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Signature Healthcare of Clarksville

198 Old Farmer Road, Clarksville, TN 37043 · Montgomery County · (931) 358-2900

120 certified beds, about 92 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2002

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 445448 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 28, 2025, inspectors cited 6 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

Of 7 health citations since October 2018, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $63,105 in the last three years; the largest was $63,105, and the latest is dated May 28, 2025.

Nurses and nurse aides worked 3.88 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.83 of those hours.

76.0% of nursing staff left within the year CMS measured (Tennessee average 48.9%).

CMS links it to Signature Healthcare, an affiliated group of 67 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
0E
0F
Potential for minimal harm
0A
0B
0C
May 28, 2025Standard inspection · 6 citations
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) June 19, 2025
    Inspectors wroteBased on policy review, fall investigation review, medical record review, observation, and interview, the facility failed to ensure a safe and secure environment for 5 of 7 (Resident #31, #50, #248, #498 and #501) sampled residents reviewed for falls and accidents. The facility failed to ensure processes were implemented to provide supervision and assistance to ensure the residents' environment was free of accident hazards. The facility failed to conduct thorough fall investigations to identify all contributing factors (root causes) and failed to implement appropriate interventions to ensure resident safety. Resident #498 was admitted on [DATE] and had 13 falls from [DATE] through [DATE]. On [DATE], Resident #498 sustained 3 falls, that resulted in a subdural hemorrhage, a C5 fracture (cervical neck fracture) and bilateral rib fractures. [...]
  2. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 19, 2025
    Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to provide care and services to promote dignity for 1 of 5 (Resident #36) sampled residents reviewed for activity of daily living (ADL) care when they failed to provide hair care.
  3. D
    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
    F569 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 19, 2025
    Inspectors wroteBased on review of resident trust accounts, policy review, medical record review, and interview, the facility failed to notify the family and/or resident when the amount in the residents' account exceeded the eligibility limit for 2 of 20 (Resident #2 and #31) residents personal fund account statements reviewed.
  4. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 19, 2025
    Inspectors wroteBased on facility policy review, medical record review, facility documentation review, and interview, the facility failed to report alleged violations involving abuse and injury of unknown source for 2 of 19 (Resident #28 and #82) sampled residents reviewed.
  5. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 19, 2025
    Inspectors wroteBased on policy, medical record review, observation, and interview, the facility failed to follow Physician's Orders for oxygen for 1 of 1 (Resident #14) sampled residents reviewed for respiratory care.
  6. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 19, 2025
    Inspectors wroteBased on policy review, observation and interview, the facility failed to ensure infection control practices were followed during medication administration for 2 of 8 (Resident #8 and #22) residents observed for Medication Administration when 2 of 7 nurses (Licensed Practical Nurse (LPN) A and LPN B) failed to sanitize reusable equipment.
September 6, 2019Standard inspection · 1 citation
  1. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 2, 2019
    Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure 2 of 4 (Registered Nurse (RN) #1 and Licensed Practical Nurse (LPN) #1) nurses administered medications with a medication error rate of less than 5 percent (%). A total of 2 errors were observed out of 27 opportunities, resulting in an error rate of 7.4074074074 %.
October 9, 2018Standard inspection · 0 citations

Fire safety inspections

11 fire safety citations on file: 5 on May 28, 2025, 1 on September 6, 2019, 5 on October 9, 2018.

Every fire safety citation11 citations
  1. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · May 28, 2025 · Corrected (the home has a date of correction)
  2. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · May 28, 2025 · Corrected (the home has a date of correction)
  3. D
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · May 28, 2025 · Corrected (the home has a date of correction)
  4. D
    Have restrictions on the use of portable space heaters.
    K 781 · May 28, 2025 · Corrected (the home has a date of correction)
  5. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · May 28, 2025 · Corrected (the home has a date of correction)
  6. D
    Ensure proper usage of power strips and extension cords.
    K 920 · September 6, 2019 · Corrected (the home has a date of correction)
  7. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · October 9, 2018 · Corrected (the home has a date of correction)
  8. D
    Ensure proper usage of power strips and extension cords.
    K 920 · October 9, 2018 · Corrected (the home has a date of correction)
  9. C
    Address subsistence needs for staff and patients.
    E 15 · October 9, 2018 · Corrected (the home has a date of correction)
  10. C
    Establish policies and procedures including evacuation.
    E 20 · October 9, 2018 · Corrected (the home has a date of correction)
  11. C
    Conduct testing and exercise requirements.
    E 39 · October 9, 2018 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
May 28, 2025Fine $63,105

