Signature Healthcare of Clarksville

198 Old Farmer Road · Clarksville, TN · 37043 · 9313582900

120 certified beds For profit - Limited Liability company Chain: Signature Healthcare

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection results are getting worse cycle over cycle, not better.

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Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

$63,105 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

77% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 49
Serious harm & abuse 20% 70
Staffing 20% 62
Federal penalties 15% 63
Trend 10% 18
Context 5% 100

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

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.823.48 min · 4.1 strong
RN hours / resident-day0.670.55–0.75
Weekend hours / resident-day2.97≈ weekday level
Nursing turnover / year77%median 45%
Fines (3-yr window)1 · $63,105

Inspection citations (7 in the current record)

  • Immediate jeopardy · J May 28, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 19, 2025 · Quality of Life and Care

  • Potential for harm · D May 28, 2025

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

    Corrected June 19, 2025 · Resident Rights

  • Potential for harm · D May 28, 2025

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Corrected June 19, 2025 · Resident Rights

  • Potential for harm · D May 28, 2025

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected June 19, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 28, 2025

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

    Corrected June 19, 2025 · Quality of Life and Care

  • Potential for harm · D May 28, 2025

    Provide and implement an infection prevention and control program.

    Corrected June 19, 2025 · Infection Control

  • Potential for harm · D September 6, 2019

    Ensure medication error rates are not 5 percent or greater.

    Corrected October 2, 2019 · Pharmacy Service

Federal penalties

DateTypeAmount / length
May 28, 2025Fine$63,105

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445448 · certified since April 1, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.