2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Operated by Spring Meadows Retirement Village, Spring Meadows Health Care Center is a nursing home in Clarksville, Tennessee, offering nursing home care, memory care, and skilled nursing services. Jones serves as the administrator. The community accepts Medicare, Medicaid, and private pay, giving families several options for covering the cost of short-term rehabilitation and long-term nursing care.
The 32-bed community has been serving the Clarksville area for 39 years. It is currently operating at full occupancy, with all 32 beds filled. Residents stay for an average of about 136 days. Many are admitted under Medicare for short-term rehabilitation before returning home.
Residents receive an average of about 3 hours and 13 minutes of direct nursing care each day from registered nurses, licensed practical nurses, and nursing aides. This level of staffing provides regular hands-on support throughout the day. The neighborhood has a Walk Score of 22, which is car-dependent. Families and visitors should expect to drive for most errands and visits.
State health inspections have most often focused on documentation and care planning, infection control, feeding tube care, environmental safety, and the supervision of residents who require additional oversight. Follow-up reviews confirmed that corrective actions in these areas were maintained over time. Families touring Spring Meadows Health Care Center should ask how these practices are monitored in the community’s daily operations.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 124th out of 177 homes in Tennessee for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 25m per day | ▼ 33% State avg: 37m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 55m per day | ▼ 17% State avg: 1h 6m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 59m per day | ▼ 8% State avg: 2h 9m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 3m per day | ▼ 9% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 45% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 17m per day | ▼ 32% State avg: 25m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Higher than the Tennessee average: 71.6%Spring Meadows Health Care Center is legally operated by Spring Meadows Retirement Village, and administered by Shannon R. Jones.
Key information about the people who lead and staff this community.
In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Tennessee state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TN Average | vs. TN Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 24 | 4 | This facility has 500% more total citations than a typical Tennessee nursing home (24 vs. TN avg 4).↑ 500% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Tennessee average 3.5
Last Health inspection on Jul 2024
Tennessee average 15.4
Tennessee average 4.39
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
20 of 23 citations resulted from standard inspections; 2 of 23 resulted from complaint investigations; and 1 of 23 came from combined inspections (standard and complaint).
445% worse than Tennessee averageTennessee average: 1.1
100% better than Tennessee averageTennessee average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
17% more staff per resident than Tennessee average
6% worse than Tennessee average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
25 total: 11 full-time employees and 14 contractors.
25
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursAssists with medical care and medications.
36 total: 24 full-time employees and 12 contractors.
36
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursHelps with daily care and mobility.
88 total: 63 full-time employees and 25 contractors.
88
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,095 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 63 | 25 | 88 | 20,404 | 92 | 100% | 8 |
| Licensed Practical Nurse | 24 | 12 | 36 | 7,538 | 92 | 100% | 8.1 |
| Registered Nurse | 11 | 14 | 25 | 2,573 | 92 | 100% | 8.7 |
| Physical Therapist | 13 | 0 | 13 | 2,474 | 92 | 100% | 7.2 |
| RN Director of Nursing | 6 | 0 | 6 | 1,787 | 80 | 87% | 8.5 |
| Clinical Nurse Specialist | 11 | 0 | 11 | 1,372 | 92 | 100% | 7.2 |
| Other Dietary Services Staff | 9 | 0 | 9 | 1,282 | 92 | 100% | 7.2 |
