Contact Information

SIGNATURE HEALTHCARE OF CLARKSVILLE
LP CLARKSVILLE LLC
198 OLD FARMER ROAD
CLARKSVILLE, TN 37043
(931) 358-2900
For profit - Corporation
Medicare certification date2: April 01, 2002
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

  79 residents

  120 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident Council only

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints None
Facility reported incidents None
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 79 residents Tennessee Average National Average
Hours by Registered Nurse (RN) per resident per day 26 minutes 35 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 1 hour, 13 minutes 1 hour, 7 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 1 hour, 59 minutes 2 hours, 8 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 9 minutes 7 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Ownership

5% OR GREATER DIRECT OWNERSHIP INTEREST

  • LP RE I HOLDINGS LLC

5% OR GREATER INDIRECT OWNERSHIP INTEREST

  • JJLA LLC
  • LAS PALMAS SNF LLC
  • LPSNF LLC
  • SHC LP HOLDINGS II LLC
  • SIGNATURE HEALTHCARE LLC
  • WHEATEN LLC
  • SMEDRA, IRA
  • STEIER, E
  • WINTNER, JACOB

OFFICER

  • ADAMS, SANDRA
  • HARRISON, JOHN

OPERATIONAL/MANAGERIAL CONTROL

  • SIGNATURE HEALTHCARE CLINICAL CONSULTING SERVICES LLC
  • SIGNATURE HEALTHCARE CONSULTING SERVICES LLC
  • ASCHENBECK, JAMES
  • ASHBY, RANDY

Nursing Home Report

In 2016, SIGNATURE HEALTHCARE OF CLARKSVILLE charged a total of $3,103,074 for 145 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 78.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 22% Alzheimer's 59%
Asthma 43% Cancer 18%
Congestive Heart Failure 41% Kidney Disease 63%
COPD 43% Depression 43%
Diabetes 43% Hyperlipidemia 71%
Hypertension n/a Ischemic Heart Disease 59%
Osteoporosis 9% RA / OA 59%
Schizophrenia 14% Stroke 17%
Demographics
Medicare Beneficiaries 145 Average Age 78
Male 54 Female 91
White 121
Black 20
Asian n/a
Hispanic n/a
American Indian 0
Other n/a

Health & Fire Inspection

Most recent health inspection: Oct 09, 2018; fire safety inspection: Oct 08, 2018

Health Deficiencies as of 10/09/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care None
Resident Assessment and Care Planning None
Nursing and Physician Services None
Resident Rights None
Nutrition and Dietary Deficiencies None
Pharmacy Service None
Environmental Deficiencies None
Administration Deficiencies None
Fire Deficiencies as of 10/08/2018
Emergency Preparedness 3
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies None
Corridor Walls and Doors None
Egress Deficiencies 1
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies None
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems 1
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations None

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See also