Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Spring Meadows Health And Rehabilitation during CMS and state inspections, most recent first.
A resident with an ESBL infection was not placed in contact isolation as required by physician orders. Instead, the resident was under enhanced barrier precautions with incorrect signage, and was observed outside their room, indicating non-compliance with isolation protocols. Interviews with staff confirmed the oversight and the absence of necessary biohazard waste disposal measures.
A resident's bathroom in an LTC facility had missing linoleum flooring for three years, posing a fall risk. Despite the facility's Preventive Maintenance policy, the Maintenance Director was aware of the issue for over a year but did not repair it. Staff confirmed the problem, and the Administrator acknowledged that repairs should not take a year, highlighting a failure in maintenance processes.
The facility failed to complete and transmit MDS assessments within the required time frames for several residents with conditions such as diabetes, coronary artery disease, and dementia. The MDS Coordinator confirmed the delays, and the DON was identified as responsible for ensuring timely completion, with the Administrator ultimately accountable.
The facility failed to document care plan meetings for two cognitively intact residents, despite their ability to participate in their care planning. Both residents, with various medical conditions, did not have documented interdisciplinary team (IDT) care plan meetings on multiple occasions. The MDS Coordinator and DON confirmed the absence of documentation, acknowledging that these meetings should have been conducted and recorded.
A facility failed to follow practitioner orders for a PEG tube feeding for a resident with severe cognitive impairment. Observations revealed undated feeding bags and improper medication administration techniques, such as not flushing the PEG tube between medications and failing to check tube placement and residuals. The DON confirmed these actions were against protocol.
The facility did not provide the mandatory annual 12 hours of in-service training for 12 CNAs, as required by state and federal regulations. The policy requires training based on employment anniversary dates, but documentation for the past year was missing for these CNAs. This was confirmed by the HR Director and Administrator.
Failure to Implement Proper Infection Control Practices
Penalty
Summary
The facility failed to ensure proper infection control practices for a resident who was supposed to be under contact isolation due to an ESBL infection in the urine. The facility's policy required specific signage and precautions for residents under contact isolation, including the use of personal protective equipment (PPE) and the presence of biohazard barrels for waste disposal. However, observations revealed that the resident was not in contact isolation as required. Instead, the resident was in enhanced barrier precautions, which is not the same as contact isolation, and there was incorrect signage outside the resident's room. The resident, who was cognitively intact and dependent on staff for activities of daily living, was observed outside of their room in the dining area, indicating a lack of adherence to contact isolation protocols. Interviews with the LPN and the DON confirmed that the resident was not in contact isolation as per the physician's orders and that the signage was incorrect. Additionally, the DON confirmed that disposable briefs should be disposed of in biohazardous waste containers within the resident's room, which was not being done, further indicating a lapse in following the required infection control measures.
Failure to Maintain Safe Environment Due to Bathroom Flooring Disrepair
Penalty
Summary
The facility failed to maintain a safe and comfortable environment for its residents, as evidenced by the disrepair of the bathroom flooring in one of the resident's rooms. The facility's Preventive Maintenance policy, dated March 1, 2023, mandates the development and implementation of a program to ensure a safe and functional environment. However, observations and interviews revealed that the bathroom floor in a resident's room had missing pieces of linoleum around the toilet, a condition that had persisted for three years. The resident confirmed the long-standing issue, and staff members, including a CNA and an LPN, acknowledged the problem, with the LPN identifying it as a fall risk. The Maintenance Director admitted awareness of the issue for over a year but had not taken action to repair it, citing uncertainty about the appropriate flooring material. The Administrator outlined the process for reporting repairs, which involves entering a ticket into a computerized system, and stated that most repairs should be addressed immediately. However, the Administrator acknowledged that the repair should not have taken a year to complete, indicating a failure in the facility's maintenance processes.