| Physical Therapy Aide | 4 | 0 | 4 | 728 | 88 | 96% | 5.7 |
| Dietitian | 1 | 0 | 1 | 487 | 64 | 70% | 7.6 |
| Qualified Social Worker | 3 | 0 | 3 | 479 | 68 | 74% | 7 |
| Speech Language Pathologist | 5 | 0 | 5 | 468 | 69 | 75% | 5.4 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 466 | 66 | 72% | 6.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 426 | 57 | 62% | 7.5 |
| Administrator | 1 | 0 | 1 | 412 | 52 | 57% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 325 | 42 | 46% | 7.7 |
| Physical Therapy Assistant | 3 | 0 | 3 | 252 | 64 | 70% | 3.9 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
79% lower than Tennessee averageTennessee average: $86K
43% fewer fines than Tennessee averageTennessee average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Tennessee averageTennessee average: 0.5
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.9
13% worse than Tennessee averageTennessee average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.7
37% worse than Tennessee averageTennessee average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
17.1%
7% worse than Tennessee averageTennessee average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
30.8%
42% worse than Tennessee averageTennessee average: 21.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.1%
55% worse than Tennessee averageTennessee average: 20.7%
Percent of long-stay residents experiencing one or more falls with major injury
2.9%
20% better than Tennessee averageTennessee average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
1.2%
78% better than Tennessee averageTennessee average: 5.4%
Percent of long-stay residents with a urinary tract infection
0.3%
87% better than Tennessee averageTennessee average: 2.1%
Percent of long-stay residents who lose too much weight
7.4%
17% worse than Tennessee averageTennessee average: 6.3%
Percent of long-stay residents who have depressive symptoms
3.6%
67% better than Tennessee averageTennessee average: 11.0%
Percent of long-stay residents who received an antipsychotic medication
17.5%
6% worse than Tennessee averageTennessee average: 16.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
11% better than Tennessee averageTennessee average: 89.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Tennessee averageTennessee average: 94.5%
Number of hospitalizations per 1,000 long-stay resident days.
0.76
52% better than Tennessee averageTennessee average: 1.58
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.07
32% better than Tennessee averageTennessee average: 1.57
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.3%
10% better than Tennessee averageTennessee average: 79.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
75% better than Tennessee averageTennessee average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
83.1%
In line with Tennessee averageTennessee average: 79.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.6%
In line with Tennessee averageTennessee average: 22.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.8%
5% worse than Tennessee averageTennessee average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Tennessee averageTennessee average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
56.1%
5% better than Tennessee averageTennessee average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
46.7%
8% worse than Tennessee averageTennessee average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
41% of new residents, usually for short-term rehab.
36% of new residents, often for short stays.
23% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
103Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Spring Meadows Health Care Center from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #59 / 181Payroll — State benchmarkedThis home is ranked 59th out of 181 homes in Tennessee for payroll. Shows total annual staff payroll benchmarked to the Tennessee average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #55 / 181Payroll % — State benchmarkedThis home is ranked 55th out of 181 homes in Tennessee for payroll %. Shows payroll as a percentage of revenue versus the Tennessee average. Well-run Tennessee facilities typically land around 50–62% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
