5 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Clarksville, IN
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
517 N Little League Blvd, Clarksville, IN
(812) 282-8406
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
83
Certified beds
Average residents
70
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
American Senior Communities
Operator or chain grouping
Approved since
2002-06-13
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
91 facilities
Chain averages 4 overall / 3 health / 2 staffing / 5 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
RN hours / resident day
0.48
Registered nurse staffing · state 0.66 · national 0.68
LPN hours / resident day
0.89
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
2.31
Nurse aide staffing · state 2.27 · national 2.35
Total nurse hours
3.68
All reported nurse hours · state 3.71 · national 3.89
Licensed hours
1.37
RN + LPN hours · state 1.44 · national 1.54
Weekend hours
3.13
Weekend nurse staffing · state 3.24 · national 3.43
Weekend RN hours
0.38
Weekend registered nurse coverage · state 0.45 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.44
CMS adjusted RN staffing hours
Adjusted total hours
3.41
CMS adjusted total nurse staffing hours
Case-mix index
1.48
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
38%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
10,879
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
18.79
Composite VBP score used to determine payment impact.
Payment multiplier
0.9820
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.31
Baseline 20.23% · Performance 20.82% · Measure score 1.31 · Achievement 1.31 · Improvement 0
Healthcare-associated infections
0
Baseline 7.11% · Performance 7.76% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.90
Baseline 57.33% · Performance 43.66% · Measure score 4.90 · Achievement 4.90 · Improvement 3.71
Adjusted total nurse staffing
1.31
Baseline 2.89 hours · Performance 3.41 hours · Measure score 1.31 · Achievement 1.16 · Improvement 1.31
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.96% |
10.72%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 46 · Observed rate 19.57% · Lower 95% interval 8.19% |
| Discharge to community | 50.24% |
50.57%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 37 · Observed rate 43.24% · Lower 95% interval 37.95% |
| Medicare spending per beneficiary | 1.3 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 51 · Denominator 51 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 51 |
| Discharge self-care score | 30.3% |
53.69%
23.4 pts worse
|
Numerator 10 · Denominator 33 |
| Discharge mobility score | 30.3% |
50.94%
20.6 pts worse
|
Numerator 10 · Denominator 33 |
| Pressure ulcers or injuries, new or worsened | 7.84% |
2.29%
5.5 pts worse
|
Numerator 4 · Denominator 51 · Adjusted rate 8.11% |
| Healthcare-associated infections requiring hospitalization | 7.76% |
7.12%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 34 · Observed rate 11.76% · Lower 95% interval 4.97% |
| Staff COVID-19 vaccination coverage | 14.6% |
8.2%
6.4 pts better
|
Numerator 20 · Denominator 137 |
| Staff flu vaccination coverage | 59.38% |
42%
17.4 pts better
|
Numerator 133 · Denominator 224 |
| Discharge function score | 36.36% |
56.45%
20.1 pts worse
|
Numerator 12 · Denominator 33 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 27.27% |
25.2%
2.1 pts better
|
Numerator 6 · Denominator 22 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
1.6
0.8 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.8 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.5
0.3 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.3 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.4% |
93.6%
1.2 pts worse
|
93.4%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 83.9% · Q2 93.3% · Q3 94.8% · Q4 98.3% · 4Q avg 92.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 87.1% |
95.4%
8.3 pts worse
|
95.5%
8.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 87.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.8% |
3.8%
About the same
|
3.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 5.0% · Q3 3.4% · Q4 1.7% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 18.4% |
24.6%
6.2 pts better
|
11.4%
7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 23.6% · Q3 11.5% · Q4 18.0% · 4Q avg 18.4% |
| Percentage of long-stay residents who lose too much weight | 2.0% |
5.6%
3.6 pts better
|
5.4%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 4.4% · Q3 2.0% · Q4 0.0% · 4Q avg 2.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.8% |
23.5%
0.3 pts worse
|
19.6%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.6% · Q2 22.0% · Q3 20.0% · Q4 23.1% · 4Q avg 23.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.3% |
14.8%
4.5 pts better
|
16.7%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 10.0% · Q3 11.9% · Q4 7.3% · 4Q avg 10.3% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
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 | 7.7% |
13.3%
5.6 pts better
|
16.3%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 5.3% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.5% |
11.7%
6.2 pts better
|
14.9%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 6.1% · Q3 0.0% · Q4 6.0% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.4%
0.1 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.3% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
1.2%
0.1 pts worse
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.2% |
24.2%
11 pts better
|
19.8%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 15.5% · Q3 6.9% · Q4 12.9% · 4Q avg 13.2% |
| Percentage of long-stay residents with pressure ulcers | 8.7% |
4.1%
4.6 pts worse
|
5.1%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 12.5% · Q3 7.7% · Q4 7.7% · 4Q avg 8.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.5% |
81.6%
3.9 pts better
|
81.7%
3.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 78.1% · Q2 82.7% · Q3 88.9% · Q4 89.5% · 4Q avg 85.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.3% |
10.5%
3.8 pts worse
|
12.0%
2.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.3% · Observed 14.7% · Expected 11.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.3%
0.7 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 79.3% |
79.0%
0.3 pts better
|
79.7%
0.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 79.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.0% |
22.4%
1.6 pts worse
|
23.9%
0.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.0% · Observed 23.5% · Expected 23.4% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Quality of Life and Care (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-06-20
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-05-30
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2024-05-30
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-05-30
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-05-30
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-04-10
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-04-10
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-04-10
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-04-10
Inspection history
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Not marked corrected
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-10-14
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-10-14
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-08-01
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-08-01
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-01
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-05-01
Health
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected 2023-12-31
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-04-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-10
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-04-10
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-04-10
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-04-10
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-04-10
Health
Respond appropriately to all alleged violations.
Corrected 2023-04-10
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2023-04-10
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-04-10
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-04-10
Health
Perform COVID19 testing on residents and staff.
Corrected 2023-04-10
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Contracted Managing Employee · Individual
Operational/Managerial Control · Organization
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Contracted Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Contracted Managing Employee · Individual
Nearby options
Clarksville, IN
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