Above average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Clark Rehabilitation And Skilled Nursing Center during CMS and state inspections, most recent first.
Surveyors found that the facility failed to accurately document medication administration on MARs for multiple residents with conditions such as DVT, neuropathy, hyperlipidemia, chronic pain, MI, HTN, depression, insomnia, and enlarged prostate. Review of January MARs showed numerous missing entries for scheduled doses of Eliquis, Atorvastatin, Gabapentin, Pregabalin, Methocarbamol, Melatonin, Metoprolol, Mirtazapine, Tamsulosin, and Aripiprazole at various times, particularly evening and bedtime doses. An LPN reported that administered medications should be signed off on the MAR, and the facility’s policy required documentation of medication administration when medications are given, but this documentation was absent on the identified dates.
Three residents with chronic pain and intact cognition did not receive their prescribed narcotic pain medications as documented by an LPN. Video evidence showed the LPN did not enter the residents' rooms at the times medication administration was recorded, and residents confirmed they had not received the medications. This resulted in the misappropriation of controlled substances.
A resident with chronic pain requested pain medication, and an LPN provided the medication to a CNA, who then delivered it to the resident, contrary to the CNA's scope of practice. Staff interviews and facility policy confirmed that CNAs are not permitted to administer medications.
The facility did not ensure that MARs accurately reflected the administration of controlled substances for four residents, resulting in multiple instances where medications such as Oxycodone, Percocet, Lorazepam, and Morphine were documented as given in controlled substance records but not recorded in the MARs, contrary to facility policy.
The facility failed to ensure proper medication administration for two residents: one received an extra dose of a narcotic pain medication without a physician's order, and another did not receive scheduled morning medications on dialysis days, with no documentation of administration upon return. These actions resulted in medication errors and non-compliance with physician orders and facility policy.
The facility failed to provide consistent showers for two residents who required assistance with ADLs. One resident, with severe cognitive impairment and multiple diagnoses, had significant gaps in shower provision over three months. Another resident, also severely cognitively impaired, was observed in poor hygiene and had no documented showers for two months. Staff interviews indicated issues with managing refusals and scheduling conflicts.
A facility failed to ensure a splint device was provided to a resident with hemiplegia, resulting in a decline in range of motion. Despite a care plan and physician's order, the splint was not applied for at least six months, and staff were unaware of the need for its application. The resident's left hand became contracted due to this oversight.
Failure to Accurately Document Medication Administration on MARs
Penalty
Summary
The deficiency involves the facility’s failure to ensure that medication administration records (MARs) accurately reflected medications administered for four residents. For Resident B, who had diagnoses including a history of deep vein thrombosis and neuropathy, review of the January 2026 MAR showed missing documentation for ordered Eliquis 5 mg doses scheduled in the evening on multiple dates, as well as missing documentation for Gabapentin 600 mg at 10:00 p.m. on the same dates. An LPN stated that when a medication is administered, it should be signed off on the MAR by the nurse. For Resident C, with diagnoses including hyperlipidemia and chronic pain syndrome, the January 2026 MAR lacked documentation of Atorvastatin 40 mg at bedtime and evening doses of Pregabalin 50 mg on several dates. Resident D, diagnosed with insomnia, depression, hyperlipidemia, nerve pain, chronic pain, and muscle spasms, had missing MAR documentation for Aripiprazole, Atorvastatin, Gabapentin, Methocarbamol, and Pregabalin at various scheduled times and dates. Resident E, with diagnoses including hyperlipidemia, myocardial infarction, insomnia, hypertension, depression, and enlarged prostate, had missing documentation on the January 2026 MAR for Atorvastatin, Eliquis, Melatonin, Metoprolol tartrate, Mirtazapine, and Tamsulosin on multiple evenings. The facility’s policy on medication administration required that medication administration be documented when medications are given on appropriate forms, but the MARs did not contain this documentation for the identified dates and times.
Failure to Prevent Misappropriation of Controlled Medications
Penalty
Summary
The facility failed to prevent the misappropriation of residents' property, specifically controlled narcotic medications, for three residents with intact cognition and chronic pain conditions. For one resident with fibromyalgia and depression, records indicated that a dose of narcotic pain medication was documented as administered by an LPN, but the resident reported not receiving it, and video footage confirmed the LPN did not enter the room at the documented time. The resident confirmed the last dose received was the previous night, and the nurse had not provided the pain medication as recorded. Another resident with rheumatoid arthritis had narcotic pain medication documented as administered by the same LPN on two occasions. However, video footage showed the LPN did not enter the resident's room during the relevant timeframes, and the resident's written statement confirmed no pain medication was requested or received during those shifts. The medication administration record also lacked documentation for one of the doses. A third resident with Parkinson's disease and chronic pain had multiple doses of narcotic pain medication signed out as administered by the LPN. Video review revealed that, except for one instance where the LPN entered the room with a medication cup, the LPN did not enter the resident's room at the times the medication was documented as given. These findings demonstrate that the facility did not ensure residents' medications were administered as ordered and documented, resulting in the misappropriation of controlled substances.
