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Nursing HomeMedicaid Investigative

Signature Healthcare of Clarksville

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

198 Old Farmer Road, Clarksville, TN 37043120 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.2/5

based on 74 Google reviews

5
4
3
2
1

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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (6 vs median 5.0)
  • High staff turnover (81%)
  • High RN turnover (81%)

Below average in TN · Below recommended RN staffing · Above average staffing · Very high staff turnover · Below chain average · $63,105 in fines

Source: Medicare data

What this means for your family

While the rehabilitation and therapy departments are frequently praised for their effectiveness, the facility has a concerning pattern of reports regarding basic resident care and hygiene. If you choose this facility, ensure you have a plan for frequent, unscheduled visits to monitor your loved one's daily needs, and be prepared to be highly involved in coordinating their care, as communication from administration can be inconsistent.

Google Reviews

Google Reviews

74 reviews on Google
Signature Healthcare of Clarksville receives highly polarized feedback, with families frequently praising the physical therapy department while expressing deep concern over nursing care and administrative responsiveness. Many reviewers report serious issues regarding neglect, poor hygiene, and inadequate communication, while others highlight positive experiences with specific staff members and rehabilitation outcomes. Families should be aware of a recurring pattern of complaints regarding basic care tasks like feeding, bathing, and timely medication administration.

Quality Themes

Tap a score for details
Food3.0Staff4.0Clean2.0Activities8.0Meds2.0MemoryN/AComms2.0ValueN/A

Strengths

  • Highly effective physical and occupational therapy teams
  • Warm and attentive individual staff members
  • Strong rehabilitation outcomes for many patients
  • Engaging holiday events and activities

Concerns

  • Neglect of basic hygiene (showering, changing, bed sores) (mentioned by 9 reviewers)
  • Poor communication and lack of administrative follow-up (mentioned by 7 reviewers)
  • Inadequate staffing levels leading to slow response times (mentioned by 6 reviewers)
  • Poor food quality and cold meals (mentioned by 5 reviewers)
  • Incompetent medication management (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(1)'20(2)'22(7)'24(19)'26(1)

Distribution · 67 analyzed

5
36
4
3
3
2
2
0
1
26

How They Respond to Reviews

83%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1We've heard wonderful things about your physical and occupational therapy teams; could you tell us more about how they support residents during their recovery?
  • 2It's great to see how much management engages with feedback here; how does the administration ensure that family concerns are communicated and resolved quickly?
  • 3What specific protocols are in place to ensure that personal hygiene, such as regular showering and linen changes, is consistently maintained for every resident?
  • 4Could you describe the meal service process and how you ensure that food stays warm and nutritious for everyone at dining time?
  • 5How does the nursing team manage medication schedules to ensure accuracy and prevent any missed doses?
  • 6What kind of fun holiday events or daily social activities do you have planned to keep the residents engaged with one another?

Personalized based on this facility's data


Key Review Excerpts

The therapy teams is the best. Director of nursing and asset of nursing are all hands on. Them nurses and aides got above and beyond.

Rehab patient · 2023★★★★★

My brother was there for a few weeks the things I saw and heard were disturbing I have videos and pictures he was not being fed after I told them he was so wear and couldent see clearly I caught the yelling at him nurses talking just awful to him

Family member · 2025☆☆☆☆

While we had some issues during our stay, the therapy team is outstanding. Kalyn knows her stuff. Sonya from Social Services is incredibly helpful and kind.

Family member · 2025★★★★★
Source: 74 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.67hrs
90%
Registered nurses for medical care
Total Nursing
3.82hrs
93%
All nurses + aides combined
Staff Turnover
77%
Lower is better (< 30% = good)
RN Turnover
75%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

8

measures

Worse Than Avg

5

measures

Mixed Results

4

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility41.0%
Worse than Avg
Here
41.0%
US
19.5%
TN
31.9%
Montgomery
23.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility6.2%
Better than Avg
Here
6.2%
US
15.3%
TN
18.5%
Montgomery
10.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility13.3%
Mixed vs Avgs
Here
13.3%
US
12.1%
TN
12.9%
Montgomery
25.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.3%
Better than Avg
Here
6.3%
US
14.4%
TN
14.6%
Montgomery
8.7%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility12.0%
Worse than Avg
Here
12.0%
US
4.9%
TN
5.2%
Montgomery
4.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility87.1%
Worse than Avg
Here
87.1%
US
93.4%
TN
89.5%
Montgomery
90.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility72.6%
Mixed vs Avgs
Here
72.6%
US
79.7%
TN
79.8%
Montgomery
71.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility78.8%
Mixed vs Avgs
Here
78.8%
US
81.8%
TN
79.4%
Montgomery
73.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
1.6%
TN
1.6%
Montgomery
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
1penalties
Above state avg (5.9)
5 complaint-triggered
$63,105 in fines

This facility has faced family complaints that triggered investigations, with 5 complaint-related deficiencies in 2023 involving care planning and treatment issues. The most recurring problems include safety hazards, building/fire safety violations, and care planning deficiencies. While all issues show correction dates, the facility continues to have new safety and resident rights violations as recently as 2025, suggesting ongoing operational challenges that families should carefully consider.

May 28, 2025Routine
11
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0569Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

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.

0223Potential for harm · IsolatedCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0781Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

May 26, 2023Complaint
5
0655Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0694Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Sep 6, 2019Routine
2
0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Oct 9, 2018Routine
5
0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0015Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0020Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures including evacuation.

0039Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

Federal Penalties

Fine

May 28, 2025

$63,105

Ownership & Operations

Who Operates This Facility

Owner / Operator

Signature Healthcare of Clarksville

Organization Type

for profit

Chain Affiliation

Chain Name

Signature Healthcare

Chain Size

68 facilities nationwide

Chain avg rating: 3.0/5 · Rank 55 of 70

Ownership & Management

Owners

Lp Re I Holdings LLC

Owner · Organization

100%

Jjla LLC

Owner (parent company) · Organization

Lpsnf LLC

Owner (parent company) · Organization

Shc Lp Holdings II LLC

Owner (parent company) · Organization

Spring Holdings, LLC

Owner (parent company) · Organization

Wheaten LLC

Owner (parent company) · Organization

Steier III, Elmer

Owner (parent company)

Key personnel

Crider, BenjaminW-2 Managing EmployeeHarrison, JohnOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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