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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Signature Healthcare of Clarksville redefines the standard of a premium nursing home and rehabilitation center. The nursing home activities focus on conducting results-driven programs with cutting-edge technologies that specifically cater to the varying needs of the residents. Signature HealthCARE boasts a talented team of caregivers who help promote the warm and welcoming atmosphere it holds today.
Seniors can feel confident and comfortable and know they belong in a home that offers 24-hour nursing care with inpatient and outpatient care in a resort-like community with the utmost hospitality. They also provide patient intake, discharged residents, and inpatient care navigation support– all essentially placing the residents in the focus of the nursing services.
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 83rd out of 172 homes in Tennessee. 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.
| 41m per day | ▲ 11% 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.
| 1h 16m per day | ▲ 15% 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.
| 2h 7m per day | ■ Avg 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 1m per day | ▼ 10% 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.
| 4m per day | ▼ 20% 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.
| 19m per day | ▼ 24% State avg: 25m per day · National avg: 29m per day |
Lower than the Tennessee average: 71.6%Signature HealthCARE of Clarksville is legally operated by LP Clarksville, LLC, and administrated by Landrea Batson.
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.
| 14 | 4 | This facility has 250% more total citations than a typical Tennessee nursing home (14 vs. TN avg 4).↑ 250% worse |
|
Citations per year
Average citations per year since 2018.
| 1.8 | 0.5 | This facility has 260% more citations per year than a typical Tennessee nursing home (1.8 vs. TN avg 0.5).↑ 260% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on May 28, 2025, identified deficiencies including failure to provide dignified care, notify families about trust fund balances, report suspected abuse, ensure adequate supervision to prevent falls, follow physician orders for oxygen therapy, and maintain infection control during medication administration, with immediate jeopardy cited for fall prevention. Earlier inspections showed a pattern of care planning and medication administration issues, including inaccurate care plans and medication errors, but no enforcement actions or fines were listed in the available reports. Complaint investigations were substantiated in multiple instances, particularly regarding medication errors and failure to report abuse, while some prior inspections found no deficiencies. The main themes across reports involved resident care, supervision, medication management, and documentation. The inspection history indicates ongoing challenges with care and safety protocols, with no clear improvement trend evident.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsTennessee average 3.5
Last Health inspection on May 2025
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.
7 of 12 citations resulted from standard inspections; and 5 of 12 resulted from complaint investigations.
9% better 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.
0% compared with Tennessee average
0% compared with Tennessee average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
700 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 68 | 0 | 68 | 16,406 | 92 | 100% | 9.1 |
| Licensed Practical Nurse | 32 | 0 | 32 | 8,003 | 92 | 100% | 9.5 |
| Registered Nurse | 17 | 4 | 21 | 3,144 | 92 | 100% | 9 |
| Clinical Nurse Specialist | 7 | 0 | 7 | 1,957 | 65 | 71% | 8 |
| RN Director of Nursing | 3 | 0 | 3 | 1,501 | 68 | 74% | 8.4 |
| Mental Health Service Worker | 4 | 0 | 4 | 1,163 | 70 | 76% | 8.4 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,110 | 89 | 97% | 7.8 |
| Physical Therapy Aide | 3 | 0 | 3 | 1,066 | 73 | 79% | 8 |
| Speech Language Pathologist | 4 | 0 | 4 | 957 | 71 | 77% | 7.4 |
| Qualified Social Worker | 3 | 0 | 3 | 825 | 68 | 74% | 6.6 |
| Physical Therapy Assistant | 3 | 0 | 3 | 561 | 72 | 78% | 6.8 |
| Dietitian | 1 | 0 | 1 | 533 | 66 | 72% | 8.1 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Respiratory Therapy Technician | 7 | 2 | 9 | 459 | 57 | 62% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 66 | 14 | 15% | 4.7 |
| Medical Director | 0 | 1 | 1 | 36 | 39 | 42% | 0.9 |
Includes penalties issued in 2025
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)
27% 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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
May 28, 2025 · $63K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 28, 2025Last updated: Jan 2026
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.
9.1
13% better than Tennessee averageTennessee average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.8
29% better 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
10.4%
35% better than Tennessee averageTennessee average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
12.9%
41% better than Tennessee averageTennessee average: 21.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.2%
12% better than Tennessee averageTennessee average: 20.7%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Tennessee averageTennessee average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
15.2%
179% worse than Tennessee averageTennessee average: 5.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Tennessee averageTennessee average: 2.1%
Percent of long-stay residents who lose too much weight
7.1%
13% worse than Tennessee averageTennessee average: 6.3%
Percent of long-stay residents who have depressive symptoms
4.7%
57% better than Tennessee averageTennessee average: 11.0%
Percent of long-stay residents who received an antipsychotic medication
13.7%
17% better than Tennessee averageTennessee average: 16.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
76.3%
15% worse than Tennessee averageTennessee average: 89.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
91.5%
In line with Tennessee averageTennessee average: 94.5%
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
73.7%
8% worse than Tennessee averageTennessee average: 79.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
49% better than Tennessee averageTennessee average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
72.6%
9% worse than Tennessee averageTennessee average: 79.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.8%
16% worse than Tennessee averageTennessee average: 22.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.4%
In line with Tennessee averageTennessee average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
23% better than Tennessee averageTennessee average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
48.7%
9% worse than Tennessee averageTennessee average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
56.1%
11% better 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.
37% of new residents, usually for short-term rehab.
59% of new residents, often for short stays.
5% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
91Residents 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 Signature HealthCARE of Clarksville based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #89 / 176Payroll — State benchmarkedThis home is ranked 89th out of 176 homes in Tennessee. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
7.0 miles from city center
Estimated distance in miles from Clarksville's city center to Signature HealthCARE of Clarksville's address, calculated via Google Maps.
— 1.48 miles to nearest hospital (CovenantCare Practices-Sango)
Add your location
Signature HealthCARE of Clarksville is located in Clarksville, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
| Tennessee State Veterans‘ Home – Clarksville |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Clarksville (Arrowood Drive) | 108 | 96.7% | +32% | - | -26% | - | $0 | 7 | 2.3 | 2 | 102 | - | 0 | Tennessee State Veterans' Homes Board | $15.9M | $10.4M | 65.2% | 445524 | ||||
| Signature HealthCARE of Clarksville |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Clarksville | 46 | 43.5% | -40% | 3.44 | +44% | -5% | $97.1k | 12 | 4.0 | 1 | 88 | - | 17 | LP Re I Holdings LLC | $15.9M | $5.7M | 35.8% | 445448 | ||||
| AHC Clarksville |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Clarksville | 113 | 91.7% | +26% | 3.06 | -15% | -16% | $0 | 21 | 7.0 | - | 99 | - | 21 | Juanita Dufour | $17.2M | $5.5M | 31.9% | 445455 | ||||
| Spring Meadows Health Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Clarksville | 32 | 92.6% | +27% | 3.22 | +34% | -11% | $18.3k | 23 | 4.6 | 6 | 111 | A+ | 22 | Spring Meadows Retirement Village | $13.5M | $6.8M | 50.4% | 445402 |
The legal owner and operator of Signature HealthCARE of Clarksville is LP Clarksville, LLC.
Signature HealthCARE of Clarksville has a walk score of 17. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to TN state health department records, Signature HealthCARE of Clarksville's license number is 00000191.
According to TN state health department records, Signature HealthCARE of Clarksville's license expires on May 28, 2026.
Signature HealthCARE of Clarksville's occupancy is 44%.
Landrea Batson is the administrator of Signature HealthCARE of Clarksville.
Signature HealthCARE of Clarksville has 46 beds.
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