Overall rating: 1 of 5 stars. Signature Healthcare of Clarksville has a 1-star staffing rating and reported nurse staffing of 3.82 hours per resident per day, below the 4.1 federal benchmark; it also had $63,105 in fines in the last 24 months and a recent federal penalty. Health inspection was 2 stars and quality measures were 4 stars, with recent citations for accident hazards, care planning, and meeting immediate admission needs.
Last inspection: May 28, 2025Penalties, last 24 months: $63,105recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8155.
Staffing detail
Registered nurses
0.67
Licensed practical nurses
1.15
Nurse aides
1.99
Weekend nursing
2.97
Hours per resident per day.
Total staff turnover: 77%
Registered nurse turnover: 75%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
10.9%Steady
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
12%Improving
Residents with a urinary tract infection
0.4%Steady
Residents who lost too much weight
5.7%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
6.3%Improving
Residents whose ability to walk got worse
6.2%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
41%Worsening
Short-stay residents newly given an antipsychotic
0.7%Improving
Residents with a long-term catheter
0.8%Improving
Residents with new or worsening incontinence
19.1%Improving
Residents with depressive symptoms
13.3%Worsening
Long-stay residents given the seasonal flu vaccine
91.5%Steady
Long-stay residents given the pneumonia vaccine
87.1%Improving
Short-stay residents given the seasonal flu vaccine
72.6%Steady
Short-stay residents given the pneumonia vaccine
78.8%Steady
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited May 2023 — limited pattern, potential for harm.
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F-Tag 655 — 42 CFR §483.21 — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited May 2023 — limited pattern, potential for harm.
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F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to ensure IV fluids were given safely and appropriately when needed. Cited May 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 694 — 42 CFR §483.25 — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited May 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $63,105 was recorded.
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 5 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $63,105 in total fines.
Federal fine
May 28, 2025
$63,105
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of SIGNATURE HEALTHCARE · 68 homes · 3.1 stars avg
Occupancy
89.6 residents on an average day (75% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 24 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.