Deficiency Index

Signature Healthcare of Cleveland

Cleveland, Tennessee · CCN 445369

11 surveys since 2010. The first finding at harm level was recorded in 2017.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
27
Surveys
11
Harm or worse
1
Immediate jeopardy
0
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file8/11

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
100
Ownership
For profit - Limited Liability company
Chain
SIGNATURE HEALTHCARE
County
Bradley
Medicare-certified since
1996

CMS ratings

Overall
3
Health inspection
2
Staffing
2
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=10, floor 20).

Last survey on record

Feb 19, 2026

263 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.553.58
Registered-nurse hours per resident day0.52—
Annual nurse turnover47.2%48.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD654.5%E436.4%F19.1%
No harm, potential for minimalA—B—C—
CMS’s current file: 11 of the 27 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7612×

    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 drugs.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5841×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • F6941×

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

In the surveyor’s words

From the most serious findings on record at Signature Healthcare of Cleveland, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Feb 19, 2026

    Based on facility policy, observations, and interviews, the facility failed to label, and date opened food items and maintain kitchen equipment in a sanitary condition in 1 of 1 kitchen and failed to discard expired cold food items in 1 of 1 nourishment rooms which had the potential to affect 93 of 95 residents residing in the facility. The findings include: Review of the facility's policy titled, Equipment, revised 9/2017, revealed All foodservice equipment will be clean, sanitary, and in proper working order .all equipment will be routinely cleaned and maintained .all non food contact equipment will be clean and free of debris . […]

  • No harm, potential for more than minimal, patternF813Feb 19, 2026

    Based on facility policy review, medical record review, observations, and interviews, the facility failed to ensure resident personal refrigerators were maintained in a clean and sanitary manner, failed to ensure temperature logs were maintained and temperatures were within facility policy recommendations, and failed to ensure expired foods were not available for resident use for 6 residents (Residents #114, #71, #11, #31, #18, and #9) of 11 resident personal refrigerators observed.The findings include:Review of the facility's policy titled, Food Brought in by Family/Visitors, dated 9/2023, revealed .to ensure proper handling, serving, and storage of food items brought into our facilities by families .the staff will both ensure and utilize proper safe food handling practices .if a resident… […]

  • No harm, potential for more than minimal, patternF800Sep 27, 2023

    Based on facility policy review, observation and interview, the facility failed to provide milk products for 2 meals, affecting 85 of 87 residents in the facility. The findings include: Review of the facility's policy titled, Receiving, revised ,d+[DATE] showed .Safe food handling procedures for time and temperature control will be practiced in the transportation, delivery, and subsequent storage of all food items .If quality is unacceptable, the item(s) will be immediately returned for credit . During an observation with Dietary Cook #1 on [DATE] at 10:18 AM, in the walk-in cooler, showed 40 expired individual serving chocolate milks dated [DATE] and 60 expired individual serving chocolate milks dated [DATE]. […]

  • No harm, potential for more than minimal, patternF812Sep 27, 2023

    Based on product label review, facility policy review, facility vendor instruction review, observation, and interview the facility failed to maintain a safe and sanitary food procurement and storage of thickened liquids affecting 2 Residents (#3 and #71) of 2 resident reviewed for thickened liquids, during meal observation, and failed to maintain a clean and sanitary kitchen which had the potential to affect 85 of 87 residents. The findings include: Review of a product label .[name of distributor] . Thickened Orange Juice from concentrate undated, showed, .directions after opening may be kept up to 7 days under refrigeration . […]

  • No harm, potential for more than minimal, patternF908Sep 27, 2023

    Based on facility policy review, observation and interview the facility failed to ensure kitchen equipment was maintained in good repair in 1 of 1 kitchen which had the potential to affect 85 of 87 residents. The findings include: Review of the facility's policy titled, Food Storage, revised 9/2017 showed .All time/temperature control for safety (TCS) foods, frozen and refrigerated, will be appropriately stored in accordance with guidelines of FDA Food Code .freezer temperatures will be maintained at a temperature of 0 .or below . Review of a Freezer Temperature Log for September 2023 showed the freezer temperatures ranging from 16 to 18 degrees above the freezer-maintained guidelines. […]

Read 20 findings in full →The most serious and the most recent: 20 of 27 on record.

Every survey on record

FindingsAt actual harm or above

  • Feb 19, 2026Standard5 findings
  • Sep 27, 2023Standard5 findings
  • Jan 8, 2020Standard1 finding
  • Jan 24, 2019Standard2 findings
  • Jun 14, 2017Complaint1 finding · 1 harm
  • Jan 21, 2016Standard2 findings
  • Dec 3, 2014Standard and complaint4 findings
  • Oct 23, 2013—2 findings
Show the 3 earlier surveys
  • Oct 10, 2012—2 findings
  • Apr 27, 2011—2 findings
  • Mar 17, 2010—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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