Failure to Complete Timely MDS Assessments
Penalty
Summary
The facility failed to complete resident assessments using the Centers for Medicare & Medicaid Services-specific Resident Assessment Instrument (RAI) process within the regulatory time frames for seven of the 28 sampled residents. The Minimum Data Set (MDS) assessments for these residents were not completed and transmitted to the State within the required seven-day period following the assessment. This deficiency was identified through a review of the MDS 3.0 RAI Manual, medical records, and interviews with facility staff. The residents affected by this deficiency had various medical conditions, including diabetes, coronary artery disease, hypertension, depression, dementia, and other significant health issues. The MDS Coordinator confirmed that the assessments were completed and transmitted late, and the Director of Nursing (DON) was identified as responsible for ensuring timely completion of these assessments. The Administrator also confirmed that the MDS Coordinators are responsible for completing all resident assessments in a timely manner, with the Administrator ultimately responsible for ensuring compliance.
Failure to Document Care Plan Meetings for Cognitively Intact Residents
Penalty
Summary
The facility failed to ensure that care plan meetings were scheduled and documented for two residents, both of whom were cognitively intact and capable of participating in their care planning. Resident #8, diagnosed with Dementia, Depression, Diabetes, Anxiety, and Bipolar Disorder, did not attend any care plan meetings despite being cognitively intact, as confirmed by the Minimum Data Set (MDS) Coordinator. The MDS Coordinator acknowledged that Resident #8 should have had interdisciplinary team (IDT) care plan meetings on three specific dates, but there was no documentation to confirm these meetings took place. Similarly, Resident #23, with diagnoses including Cerebral Infarction, Hemiplegia, Diabetes, Fibromyalgia, and Degenerative Bone Disease, also did not have documented care plan meetings. The MDS Coordinator confirmed that Resident #23 should have had IDT care plan meetings on two specific dates, but there was no documentation in the medical record. The Director of Nursing (DON) stated that care plan meetings should be conducted quarterly and involve various staff members, but confirmed that there was no documentation of these meetings for the residents in question.
Failure to Follow PEG Tube Feeding Protocols
Penalty
Summary
The facility failed to adhere to practitioner orders for a Percutaneous Gastrostomy (PEG) tube feeding for Resident #63, who was admitted with conditions including Hemiplegia, Hemiparesis, Depression, Anxiety, and required a PEG tube for nutrition. The medical record review and observations revealed that the enteral feeding bag was not dated or timed, which is a critical step in ensuring proper feeding management. Additionally, during medication administration, the nursing staff did not follow the prescribed protocol for flushing the PEG tube with water before and after medication administration, nor did they check the tube placement and residuals as required. Observations showed that the nursing staff used improper techniques during medication administration, such as not flushing the PEG tube between medications and failing to clean and store the syringe properly. The Director of Nursing confirmed that these actions were against the facility's protocol, which mandates dating and timing the feeding bags and following specific procedures for medication administration via PEG tube. These lapses in protocol could potentially compromise the resident's care and safety.
Deficiency in CNA In-Service Training Compliance
Penalty
Summary
The facility failed to ensure that 12 of its Certified Nursing Assistants (CNAs) received the mandatory annual 12 hours of in-service training as required by state and federal regulations. The facility's policy, dated March 1, 2023, mandates that CNAs receive this training annually based on their employment anniversary date. However, upon review, it was found that CNAs A, B, C, D, E, F, G, H, I, J, K, and L did not have documentation of the required training for the past 12 months. This was confirmed during interviews with the Human Resources Director and the Administrator, who acknowledged the lack of compliance with the training requirements.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 53 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Clarksville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ahava Healthcare Of Clarksville | 2.3 mi | ★★★★★ | 7 | 0 |
| Signature Healthcare Of Clarksville | 2.5 mi | ★★★★★ | 0 | 0 |
| Park Meadows Post Acute | 4 mi | ★★★★★ | 0 | 0 |
| Brigadier General Wendell H Gilbert Tn State Veter | 9.7 mi | ★★★★★ | 1 | 0 |
| Christian Heights Nursing And Rehabilitation Cente | 18.9 mi | ★★★★★ | 7 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Spring Meadows Health And Rehabilitation.
100% money-back within 48 hours.
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.