CNA Administered Medication Outside Scope of Practice
Penalty
Summary
A deficiency occurred when a certified nursing assistant (CNA) was given a resident's pain medication by a licensed practical nurse (LPN) and subsequently delivered the medication and water to the resident. The incident involved a resident with diagnoses including fibromyalgia, depression, and chronic pain syndrome. Video footage and staff interviews confirmed that the LPN handed the medication cup and water to the CNA, who then entered the resident's room and returned empty-handed. The CNA's written statement indicated that the resident had requested pain medication, and the LPN asked the CNA to deliver it, which the CNA did. Interviews with other staff members confirmed that administering medication is not within the CNA's scope of practice, and facility policy documents outlined that CNAs are responsible for providing direct care such as bathing, dressing, toileting, and mobility, but not medication administration. The event was identified through record review, video evidence, and staff interviews, establishing that the facility failed to ensure staff followed professional standards and scope of practice for CNAs.
Failure to Accurately Document Controlled Substance Administration in MARs
Penalty
Summary
The facility failed to ensure that medication administration records (MARs) accurately reflected the administration of controlled substances for four residents. For each resident, there were discrepancies between the controlled substance administration records and the MARs, with the MARs lacking documentation of administered medications on multiple dates and times. This included medications such as Oxycodone, Percocet, Lorazepam, and Morphine, which were documented as given in the controlled substance records but not recorded in the MARs as required by facility policy. Resident B, who had diagnoses including diabetes, chronic pain, and a gastrointestinal stromal tumor, was prescribed Oxycodone at specific intervals. The controlled substance record showed administration on several dates, but the MAR did not reflect these administrations. Similarly, Resident C, with a history of fractures, gout, and depression, was prescribed Percocet as needed for pain, and the controlled substance record indicated multiple administrations that were not documented in the MAR. Resident D, diagnosed with depression and chronic pain, also had Oxycodone administrations recorded in the controlled substance log but not in the MAR. Resident E, with conditions such as diaphragmatic hernia and low back pain, was prescribed Lorazepam for agitation and Morphine for pain. The controlled substance records indicated these medications were administered on several occasions, but the MARs lacked corresponding documentation. During an interview, a registered nurse confirmed that the MAR should be initialed by the nurse administering the medication, in accordance with facility policy. The facility's policy on controlled substances requires that all administrations be recorded in the MAR to prevent diversion and improper use.
Medication Administration Errors and Lack of Physician Orders
Penalty
Summary
The facility failed to ensure proper pharmaceutical services for two residents, resulting in medication administration errors. For one resident with diagnoses including diabetes, chronic pain, and a gastrointestinal stromal tumor, a nurse administered two doses of Oxycodone 15 mg at the same scheduled time without a physician's order for the additional dose. The nurse realized the error only after the resident was about to take the second dose, and the clinical record did not contain documentation of a physician's order for the extra medication given. Facility policy requires that medications be administered only with a valid physician's order and that the correct dose be verified each time. For another resident dependent on renal dialysis with multiple chronic conditions, including end stage renal disease and HIV, the facility failed to administer scheduled morning medications on dialysis days. The resident's medication administration record showed that several medications were not given on multiple mornings when the resident was away for dialysis, and there was no documentation that these medications were administered upon the resident's return. Interviews confirmed that the resident did not receive most of his morning medications after returning from dialysis, except for one medication taken before meals.
Inconsistent Shower Provision for Residents
Penalty
Summary
The facility failed to ensure showers were provided consistently for two residents who required assistance with activities of daily living (ADLs). Resident 19, diagnosed with conditions including sepsis, muscle weakness, and vascular dementia, was severely cognitively impaired and dependent on staff for oral hygiene and bathing. Despite the care plan indicating the resident should receive showers twice a week, records showed significant gaps in shower provision, with no showers documented for January, only two in February, and one in March. An LPN confirmed that the resident should have received showers twice a week unless they were out of the facility or refused, which was not documented as the case. Resident 67, also severely cognitively impaired and dependent on staff for oral hygiene and bathing, was observed in a soiled brief with poor hygiene and a strong urine odor. The resident's care plan similarly required showers twice a week, but records indicated no showers were provided in February and March. Interviews with CNAs revealed that while they generally completed resident showers, there were instances of refusals and scheduling conflicts that were not adequately managed. The facility did not present a policy for Activities of Daily Living, contributing to the inconsistency in care.
Failure to Apply Splint Device for Resident with Hemiplegia
Penalty
Summary
The facility failed to ensure a splint device was provided to prevent a decrease in range of motion for a resident diagnosed with hemiplegia and hemiparesis following a nontraumatic intracerebral hemorrhage. The resident's care plan indicated the need for a left upper extremity hand splint and elbow splint, with specific instructions for their application. However, observations revealed that the resident was not wearing the splint, and interviews confirmed that it had not been applied for at least six months. The resident was unable to apply the splint independently and required staff assistance, which was not consistently provided. Interviews with staff, including an occupational therapist, CNA, and LPN, indicated a lack of awareness and inconsistent application of the splint. The resident had been discharged from occupational therapy, and the responsibility for splint application had shifted to nursing staff. Despite a physician's order for the hand splint to be worn for 2 to 4 hours daily, the splint was not regularly applied, and there was no facility policy for applying splints or braces. This failure resulted in the resident's left hand becoming contracted, indicating a decline in range of motion due to inadequate care.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Clarksville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Westminster Village Kentuckiana | 1.1 mi | ★★★★★ | 16 | 0 |
| Wedgewood Healthcare Center | 1.2 mi | ★★★★★ | 12 | 0 |
| Riverview Village | 1.3 mi | ★★★★★ | 1 | 0 |
| Hillcrest Village | 2.6 mi | ★★★★★ | 11 | 0 |
| Rolling Hills Healthcare Center | 2.8 mi | ★★★★★ | 4 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.