Average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Park Meadows Post Acute during CMS and state inspections, most recent first.
Failure to Follow Foley Orders and Document Catheter Use: A resident with CKD, renal dialysis, and HF had a Foley inserted for a one-time 24-hour urine collection, but the record did not show it was discontinued as ordered. Later orders and charting showed the catheter remained in place, yet the care plan and MDS did not reflect the indwelling catheter. Staff observations confirmed the Foley was still present, and the DON and MDS staff acknowledged the orders, care plan, and MDS were not correct.
Inaccurate Daily RN Staffing Postings: The facility failed to accurately complete daily staffing posting sheets to show the number of RNs on duty and total RN hours on multiple reviewed days. The posting sheets were blank for RN count and RN hours, and during observation and interview, the DSD confirmed the postings were her responsibility and had not been corrected even though an RN was working.
An LPN failed to wear a gown while administering medications to two residents on EBP. One resident received crushed meds via G-tube and the other received IV cefepime for a knee joint infection. The facility policy required gown and glove use for high-contact care, and the LPN stated she forgot to put a gown on.
Failure to Follow Foley Orders and Document Catheter Use
Penalty
Summary
The facility failed to provide care and services to maintain an indwelling urinary catheter for a resident with chronic kidney disease, renal dialysis, and heart failure. A physician order dated 2/9/2026 directed insertion of a catheter after the resident voided for a 24-hour urine collection for dialysis, with the collection to end at 5:30 AM the next day. The record contained no documentation that the catheter was discontinued at the ordered time, and a later physician order dated 3/27/2026 directed Foley output to be documented every shift, indicating the catheter remained in place after the original one-time order. The resident’s quarterly MDS assessment documented a BIMS score of 12, indicating moderate cognitive impairment, and recorded no indwelling catheter with the resident always incontinent of bowel and bladder. However, subsequent physician orders and charting notes showed the catheter was still present, including an order on 7/7/2026 to change the Foley catheter for leaking and discomfort and a note that the catheter was changed to a 16 French catheter with 30 mL water and tolerated well. The care plan dated 7/8/2026 addressed bladder incontinence and intermittent incontinence, but did not include the indwelling urinary catheter. Observations on 7/13/2026 and 7/14/2026 showed the indwelling urinary catheter hanging on the bed frame below the bladder with a privacy bag. During interviews, the DON stated he was aware the resident had an indwelling catheter but could not find orders for catheter care, and acknowledged that the resident should have been care planned and that the MDS should have reflected the catheter. MDS Coordinators also stated the care plan and MDS were not correct, and the DON later stated the initial 24-hour urine collection order appeared to require removal of the catheter after the collection ended, with no order found to continue it.
Inaccurate Daily RN Staffing Postings
Penalty
Summary
The facility failed to ensure daily staffing posting sheets were accurately completed to reflect the number of RNs on duty and the total RN hours for 33 of 36 days reviewed. Review of the Daily Staffing Posting sheets dated 6/11/2026 through 6/30/2026 and 7/3/2026 through 7/15/2026 showed that the number of RNs and total RN hours were not documented. The report specifically noted that the posting sheet dated 7/13/2026 was blank for total RNs and total RN hours when observed at the front entrance desk at 5:30 PM. During interview, the Regional Director of Quality Assurance and Monitoring stated the facility did not have a posting policy and used federal and state regulations. The Director of Staff Development stated that daily staff postings were her responsibility and that corrections should be made by her for each shift, but confirmed no corrections had been made on the 7/15/2026 posting. She also stated that an RN was currently working, yet the posting remained blank for RN count and RN hours. The Regional Director of Quality Assurance and Monitoring further confirmed that the Daily Staff Posting sheets reviewed were not accurately completed to reflect the number of RNs working and total RN hours.
Failure to Use Gown PPE During Medication Administration for Residents on EBP
Penalty
Summary
The facility failed to ensure infection control practices were followed during medication administration for residents on enhanced barrier precautions (EBP). The facility policy stated that EBP require targeted gown and glove use during high-contact resident care activities, and that PPE should be applied before care and changed before caring for another resident. The medication administration policy also required staff to follow infection control procedures, including gloves and isolation precautions, and the enteral tube medication policy listed gowns, gloves, and masks as necessary equipment and supplies. Resident #57 was admitted with diagnoses including malnutrition, spastic quadriplegic cerebral palsy, and gastro-esophageal reflux disease, and had an order for EBP every shift for enteral feeding. During observed medication administration, an LPN entered the room, washed hands, prepared crushed medications, donned gloves, and administered medications through the resident’s G-tube, but did not wear a gown. The LPN later stated, “I forgot to put a gown on.” Resident #127 was admitted with diagnoses including metabolic encephalopathy, infection and inflammatory reaction due to an internal right knee prosthesis, and local infection of the skin and subcutaneous tissue. The resident had an order for EBP related to a wound and was receiving IV cefepime for a knee joint infection. During observed IV medication administration, the LPN entered the room, washed hands, donned gloves, prepared and administered the IV medication, and removed gloves after completion, but did not wear a gown. When asked what should have been done because the resident was on EBP, the LPN again stated, “I forgot to put a gown on.”
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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) |
|---|---|---|---|---|
| Spring Meadows Health And Rehabilitation | 4 mi | ★★★★★ | 0 | 0 |
| Ahava Healthcare Of Clarksville | 4.2 mi | ★★★★★ | 7 | 0 |
| Signature Healthcare Of Clarksville | 5.9 mi | ★★★★★ | 0 | 0 |
| Brigadier General Wendell H Gilbert Tn State Veter | 8.4 mi | ★★★★★ | 5 | 0 |
| Christian Heights Nursing And Rehabilitation Cente | 14.9 mi | ★★★★★ | 7 | 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 October 2026) and official state health department websites.