Clarksville Nursing Home

300 E Baker St · Clarksville, TX · 75426 · 9034272236

132 certified beds Government - Hospital district Chain: Advanced Healthcare Solutions

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

Total nurse staffing below 3.0 hours per resident-day

2.95 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 51
Serious harm & abuse 20% 100
Staffing 20% 56
Federal penalties 15% 100
Trend 10% 27
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day2.953.48 min · 4.1 strong
RN hours / resident-day0.490.55–0.75
Weekend hours / resident-day2.64≈ weekday level
Nursing turnover / year41%median 45%
Fines (3-yr window)none

Inspection citations (34 in the current record)

  • Potential for harm · E April 14, 2026 · found via complaint

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected April 30, 2026 · Environmental

  • Potential for harm · D December 10, 2025

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected January 6, 2026 · Resident Rights

  • Potential for harm · D December 10, 2025

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected January 6, 2026 · Resident Rights

  • Potential for harm · D December 10, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected January 6, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 10, 2025

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected January 6, 2026 · Quality of Life and Care

  • Potential for harm · D December 10, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected January 6, 2026 · Quality of Life and Care

  • Potential for harm · E December 10, 2025

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected January 6, 2026 · Quality of Life and Care

  • Potential for harm · E December 10, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected January 6, 2026 · Pharmacy Service

  • Potential for harm · D December 10, 2025

    Ensure that residents are free from significant medication errors.

    Corrected January 6, 2026 · Pharmacy Service

  • Potential for harm · D December 10, 2025

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected January 6, 2026 · Pharmacy Service

  • Potential for harm · E December 10, 2025

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected January 6, 2026 · Nutrition and Dietary

  • Potential for harm · D December 10, 2025

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    Corrected January 6, 2026 · Nutrition and Dietary

  • Potential for harm · E December 10, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected January 6, 2026 · Nutrition and Dietary

  • Potential for harm · D December 10, 2025

    Provide and implement an infection prevention and control program.

    Corrected January 6, 2026 · Infection Control

  • Potential for harm · D September 18, 2024

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected October 3, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D September 18, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected October 3, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D September 18, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected October 3, 2024 · Quality of Life and Care

  • Potential for harm · D September 18, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected October 3, 2024 · Resident Rights

  • Potential for harm · E August 16, 2023

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected September 8, 2023 · Resident Rights

  • Potential for harm · D August 16, 2023

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected September 8, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D August 16, 2023

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected September 8, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D August 16, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected September 8, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D August 16, 2023

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected September 8, 2023 · Quality of Life and Care

  • Potential for harm · D August 16, 2023

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected September 8, 2023 · Quality of Life and Care

  • Potential for harm · D August 16, 2023

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected September 8, 2023 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data. See the whole state.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455985 · certified since January 27, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.