Signature Healthcare of Madison: Nursing Home OverviewSkip to content

Signature Healthcare of Madison

  • Nursing Home

Updated Apr 1, 2023 by Nick Lata

Historical Rating
Grade: C
Oct 18: CNov 18: CDec 18: CJan 19: DFeb 19: DMay 19: FJun 19: FJul 19: FAug 19: FSep 19: FJan 20: FMar 20: FApr 20: FMay 20: FJun 20: FJul 20: FAug 20: FSep 20: FOct 20: FNov 20: FJan 21: FFeb 21: FMar 21: FApr 21: FMay 21: FJun 21: FJul 21: FAug 21: FSep 21: FOct 21: FNov 21: FJan 22: FFeb 22: FMar 22: FApr 22: FMay 22: FJun 22: FAug 22: FSep 22: FOct 22: FNov 22: FJan 23: FFeb 23: FMar 23: FApr 23: C
See Rating Overview

431 Larkin Spring Rd,
Madison TN 37115

(615) 865-8520

Located in Madison, Tennessee, Signature Healthcare of Madison is the sole option we found in the area. This is a middle of the pack facility, with an overall grade of C. This nursing home seems to have some things working in its favor. The best part of this nursing home's profile is is its nursing rating. Nursing grades are discussed in the next paragraph.

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Quick Details

  • Accepts Medicare 1
  • Accepts Medicaid 1
  • No CCRC
  • Has Resident Council
  • No Family Council
  • For profit - Corporation

Specialized Services

  • Speech Therapy
  • Occupational Therapy
  • Physical Therapy
  • Respiratory Therapy
  • Nutritional Counseling
  • Pharmacy

Registered Staff Hours

Medical Staff Hours Per Patient (2022)
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Nurse Quality

Grade: B-plus

On top of having a decent overall grade, we also wanted to point out that this facility received favorable nursing marks this year. We gave them one of our better scores in that area, with a B+. This proved to be the facility's top grade. Our nursing grade assesses the nursing home's nurse staffing levels. We look at both the levels of training of the nurses as well as the number of hours spent with patients. This nursing home averages 0 hours of nursing care per resident per day. Finally, we also looked at several nursing quality-based metrics and this facility excelled in some of these areas. With less than five percent of its residents sustaining pressure ulcers, it performed as well as any nursing home Tennessee in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can frequently be avoided by providing better nursing care, such as by employing a policy of moving residents even once per day.

Short-term Care Quality

Grade: B

Another one of this facility's better category grades was in the category of short-term care. In that category, we gave this nursing home a B. It actually performed better than most nursing homes in this category. In the category of short-term care, we strive to qualify indicators of a facility's rehabilitation services. We analyze a facility's skilled nursing services, including the ones performed by registered nurses and physical and occupational therapists. Unfortunately, we were not able to find registered nurse or physical therapy staffing data for this facility. The final item we assessed in this category is the number of residents who returned home from the nursing home. We found that 0 percent of this nursing home's residents returned home as opposed to remaining at the nursing home on a permanent basis.

Long-term Care Quality

Grade: C

This nursing home was awarded its next highest category score in the category of long-term care. We gave this facility a C in this area, which is a decent grade. Our long-term care grades are vital for prospective residents needing non-healthcare services such as personal care. In addition to assessing the quantity of care provided by nurses and other staff, we analyzed the percentage of residents vaccinated against pneumonia. This nursing home administered the vaccine to 30.909092 percent of its patients. This is multiple points lower than average. Fortunately, this place was able to limit hospitalizations. Indeed, it had only 0.01 hospitalizations per 1,000 long-term resident days, which is a remarkably low number.

Facility Inspections

Grade: F

The last category we looked at was inspections. Unfortunately, this facility didn't receive favorable inspections in recent years. As a result, we had to give it an F in this area. Since this information is compiled by independent government inspectors, we heavily weight a poor performance in this area. This really dragged down this facility's overall score. We would advise paying close attention to any deficiencies on a nursing home's inspection reports when it receives this bad of an inspection score. We would scrutinize the level of severity of those deficiencies. This particular facility was hit with 3 deficiencies by CMS. The only favorable thing we found is that none of the deficiencies were in the categories that suggest that they created a risk to resident health or safety. Finally, we also want to draw your attention to the fact that this nursing home received significant government fines recently of over $50,000. This usually signifies that CMS inspectors became fed up after multiple years of bad government inspections.

Rating Over Time

Compared to national and state averages across all facilities.

FDCB-BB+A-AA+Oct 18Dec 23

Signature Healthcare of Madison Quality Metrics

Minimizes Pressure Ulcers

Grade: D

In Signature Healthcare of Madison, 13.53% of Patients had Pressure Ulcers

This datapoint is is a measure of the percentage of long-term stay residents who are suffering from pressure ulcers. We've found that pressure ulcers are a solid measure of the quality of nursing care a nursing home provides.

Minimizes Serious Falls

Grade: A+

In Signature Healthcare of Madison, 0% of Patients had Serious Falls

This indicates the percentage of patients who sustained a major fall. Falls leading to major injuries are routinely associated with lower quality nursing care. Better nursing protocols can limit the percentage of residents in a nursing home who sustain major falls.