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTennesseeUnited States
All nursing staff (RN, LPN and aides)3.883.803.86
Registered nurses0.830.600.69
All nursing staff on weekends3.033.313.42
Nurse aides2.01
Licensed practical nurses1.04
Nursing staff turnover (share who left in a year)76.0%48.9%45.8%
Registered nurse turnover75.0%43.2%42.9%
Administrators who left1

CMS expects 4.23 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.22 on weekdays and 3.03 on weekends, 28% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.76 in April to June 2025 to 3.88 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.880.834.223.03 1.8%0 of 9092
Oct to Dec 20253.820.674.152.97 1.1%0 of 9290
Jul to Sep 20254.050.684.393.19 6.4%0 of 9287
Apr to Jun 20253.760.534.063.02 16.7%0 of 9188
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Tennessee, Jan to Mar 20263.750.563.953.274.0%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Tennessee

JobMedianMiddle halfEmployed
Tennessee, all employers
CNAs (nursing assistants)$18.27$17.09 to $19.6627,040
LPNs and LVNs$28.31$23.64 to $30.1220,830
Registered nurses$39.18$36.28 to $45.7972,200
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTennesseeUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
5.414.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.10.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.41.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.83.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.71.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
10.917.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
9.95.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
9.716.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
28.122.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
16.411.212.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Signature Healthcare of Clarksville's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (56.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

56.1% this home

No different from the national rate

US median of homes 51.5% · Tennessee: 62 better, 16 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 377 eligible stays.

Potentially preventable readmissions

18.7% this home

Worse than the national rate

US median of homes 10.7% · Tennessee: 1 better, 7 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 414 eligible stays.

Infections that led to a hospital stay

8.8% this home

No different from the national rate

US median of homes 7.1% · Tennessee: 2 better, 1 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 204 eligible stays.

Self-care and mobility at discharge

46.6% this home

Median of homes: Tennessee58.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 88 residents counted.

Falls with major injury

0.0% this home

Median of homes: Tennessee0.8% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 148 residents counted.

New or worsened pressure ulcers

0.6% this home

Median of homes: Tennessee1.6% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 147 residents counted.

Medication list given at discharge

87.0% this home

Median of homes: Tennessee98.7% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 77 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: LP CLARKSVILLE LLC. CMS links this home to Signature Healthcare, a group of 67 nursing homes averaging 3.1 stars overall.

NameRoleTypeShareSince
LP Re I Holdings LLC5% or greater direct ownership interestOrganization100%11/01/2007
Jjla LLC5% or greater indirect ownership interestOrganization11/01/2007
Lpsnf LLC5% or greater indirect ownership interestOrganization11/01/2007
Shc LP Holdings II LLC5% or greater indirect ownership interestOrganization07/01/2012
Spring Holdings, LLC5% or greater indirect ownership interestOrganization05/01/2018
Wheaten LLC5% or greater indirect ownership interestOrganization11/01/2007
Steier III, Elmer5% or greater indirect ownership interestIndividual11/01/2007
Crider, BenjaminW-2 managing employeeIndividual01/16/2024
Harrison, JohnCorporate officerIndividual11/01/2007

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on May 28, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on May 28, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on May 28, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on May 28, 2025: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.03 hours per resident per day, below the Tennessee average of 3.31.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Tennessee contacts for a concern about a nursing home

These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.

Common questions

What is Signature Healthcare of Clarksville's Medicare star rating?
CMS rates Signature Healthcare of Clarksville 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Signature Healthcare of Clarksville get at its last inspection?
6 health deficiencies at the standard inspection on May 28, 2025. The Tennessee average is 4.4.
Has Signature Healthcare of Clarksville been fined?
Yes. CMS lists 1 fine totaling $63,105 in the last three years.
Does Signature Healthcare of Clarksville accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Signature Healthcare of Clarksville?
CMS lists 9 owners and managers, and links the home to Signature Healthcare. Legal business name: LP CLARKSVILLE LLC.

Sources

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