Cycle 1
Health 2022-03-11 · Fire 2022-03-11
7 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Clarksville, TN
Ahava Healthcare Of Clarksville
2-star overall rating with 3-star inspections with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
111 Ussery Road, Clarksville, TN
(931) 647-0269
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
122
Certified beds
Average residents
116
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Ahava Healthcare
Operator or chain grouping
Approved since
2002-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
15 facilities
Chain averages 3 overall / 3 health / 2 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.29
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
1.14
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.11
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.55
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.44
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.00
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.16
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.28
CMS adjusted RN staffing hours
Adjusted total hours
3.33
CMS adjusted total nurse staffing hours
Case-mix index
1.46
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
54%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,722
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
10.86
Composite VBP score used to determine payment impact.
Payment multiplier
0.9809
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 20.70% · Performance 23.20% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.11% · Performance 8.28% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.35
Baseline 50.51% · Performance 45.92% · Measure score 4.35 · Achievement 4.35 · Improvement 1.29
Adjusted total nurse staffing
0
Baseline 3.26 hours · Performance 3.12 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.66% |
10.72%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 207 · Observed rate 12.08% · Lower 95% interval 9.1% |
| Discharge to community | 59.56% |
50.57%
9 pts better
|
Better than the National Rate · Eligible stays 182 · Observed rate 56.04% · Lower 95% interval 53.68% |
| Medicare spending per beneficiary | 0.82 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 128 · Denominator 128 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 128 |
| Discharge self-care score | 49.41% |
53.69%
4.3 pts worse
|
Numerator 42 · Denominator 85 |
| Discharge mobility score | 40% |
50.94%
10.9 pts worse
|
Numerator 34 · Denominator 85 |
| Pressure ulcers or injuries, new or worsened | 6.25% |
2.29%
4 pts worse
|
Numerator 8 · Denominator 128 · Adjusted rate 4.4% |
| Healthcare-associated infections requiring hospitalization | 8.28% |
7.12%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 104 · Observed rate 9.62% · Lower 95% interval 5.09% |
| Staff COVID-19 vaccination coverage | 1.54% |
8.2%
6.7 pts worse
|
Numerator 2 · Denominator 130 |
| Staff flu vaccination coverage | 18.75% |
42%
23.2 pts worse
|
Numerator 36 · Denominator 192 |
| Discharge function score | 51.76% |
56.45%
4.7 pts worse
|
Numerator 44 · Denominator 85 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 80 · Denominator 80 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 12.12% |
25.2%
13.1 pts worse
|
Numerator 8 · Denominator 66 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.6
0.4 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.0 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.6
0.6 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 87.1% |
89.9%
2.8 pts worse
|
93.4%
6.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 94.1% · Q2 78.9% · Q3 80.2% · Q4 94.1% · 4Q avg 87.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.2% |
94.5%
0.7 pts better
|
95.5%
0.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.5% |
3.6%
1.1 pts better
|
3.3%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 3.2% · Q3 2.1% · Q4 1.0% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.6% |
11.8%
3.2 pts better
|
11.4%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.1% · Q2 10.2% · Q3 4.7% · Q4 6.5% · 4Q avg 8.6% |
| Percentage of long-stay residents who lose too much weight | 0.3% |
6.2%
5.9 pts better
|
5.4%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.3% |
32.2%
5.9 pts better
|
19.6%
6.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.9% · Q2 25.6% · Q3 28.0% · Q4 21.5% · 4Q avg 26.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.5% |
18.1%
9.6 pts better
|
16.7%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 7.7% · Q3 10.4% · Q4 9.8% · 4Q avg 8.5% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 25.0% |
19.9%
5.1 pts worse
|
16.3%
8.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 28.9% · Q3 27.8% · Q4 32.6% · 4Q avg 25.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.0% |
15.3%
4.3 pts better
|
14.9%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 10.0% · Q3 9.2% · Q4 8.5% · 4Q avg 11.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
0.9%
0.3 pts better
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
1.9%
0.9 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 2.1% · Q3 1.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.4% |
20.2%
7.2 pts worse
|
19.8%
7.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 28.7% · Q3 23.1% · Q4 33.7% · 4Q avg 27.4% |
| Percentage of long-stay residents with pressure ulcers | 4.8% |
5.4%
0.6 pts better
|
5.1%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 5.9% · Q3 6.3% · Q4 3.5% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 73.9% |
79.6%
5.7 pts worse
|
81.7%
7.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 68.6% · Q2 71.1% · Q3 76.1% · Q4 79.3% · 4Q avg 73.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.8% |
11.2%
6.6 pts worse
|
12.0%
5.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 17.8% · Observed 18.0% · Expected 11.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.6%
0.4 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 1.2% · Q3 1.2% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 72.6% |
79.8%
7.2 pts worse
|
79.7%
7.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 72.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 34.8% |
22.2%
12.6 pts worse
|
23.9%
10.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 34.8% · Observed 37.1% · Expected 25.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-08-07 · Fire 2019-08-07
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2018-11-01 · Fire 2018-11-01
2 health deficiencies
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2022-03-11
E36 · Emergency Preparedness Deficiencies
Fire Safety
Establish emergency prep training and testing.
Corrected 2022-04-11
D · Potential for more than minimal harm
2022-03-11
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-04-11
D · Potential for more than minimal harm
2019-08-07
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-08-08
D · Potential for more than minimal harm
2018-11-01
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2018-11-15
D · Potential for more than minimal harm
2018-11-01
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2018-11-15
C · Minimal harm
2018-11-01
E26 · Emergency Preparedness Deficiencies
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2018-11-15
Inspection history
Recent health citations
F · Potential for more than minimal harm
2022-03-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-04-11
E · Potential for more than minimal harm
2022-03-11
F622 · Resident Rights Deficiencies
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2022-04-11
E · Potential for more than minimal harm
2022-03-11
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-04-11
D · Potential for more than minimal harm
2022-03-11
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2022-04-11
D · Potential for more than minimal harm
2022-03-11
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-04-11
D · Potential for more than minimal harm
2022-03-11
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2022-04-11
D · Potential for more than minimal harm
2022-03-11
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-04-11
E · Potential for more than minimal harm
2018-11-01
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2018-11-15
D · Potential for more than minimal harm
2018-11-01
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2018-11-15
Penalties and ownership
What sits behind the stars
Ownership
Mfi Healthcare Tn Ii LLC
5% Or Greater Direct Ownership Interest · Organization
Philipson Family Limited Liability Company, LLC
5% Or Greater Indirect Ownership Interest · Organization
Niederman, Anshel
5% Or Greater Indirect Ownership Interest · Individual
Mce Associates LLC
5% Or Greater Indirect Ownership Interest · Organization
Neuman, Benjamin
5% Or Greater Indirect Ownership Interest · Individual
Labin, Shiya
5% Or Greater Indirect Ownership Interest · Individual
Carter, Alysen
Operational/Managerial Control · Individual
Gayheart, Brandy
Operational/Managerial Control · Individual
Niederman, Anshel
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Spring Meadows Health and Rehabilitation
Clarksville, TN
2-star overall rating with 1-star inspections with $18,264 in total fines with 6 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
#2
Park Meadows Post Acute
Clarksville, TN
2-star overall rating with 2-star inspections with 11 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Signature Healthcare Of Clarksville
Clarksville, TN
2-star overall rating with 2-star inspections with $63,105 in total fines with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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