2 of 5 stars overall for Signature Healthcare of Clarksville, with 2-star health inspection and staffing ratings, 3-star quality measures, and reported nurse staffing below the federal benchmark (3.88 vs 4.1 hours/resident/day). It also has a recent federal penalty and $63,105 in fines over the last 24 months.
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 3.8768.
Staffing detail
Registered nurses
0.83
Licensed practical nurses
1.04
Nurse aides
2.01
Weekend nursing
3.03
Hours per resident per day.
Total staff turnover: 76%
Registered nurse turnover: 75%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
7.5%6.5%Improving
Residents with a fall causing major injury
0%3.3%Worsening
Residents with pressure ulcers (bedsores)
16.7%7.3%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
5.8%1.8%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4.3%5.7%Worsening
Residents whose ability to walk got worse
—10.9%—
Long-stay residents on antianxiety or sleep medication
32.7%54.5%Worsening
Short-stay residents newly given an antipsychotic
0.7%1.4%Worsening
Residents with a long-term catheter
1.5%1.9%No change
Residents with new or worsening incontinence
9.3%23.4%Worsening
Residents with depressive symptoms
6.7%21.6%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—91.5%—
Long-stay residents given the pneumonia vaccine
87.5%90.2%Improving
Short-stay residents given the seasonal flu vaccine
—72.6%—
Short-stay residents given the pneumonia vaccine
82.1%72.1%Worsening
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 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
The home failed to notify residents about certain money balances and to return resident funds when someone was discharged, evicted, or died. Cited May 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 569 — 42 CFR §483.10 — S/S: D
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited May 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: D
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited May 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — 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.
See what inspectors found
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
92.1 residents on an average day (77% 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.