Spring Meadows Health and Rehabilitation
220 Highway 76, Clarksville, TN 37043 · Montgomery County · 121 certified beds · avg 110 residents/day · certified since Oct 1, 1997
Part of chain: LYON HEALTHCARE (11 facilities, chain avg rating 1.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 2/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
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 · Jul 25, 2022 · F-0609
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.
Why it matters: When incidents aren't reported promptly, abusers may continue harming residents and outside authorities can't step in.
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: Aug 19, 2022 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jul 25, 2022 · F-0610
The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Why it matters: When allegations aren't investigated, harm to residents can continue unchecked.
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: Aug 19, 2022 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jul 25, 2022 · 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: Aug 19, 2022 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jul 25, 2022 · F-0835
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Why it matters: Poor administration often shows up as understaffing, supply shortages, and care problems across the whole facility.
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: Aug 19, 2022 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jul 25, 2022 · F-0867
The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Why it matters: Without a working quality program, the same care problems tend to repeat instead of getting fixed.
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: Aug 19, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (21)
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 |
|---|---|---|
| Jul 11, 2024 | E · Potential for harm, repeated | 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. |
| Jul 11, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jul 11, 2024 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. · from a complaint |
| Jul 11, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jul 11, 2024 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Jul 11, 2024 | D · Potential for harm, one-off | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. |
| Jul 25, 2022 | ▲ J · Immediate jeopardy, 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. |
| Jul 25, 2022 | ▲ J · Immediate jeopardy, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Jul 25, 2022 | ▲ 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. |
| Jul 25, 2022 | ▲ J · Immediate jeopardy, one-off | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. |
| Jul 25, 2022 | ▲ J · Immediate jeopardy, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Jul 25, 2022 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jul 25, 2022 | F · Potential for harm, facility-wide | 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. |
| Jul 25, 2022 | E · Potential for harm, repeated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jul 25, 2022 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Mar 12, 2020 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 12, 2020 | E · Potential for harm, repeated | The facility did not have enough support staff to safely and effectively run its food and nutrition service. |
| Mar 12, 2020 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 12, 2020 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Mar 12, 2020 | 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. |
| Mar 12, 2020 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (9 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 6 | 0 | F |
| 2022 | 9 | 5 | J ▲ |
| 2024 | 6 | 0 | E |
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)
No fines or payment denials in the published 3-year window.
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) | 3.12 | 3.62 | 3.95 | bottom 23% in Tennessee; bottom 18% in the U.S. |
| Registered Nurse hours | 0.49 | 0.57 | 0.69 | bottom 46% in Tennessee; bottom 37% in the U.S. |
| Weekend total nurse staffing | 2.91 | 3.15 | 3.50 | bottom 42% in Tennessee; bottom 26% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.34 | 0.39 | 0.48 | bottom 48% in Tennessee; bottom 39% in the U.S. |
| Total nursing staff turnover (%) | 39.4 | 48.9 | 45.8 | top 23% in Tennessee; top 35% in the U.S. |
| RN turnover (%) | 33.3 | 43.2 | 42.9 | top 30% in Tennessee; top 33% 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 3.43, RN 0.54, weekend 3.20. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Lion 26 Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2024 |
| Sabrina 1818 Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2024 |
| Saessy Irrevocable Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2024 |
| Tatiriq Irrevocable Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2024 |
| Tky 2 SNF Operations Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/01/2024 |
| Carver, Dillion | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2024 |
| Carver, Dillion | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2024 |
| Idels, Shimon | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2024 |
| Idels, Shimon | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2024 |
| Lion 26 Holdings LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/01/2024 |
| Robinson, Jennifer | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2024 |
| Robinson, Jennifer | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2024 |
| Sabrina 1818 Holdings LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/01/2024 |
| Schwartz, Steven | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2024 |
| Schwartz, Steven | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2024 |
| Tky 2 SNF Operations Holdings LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/01/2024 |
| Tky 2 SNF Operations Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2024 |
| Williams, John | Individual | ADP of the SNF | NOT APPLICABLE | 09/22/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How do you make sure resident assessments are completed and submitted to the state on time?"
- "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 |
|---|---|---|---|---|---|
| Ahava Healthcare of Clarksville | 2.3 mi | Clarksville, TN | ★★☆☆☆ | 3/5 | |
| Signature Healthcare of Clarksville | 2.5 mi | Clarksville, TN | ★★☆☆☆ | 2/5 | |
| Park Meadows Post Acute | 4.0 mi | Clarksville, TN | ★★☆☆☆ | 2/5 | |
| Brigadier General Wendell H Gilbert TN State Veter | 9.7 mi | Clarksville, TN | ★★★☆☆ | 3/5 | |
| Christian Heights Nursing and Rehabilitation Cente | 18.9 mi | Pembroke, KY | ★☆☆☆☆ | 3/5 | |
| Riverview Post Acute | 19.7 mi | Ashland City, TN | ★★☆☆☆ | 3/5 |
Compare this facility with the 3 closest →
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Facility data as of CMS processing date 2026-08-01. CCN 445402.