Nursing homeActive

Signature Health Of Portland Rehab & Wellness Cent

215 Highland Circle Drive, Portland, TN 371486153259263112 certified beds · 67 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
6
since 2019
Deficiencies
24
1149
Penalties · 3 yrs
$171,234
5 fines · 1 action
Last survey
2025-12-04
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 2
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Tennessee Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-12-04Standard011CMS-2567 (Care Compare)
2025-09-11Complaint001CMS-2567 (Care Compare)
2025-04-11Complaint033CMS-2567 (Care Compare)
2024-08-23Complaint003CMS-2567 (Care Compare)
2020-01-29Standard060CMS-2567 (Care Compare)
2019-02-07Standard141CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Tennessee Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-12-04Standard survey · 2 deficienciesOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-12-19Record 445306-20251204-F686
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-19Record 445306-20251204-F880
2025-09-11Complaint survey · 1 deficiencyOfficial report
F692Provide enough food/fluids to maintain a resident's health.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-09-26Record 445306-20250911-F692
2025-04-11Complaint survey · 6 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-05-06Record 445306-20250411-F600
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-01-20Record 445306-20250411-F678
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-05-06Record 445306-20250411-F689
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-06Record 445306-20250411-F609
F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-06Record 445306-20250411-F626
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-06Record 445306-20250411-F867
2024-08-23Complaint survey · 3 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-08-31Record 445306-20240823-F600
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-08-31Record 445306-20240823-F689
F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Scope/severity JHarm
Records
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-08-31Record 445306-20240823-F835
2020-01-29Standard survey · 6 deficienciesOfficial report
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-03-11Record 445306-20200129-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-03-11Record 445306-20200129-F656
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-03-11Record 445306-20200129-F684
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-03-11Record 445306-20200129-F695
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2020-03-11Record 445306-20200129-F812
F908Keep all essential equipment working safely.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-03-11Record 445306-20200129-F908
2019-02-07Standard survey · 6 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2019-02-13Record 445306-20190207-F689
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-03-04Record 445306-20190207-F641
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-03-04Record 445306-20190207-F756
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-03-04Record 445306-20190207-F757
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-03-04Record 445306-20190207-F761
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2019-03-04Record 445306-20190207-F732

Penalties & enforcement

DateActionAmountSource
2025-12-04Civil money penalty$53,138CMS · Penalties
2025-09-11Civil money penalty$10,868CMS · Penalties
2025-04-11Civil money penalty$91,582CMS · Penalties
2024-08-23Civil money penalty$7,823CMS · Penalties
2024-08-23Civil money penalty$7,823CMS · Penalties
2024-08-23Denial of payment for new admissions
Payment denial for 2 days, from 2024-08-29
CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.81
Facility
Tennessee
National
Tennessee 0.60 · National 0.69
Total nurse hours per resident day3.69
Facility
Tennessee
National
Tennessee 3.80 · National 3.86
Weekend total nurse hours3.15
Facility
Tennessee
National
Tennessee 3.31 · National 3.42
Total nursing staff turnover68%
Facility
Tennessee
National
Tennessee 49% · National 46%
Registered nurse turnover69%
Facility
Tennessee
National
Tennessee 43% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityTennesseeNational
Percentage of long-stay residents with pressure ulcers
lower is better
7.5%5.0%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.2%3.4%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
24.4%16.8%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.6%1.8%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
3.8%14.0%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
8.1%6.1%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
34.9%31.7%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Distinct Group Holdings, LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Jjla LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Lpsnf LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Steier III, Elmer
Individual
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Wheaten LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Signature Healthcare LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Harrison, John
Individual
CORPORATE OFFICERNOT APPLICABLE
Masden, Tyler
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Part of a chain
Signature Healthcare67 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Tennessee.

No county cost figures on file for Sumner.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Gallatin Center For Rehabilitation And Healing
Gallatin
9.1 mi2025-04-240100
The Waters Of Gallatin
Gallatin
9.7 mi2026-04-08090
Nhc Place Sumner
Gallatin
11.7 mi2026-03-19020
White House Health Care Inc
White House
10.8 mi2025-11-19050
Franklin-Simpson Nursing and Rehabilitation Center
Franklin
14.6 mi2025-07-03010
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01