Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Signature Healthcare Of South Pittsburg Rehab & We during CMS and state inspections, most recent first.
Two residents in an LTC facility were involved in a physical altercation, resulting in minor injuries. One resident, with a history of cognitive impairment and behavioral issues, grabbed another resident, causing him to fall and sustain scratches and skin tears. In retaliation, the second resident struck the aggressor, causing a lip laceration. The facility failed to prevent this abuse, as confirmed by the DON.
A former BOM at an LTC facility misappropriated funds from several residents by using their debit cards and social security checks without consent. Cognitively intact residents discovered unauthorized charges and money orders made out to the BOM, while others had their social security checks cashed but not credited to their accounts. The facility's investigation confirmed the mishandling of funds, and the incidents were reported to authorities.
The facility failed to provide a homelike environment for three residents, as observed during a survey. Residents with cognitive impairments were found in rooms with chipped paint and peeling baseboards, contrary to the facility's policy. The Plant Director confirmed the need for repairs, indicating a lapse in maintaining a safe, clean, and comfortable environment.
A facility failed to accurately complete an MDS assessment for a resident receiving hospice care. Despite a physician's order and confirmation from an LPN and the MDS Coordinator, the resident's hospice status was not coded in the MDS assessment, contrary to the facility's policy and the RAI Manual 3.0.
A facility failed to follow infection control practices when an LPN dropped a Gabapentin tablet on a medication cart and administered it to a resident without discarding it. The resident, with osteomyelitis and diabetes, received the contaminated medication. The LPN and DON confirmed the breach of standard precautions.
Failure to Prevent Resident-to-Resident Abuse
Penalty
Summary
The facility failed to protect two residents from physical abuse by another resident, resulting in actual harm. On the specified date, one resident grabbed another by the shirt, causing the latter to fall from his wheelchair and sustain scratches and skin tears. In retaliation, the resident who fell struck the aggressor in the face, causing a laceration to the lip. This incident highlights the facility's failure to ensure the residents' right to be free from physical abuse. The involved residents had distinct medical backgrounds. The resident who was grabbed had diagnoses including depression, anxiety disorder, and osteoarthritis, and was cognitively intact according to a recent assessment. The aggressor had a history of vascular dementia with behavioral disturbance, mood disorder, and schizoaffective disorder, with moderate cognitive impairment. The incident was not witnessed by staff, but both residents admitted to the altercation, which was triggered by a misunderstanding over clothing. The facility's policy on abuse prevention was not effectively implemented, as evidenced by the altercation. Staff responded to the incident after hearing a commotion, but the physical altercation had already occurred. The aggressor was known to have behavioral issues, yet the facility did not prevent the incident, resulting in physical harm to both residents. The Director of Nursing confirmed the facility's failure to prevent abuse, acknowledging the minor injuries sustained by both residents.
Misappropriation of Resident Funds by Former BOM
Penalty
Summary
The facility failed to protect residents from the misappropriation of their personal funds by a former Business Office Manager (BOM). The former BOM deliberately used multiple residents' debit cards and social security checks without their consent for personal gain. This misconduct affected seven residents, who were part of a sample of 53 residents reviewed for misappropriation of personal funds. The facility's policy on abuse, neglect, and misappropriation of property clearly defines misappropriation as the deliberate use of a resident's money without consent, which was violated in these cases. Resident #16, who was cognitively intact, discovered unauthorized charges on her debit card, including a car wash subscription and ATM withdrawals. Similarly, Resident #55, also cognitively intact, found that money orders intended for her patient liability were made out to the former BOM instead. Resident #69 experienced unauthorized ATM withdrawals and money orders made out to the former BOM. Resident #25's family managed her finances, but payments were not properly credited, resulting in an outstanding balance. These incidents highlight the misuse of residents' funds by the former BOM. Additionally, Residents #54, #52, and #61 had their social security checks mailed to the facility, but the checks were cashed and not credited to their accounts. The facility's investigation confirmed that the former BOM mishandled residents' funds, and the incidents were reported to the appropriate authorities. The Director of Nursing and Regional BOM confirmed the misappropriation of funds and the failure to protect residents' financial rights.
Failure to Maintain a Homelike Environment
Penalty
Summary
The facility failed to provide a homelike environment for three residents, as observed during a survey. The facility's policy mandates maintaining a safe, clean, comfortable, and homelike environment, but observations revealed deficiencies in this area. Resident #73, who has moderate cognitive impairment, was found in a room with multiple areas of chipped paint and a baseboard peeling away from the wall below the air conditioning unit. Resident #40, with severe cognitive impairment, was in a room with chipped paint on the wall behind their bed. Similarly, Resident #33, who has severe cognitive impairment, was in a room with chipped paint on the wall behind their bed and around the air conditioning unit. The Plant Director confirmed during an interview that the rooms of these residents did not reflect a homelike environment and acknowledged the need for repairs. The observations and interviews indicate that the facility did not adhere to its policy of maintaining a homelike environment, as evidenced by the physical state of the residents' rooms. This deficiency was identified through a combination of policy review, medical record review, observations, and interviews conducted during the survey.
Inaccurate MDS Assessment for Hospice Care
Penalty
Summary
The facility failed to accurately complete a Minimum Data Set (MDS) assessment for a resident receiving hospice care. The facility's policy requires a comprehensive person-centered care plan for each resident, addressing their medical, nursing, and psychosocial needs as identified in the comprehensive assessment. According to the Resident Assessment Instrument (RAI) Manual 3.0, residents in a hospice program should be coded accordingly. The medical record for the resident in question indicated diagnoses including convulsions, presence of a cardiac pacemaker, and heart failure, and a physician's order confirmed hospice care. However, the annual MDS assessment did not reflect the resident's hospice status. Interviews with an LPN and the MDS Coordinator confirmed the resident was receiving hospice services, highlighting the inaccuracy in the MDS assessment.
Infection Control Breach During Medication Administration
Penalty
Summary
The facility failed to adhere to infection control practices during medication administration for a resident. The facility's policy on infection control aims to maintain a safe and sanitary environment to prevent disease transmission. A resident, admitted with conditions including osteomyelitis, need for personal care assistance, and diabetes, was involved in the incident. During a medication administration observation, an LPN dropped a Gabapentin tablet on the medication cart surface. Instead of discarding the contaminated tablet, the LPN placed it back into the medication cup and administered it to the resident. The LPN later confirmed the error, acknowledging that the tablet should have been discarded. The Director of Nursing also confirmed that the LPN did not follow standard precautions in line with the facility's infection control practices.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
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Nursing homes near South Pittsburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Cumberland Health And Rehab | 3.9 mi | ★★★★★ | 0 | 0 |
| Dade Health And Rehab | 14 mi | ★★★★★ | 4 | 0 |
| Signature Healthcare Of Monteagle Rehab & Wellness | 18 mi | ★★★★★ | 14 | 0 |
| Ascension Living Alexian Village Tennessee | 21.3 mi | ★★★★★ | 10 | 0 |
| Life Care Center Of Red Bank | 23.2 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.