Overall sentiment across the reviews is mixed, with a strong divide between high praise for therapy, activities, and many frontline caregivers, and serious concerns raised about safety, consistency of care, hygiene, and dining. A significant portion of reviewers highlight exceptional strengths: an outstanding therapy department that delivers measurable rehabilitation gains, a vibrant activities program that keeps residents engaged and connected, and numerous staff members (including nurses, CNAs, housekeeping and social work) who are described as compassionate, attentive and resident-focused. Multiple reviews single out a social worker/administrator named Kayla for exceptional communication, coordination and support, and several families emphasize the facility’s welcoming atmosphere, clean appearance, and a 5-star Quality Measure rating that supports claims of high-quality care in many instances.
Care and staffing experiences vary considerably. Many reviewers report that nursing staff and CNAs are wonderful, responsive and provide individualized attention; these accounts also note positive transitions to higher levels of care when necessary. However, a substantial number of reports describe slow response times to call buttons and requests, understaffing (including instances of only one RN on duty), and delays in basic assistance. Some families detail repeated requests before care is delivered. There are also troubling allegations of neglect, prolonged unreported falls, and at least one account of a nurse verbally assaulting a resident — issues that suggest inconsistencies in oversight and staff training or accountability. Physician access is characterized as limited by some reviewers, who report infrequent doctor visits, which could compound clinical risk for residents with complex needs.
Therapy and activities are the clearest strengths. Praise for physical and occupational therapists (named individuals in multiple reviews) and reports of significant progress post-surgery or post-injury recur frequently. The activities/life enrichment program receives numerous accolades for increasing resident engagement through games, bingo, live music, outings and field trips; several reviewers describe the department as going 'above and beyond' and credit it with improving residents’ quality of life.
Facility condition and housekeeping show a mixed picture as well. Many reviewers call the facility clean, attractive and well-maintained, and compliment housekeeping staff. Conversely, some reviews allege poor cleanliness — unclean rooms, soiled incontinence products, inadequate showers, and staff not using gloves — indicating variability in environmental hygiene practices. Temperature control problems (rooms reported as very cold) and comments that certain areas are slightly outdated suggest maintenance and comfort issues that may need attention.
Dining and nutrition are another recurrent pain point. Multiple reviewers describe cold breakfasts and meals served without condiments or sugar, limited delivery or flexibility, and an overall poor dining experience for some residents. Other families reported meals were fine or accommodating, so dining quality appears inconsistent across shifts or units. Food complaints, coupled with other service lapses, contribute to perceptions of poor value among some residents and families.
Management, communication and responsiveness to complaints are perceived differently by reviewers. Several accounts praise administration for being open to addressing issues and highlight effective communication by social work. Yet other reviews describe unprofessional interactions, retaliatory comments, and fear of speaking up — including a report that a staff member made negative comments to a resident about a review. Weekend check-ins and administrative processes are described as chaotic by some families, indicating opportunities for more consistent front-desk or admissions staffing and clearer complaint handling protocols.
Safety and trust concerns are notable and require attention: reported thefts of personal clothing and belongings, allegations of verbal assault and unprofessional conduct, and claims of neglect and delayed reporting of falls are serious themes that contrast sharply with the overwhelmingly positive reports about caregiving staff. These incidents — even if isolated — erode confidence and suggest a need for stronger supervision, security measures, transparent incident reporting, and a reliable mechanism for families to escalate concerns without fear of retaliation.
In summary, Signature HealthCARE of Fentress County appears to deliver excellent rehabilitative services and an engaging social environment for many residents, supported by several highly praised staff members and departments. However, experiences are uneven: some families report exemplary, family-like care, while others report troubling lapses in safety, hygiene, staffing levels, responsiveness, and dining services. Prospective residents and families should weigh the strong therapy and activities programs and the many positive staff reports against the security, staffing and quality-control issues raised. Recommended actions for the facility based on patterns in these reviews would include strengthening staffing and RN coverage, standardizing response times to call buttons, improving dining consistency, addressing hygiene and PPE use, instituting stronger loss-prevention and reporting procedures, and ensuring clear, non-retaliatory complaint pathways so that concerns are promptly investigated and resolved.
