Clarksville · 2.5 mi
Spring Meadows Health and Rehabilitation
2 of 5 · Medicare
View facility →Signature Healthcare of Clarksville
⌖ Clarksville, TN · Montgomery County
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Medicare overall rating 2 of 5 stars
Certified beds120
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (limited liability company)
About Signature Healthcare of Clarksville
Signature Healthcare of Clarksville is a 120-bed for-profit nursing home in Clarksville, TN. Medicare rates it 2 out of 5 stars overall (below average); the average in Tennessee is 3.0.
- Inspections: 6 problems at its last full inspection (May 2025), more than the Tennessee average of 4.4. 1 recent citation was for residents being harmed or put in immediate danger.
- Staffing: nurses and aides spend about 3 hr 53 min a day with each resident, about the same as the Tennessee average of 3 hr 48 min. About 76% of nursing staff left in the past year.
- Fines: $63,105 in federal fines in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
Key details
Facility nameSignature Healthcare Of Clarksville
LocationMontgomery County, Tennessee
Phone(931) 358-2900
Address198 Old Farmer Road, Clarksville, TN 37043 · Montgomery County
Medicare provider number445448
Ownership typeFor-profit (limited liability company)
Operating companySignature Healthcare · 67 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceApril 1, 2002 (24 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
1 strength and 4 things to ask about in Medicare's inspection, fine and staffing records for this home. 3 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Registered nurse time per resident50 min a dayTennessee average: 36 minStrength
About average
- Nurse staffing per resident3 hr 53 min a dayTennessee average: 3 hr 48 minAbout average
Things to ask about
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- Serious health citations1 for immediate jeopardyCitations where inspectors found residents were harmed or put in immediate danger, most recently in May 2025 (about 1 year ago). All 1 were later corrected.Ask about this
- Fines and penalties1 fine totaling $63,105Federal penalties from the last three years, most recently in May 2025 (about 1 year ago). The national average is $30,972 per home.Ask about this
- Health citations at last inspection6 (May 2025)Tennessee average: 4.4.Worse than state average
- Nursing staff turnover76% a yearTennessee average: 49%Worse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Tennessee average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital28.1%State average: 22.6%Worse than average
- Needed an emergency room visit16.4%State average: 11.2%Worse than average
- Newly given antipsychotic drugs0.7%State average: 1.7%Better than average
Physical therapist time: about 3 minutes a day per resident, averaged across all residents, including long-term residents who get little or no therapy. That is less than the state average of 5 minutes. It is not one person’s therapy schedule; if rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury0.8%State average: 3.4%Better than average
- Pressure sores (bedsores)9.9%State average: 5.0%Worse than average
- Given antipsychotic drugs9.7%State average: 16.8%Better than average
Source: Medicare (CMS) quality measures, compared with the Tennessee average. Lower is better for every rate shown.
Who pays, and how full it is
Residents’ care here is paid by a mix of Medicaid, Medicare and private pay. In Tennessee, Medicaid pays for 63% of resident days at a typical home.
- 44% Medicaid
- 17% Medicare
- 39% Private pay, insurance and other
Beds in use, on average69%Tennessee typical: 73%
Facility operating cost per resident day$401Tennessee typical: $352
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 2 stars now, down from 4 stars in January 2019. It has ranged from 1 to 5 stars and changed 19 times.
Overall rating2★
Health inspections2★
Staffing2★
Quality of care3★
Nurse hours per resident per day3.9
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 4 | 3 | 3 | 5 | 3.6 |
| Jan 2020 | 4 | 4 | 2 | 3 | 3.3 |
| Jan 2021 | 5 | 4 | 2 | 5 | 3.6 |
| Jan 2022 | 4 | 3 | 2 | 5 | 3.5 |
| Jan 2023 | 3 | 3 | 2 | 4 | 3.6 |
| Jan 2024 | 2 | 3 | 1 | 4 | 3.9 |
| Feb 2025 | 4 | 3 | 2 | 5 | 4.0 |
| Feb 2026 | 2 | 2 | 2 | 4 | 4.1 |
| Sep 2026 | 2 | 2 | 2 | 3 | 3.9 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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View facility →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.