New residents most often arrive under Medicare (41% of admissions), and a typical Medicare stay runs around 29 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
6.0 miles from city center
Estimated distance in miles from Clarksville's city center to Spring Meadows Health Care Center's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the TN Dept. of Health (TDH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Tennessee State Veterans‘ Home – Clarksville | NH SNF | Clarksville (Arrowood Drive) | 108
Facility
108
TN AVG
88
Rank
#123 / 425 |
92.2%
Facility
92.2%
TN AVG
71.5
Rank
#33 / 272 | +29% | - | -26% | - | $0
Facility
$0
TN AVG
$90.9k
Rank
#1 / 182 | 7
Facility
7
TN AVG
15.4
Rank
#32 / 181 | 2.3
Facility
2.3
TN AVG
4.4
Rank
#25 / 181 | 2 | 100 | - |
0
Facility
0
TN AVG
34
Rank
#529 / 551 | Tennessee State Veterans' Homes Board | $16.4MFiscal year ending 06/2024
Facility
$16.4MFiscal year ending 06/2024
TN AVG
$11.5M
Rank
#60 / 181 | $8.2MFiscal year ending 06/2024
Facility
$8.2MFiscal year ending 06/2024
TN AVG
$4.6M
Rank
#22 / 181 | 50.2%Fiscal year ending 06/2024
Facility
50.2%Fiscal year ending 06/2024
TN AVG
41%
Rank
#12 / 181 | 445524 | ||||
| AHC Clarksville | NH HOS PC RC SNF | Clarksville | 113
Facility
113
TN AVG
88
Rank
#115 / 425 |
91.2%
Facility
91.2%
TN AVG
71.5
Rank
#37 / 272 | +28% | 3.06
Facility
3.06
TN AVG
3.63
Rank
#141 / 177 | -15% | -16% | $0
Facility
$0
TN AVG
$90.9k
Rank
#1 / 182 | 21
Facility
21
TN AVG
15.4
Rank
#134 / 181 | 7.0
Facility
7.0
TN AVG
4.4
Rank
#159 / 181 | - | 103 | - |
21
Facility
21
TN AVG
34
Rank
#372 / 551 | Juanita Dufour | $11.3MFiscal year ending 12/2023
Facility
$11.3MFiscal year ending 12/2023
TN AVG
$11.5M
Rank
#45 / 181 | $5.4MFiscal year ending 12/2023
Facility
$5.4MFiscal year ending 12/2023
TN AVG
$4.6M
Rank
#95 / 181 | 48.3%Fiscal year ending 12/2023
Facility
48.3%Fiscal year ending 12/2023
TN AVG
41%
Rank
#170 / 181 | 445455 | ||||
| Spring Meadows Health Care Center | NH MC SNF | Clarksville | 32
Facility
32
TN AVG
88
Rank
#405 / 425 | - | - | 3.22
Facility
3.22
TN AVG
3.63
Rank
#124 / 177 | +34% | -11% | $0
Facility
$0
TN AVG
$90.9k
Rank
#1 / 182 | 23
Facility
23
TN AVG
15.4
Rank
#142 / 181 | 4.6
Facility
4.6
TN AVG
4.4
Rank
#102 / 181 | 6 | 104 | A+ |
22
Facility
22
TN AVG
34
Rank
#369 / 551 | Spring Meadows Retirement Village | $12.1MFiscal year ending 12/2023
Facility
$12.1MFiscal year ending 12/2023
TN AVG
$11.5M
Rank
#77 / 181 | $6.3MFiscal year ending 12/2023
Facility
$6.3MFiscal year ending 12/2023
TN AVG
$4.6M
Rank
#59 / 181 | 52%Fiscal year ending 12/2023
Facility
52%Fiscal year ending 12/2023
TN AVG
41%
Rank
#55 / 181 | 445402 | ||||
| Signature HealthCARE of Clarksville | NH RC SNF | Clarksville | 46
Facility
46
TN AVG
88
Rank
#370 / 425 |
43.5%
Facility
43.5%
TN AVG
71.5
Rank
#249 / 272 | -39% | 3.44
Facility
3.44
TN AVG
3.63
Rank
#88 / 177 | +44% | -5% | $63.1k
Facility
$63.1k
TN AVG
$90.9k
Rank
#156 / 182 | 12
Facility
12
TN AVG
15.4
Rank
#72 / 181 | 4.0
Facility
4.0
TN AVG
4.4
Rank
#77 / 181 | 1 | 20 | - |
17
Facility
17
TN AVG
34
Rank
#401 / 551 | LP Re I Holdings LLC | $12.1MFiscal year ending 12/2023
Facility
$12.1MFiscal year ending 12/2023
TN AVG
$11.5M
Rank
#59 / 181 | $4.3MFiscal year ending 12/2023
Facility
$4.3MFiscal year ending 12/2023
TN AVG
$4.6M
Rank
#88 / 181 | 35.3%Fiscal year ending 12/2023
Facility
35.3%Fiscal year ending 12/2023
TN AVG
41%
Rank
#148 / 181 | 445448 |
Spring Meadows Health Care Center is located in Clarksville, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
Spring Meadows Health Care Center is legally operated by Spring Meadows Retirement Village, and administered by Shannon R. Jones.
Spring Meadows Health Care Center has a walk score of 22. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to TN state health department records, Spring Meadows Health Care Center's license number is 00000132.
Spring Meadows Health Care Center's occupancy is 100%.
Spring Meadows Health Care Center has been operating for approximately 39 years, based on available licensing and registration records.
No, Spring Meadows Health Care Center has a no-pet policy.
Spring Meadows Health Care Center is registered as a for-profit in TN.
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