Signature Healthcare of Clarksville
198 Old Farmer Road, Clarksville, TN 37043 · Montgomery County · 120 certified beds · avg 92 residents/day · certified since Apr 1, 2002
Part of chain: SIGNATURE HEALTHCARE (67 facilities, chain avg rating 3.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · May 28, 2025 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 19, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (7)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 28, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| May 28, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| May 28, 2025 | D · Potential for harm, one-off | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. |
| May 28, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| May 28, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| May 28, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Sep 6, 2019 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 1 | 0 | D |
| 2025 | 6 | 1 | J ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $63,105.
| Date | Type | Amount / length |
|---|---|---|
| May 28, 2025 | Fine | $63,105 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Tennessee avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.51 | 3.62 | 3.95 | top 47% in Tennessee; bottom 37% in the U.S. |
| Registered Nurse hours | 0.75 | 0.57 | 0.69 | top 17% in Tennessee; top 32% in the U.S. |
| Weekend total nurse staffing | 2.75 | 3.15 | 3.50 | bottom 28% in Tennessee; bottom 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.44 | 0.39 | 0.48 | top 30% in Tennessee; top 41% in the U.S. |
| Total nursing staff turnover (%) | 76.0 | 48.9 | 45.8 | bottom 1% in Tennessee; bottom 3% in the U.S. |
| RN turnover (%) | 75.0 | 43.2 | 42.9 | bottom 8% in Tennessee; bottom 9% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.88, RN 0.83, weekend 3.03. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 5/5 · short-stay residents: 2/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Jjla LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 11/01/2007 |
| LP Re I Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/01/2007 |
| LPSNF LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 11/01/2007 |
| SHC LP Holdings II LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 07/01/2012 |
| Spring Holdings, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2018 |
| Steier III, Elmer | Individual | 5% or Greater Indirect Ownership Interest | — | 11/01/2007 |
| Wheaten LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 11/01/2007 |
| Crider, Benjamin | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/16/2024 |
| Harrison, John | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2007 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Spring Meadows Health and Rehabilitation | 2.5 mi | Clarksville, TN | ★★☆☆☆ | 1/5 | |
| Ahava Healthcare of Clarksville | 4.6 mi | Clarksville, TN | ★★☆☆☆ | 3/5 | |
| Park Meadows Post Acute | 5.9 mi | Clarksville, TN | ★★☆☆☆ | 2/5 | |
| Brigadier General Wendell H Gilbert TN State Veter | 12.1 mi | Clarksville, TN | ★★★☆☆ | 3/5 | |
| Riverview Post Acute | 17.4 mi | Ashland City, TN | ★★☆☆☆ | 3/5 | |
| NHC Healthcare, Springfield | 19.7 mi | Springfield, TN | ★★☆☆☆ | 1/5 | abuse |
| The Waters of Springfield LLC | 19.9 mi | Springfield, TN | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
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Facility data as of CMS processing date 2026-08-01. CCN 445448.