Minimizes Urinary Tract Infections

Grade: A+

In Signature Healthcare of Madison, 0% of Patients had UTIs

This is the percent of residents that suffered from a urinary tract infection. These infections could be associated with poor hygiene.

Appropriately Uses Anti-Psychotic Medication

Grade: B-plus

In Signature Healthcare of Madison, 10.29% of Patients use Anti-Psychotic Medication

This tells you the percentage of residents who were prescribed antipsychotic medications. While antipsychotic drugs may be vital to many residents, it is important to confirm these medications are being used only where medically required. In limited situations, increased usage of these drugs may indicate a facility is using these drugs to subdue residents.

Appropriately Uses Anti-Anxiety Medication

Grade: B

In Signature Healthcare of Madison, 19.02% of Patients use Anti-Anxiety Medication

This tells you the percentage of patients who were given antianxiety drugs. These drugs are used to treat patients suffering from anxiety or depression.

Managing Depression Among Residents

Grade: D

In Signature Healthcare of Madison, 26.36% of Patients

This is a measure of the percentage of long-term stay patients showing signs of depression. Many argue that this is a measure of quality of care.

Appropriate Vaccine Usage

Grade: F

In Signature Healthcare of Madison, 57% of Patients

This indicates the percentage of residents who were administered the pneumonia and flu vaccines. Higher vaccination rates should be demanded by residents.

Residents Maintain Autonomy

Grade: B

In Signature Healthcare of Madison, 15.11% of Patients

This tells you the percentage of residents who required increased assistance with activities of daily living over time. High levels of needing for assistance with activities of daily living could indicate the decline of a resident's medical condition.

Ability to Keep Residents Mobile

Grade: A-minus

In Signature Healthcare of Madison, 22.76% of Residents

Measures the percent of long-term stay patients who retained mobility levels.


Grade: A-plus

In Signature Healthcare of Madison, 0.01 Hospitalizations per 1,000 resident days

This is a measure of the number of hospitalizations per thousand days of patient care. Keeping residents out of the hospital is important to preserving the physical health of residents.

Short-term Care: Rehospitalizations

Grade: C

In Signature Healthcare of Madison, 22.76% of Residents Rehospitalized

This indicates the number of rehospitalizations per 1,000 days of short-term care.

Short-term Care: Facilitates Functional Improvement

Grade: F

In Signature Healthcare of Madison, 45.86% of Resident

This is the percent of short-term stay residents that experienced functional improvements, such as with activities of daily living.

Nearby Hospitals

  • Tristar Skyline Medical CenterAcute Care Hospitals 4.02 miles away3441 Dickerson Pike Nashville Tennessee 37207Voluntary non-profit - Private(615) 769-2000
  • Tristar Hendersonville Medical CenterAcute Care Hospitals 6.04 miles away355 New Shackle Island Rd Hendersonville Tennessee 37075Proprietary(615) 338-1000
  • Tristar Summit Medical CenterAcute Care Hospitals 6.88 miles away5655 Frist Blvd Hermitage Tennessee 37076Proprietary(615) 316-3000
  • Metro Nashville General HospitalAcute Care Hospitals 9.18 miles away1818 Albion Street Nashville Tennessee 37208Government - Hospital District or Authority(615) 341-4490
  • Saint Thomas Midtown HospitalAcute Care Hospitals 9.58 miles away2000 Church St Nashville Tennessee 37236Voluntary non-profit - Private(615) 284-5555
  • Tristar Centennial Medical CenterAcute Care Hospitals 9.87 miles away2300 Patterson Street Nashville Tennessee 37203Proprietary(615) 342-1000
  • Vanderbilt University Medical CenterAcute Care Hospitals 10.11 miles away1211 Medical Center Drive Nashville Tennessee 37232Voluntary non-profit - Private(615) 322-3454
  • Tristar Southern Hills Medical CenterAcute Care Hospitals 12.46 miles away391 Wallace Rd Nashville Tennessee 37211Proprietary(615) 781-4000

Nearby Dialysis

  • Dci Madison2.81 miles away605 West Due West Avenue Madison Tennessee 37115Dialysis Stations: 26 (615) 865-7310
  • Davita Briley Parkway Dialysis2.85 miles away1221 Briarville Rd Madison Tennessee 37115Dialysis Stations: 16 (615) 865-9363
  • Fresenius Medical Care Goodlettsville, LLC3.82 miles away740 Conference Dr Goodlettsville Tennessee 37072Dialysis Stations: 13 (615) 859-2661
  • Rcg Madison4.45 miles away220 West Maplewood Lane Nashville Tennessee 37207CMS Rating: 2 stars Dialysis Stations: 20 (615) 870-1508
  • Fmc Hendersonville4.96 miles away230 New Shackle Island Road Suite 200 Hendersonville Tennessee 37075Dialysis Stations: 17 (615) 826-5848
  • Dialysis Assoc. Of East Nashville5.22 miles away1001 Riverside Drive Nashville Tennessee 37206Dialysis Stations: 12 (615) 226-2085
  • Hermitage Dialysis6.94 miles away5530 Old Hickory Blvd Suite 18 Hermitage Tennessee 37076Dialysis Stations: 12 (615) 232-7219
  • Vanderbilt Dialysis Clinic East7.54 miles away20 Rachel Dr Nashville Tennessee 37214CMS Rating: 3 stars Dialysis Stations: 25 (615) 467-4070