resident rooms. The staff includes Certified Nursing Assistants (CNAs), and there's CNA training at the facility itself, so they work on keeping their staff sharp and ready to help.

    The property joins several organizations, being a member of the Eden Alternative Registry and the Tennessee Health Care Association (THCA), which points to an interest in newer models of personal, resident-centered care instead of the old traditional style. Folks will find specialty clinical programs, care navigation to help residents and families make choices, and some interfaith and spirituality programs for people seeking that kind of comfort. Rehabilitation services are centered in a dedicated short-term unit for folks aiming to get stronger and move back home.

    Dining at or near the facility ranges from Western, Asian, Vietnamese, Sichuan, Southern, Soul Food, to pizzas, hamburgers, and buffets, and the area offers a spread of refreshment choices-cafés, tea rooms, coffeehouses, bakeries, bubble tea stores, and ice cream shops-plus shopping, nightlife, and other travel and tour services in the vicinity. There are hotels, hostels, villas, motels, and resorts nearby, with accommodations ranging from one to five stars for visiting family or friends.

    Paula Boone leads as administrator. Signature HealthCARE operates the facility and provides a variety of resources through their vendor finder and facility finder tools. There's a focus on bringing all the needed care and daily life support together for easier living, aiming for quality and satisfaction with service but without making things sound too fancy or over-the-top, because sometimes steady, dependable service is what folks need most, especially when dealing with changes in life and health.

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