Federal inspection record · CMS data as of October 1, 2026

Clarksville Nursing Center

300 East Baker St., Clarksville, TX · (903) 427-2236

CMS overall rating

4 of 5

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Certified beds
132
Residents per day
51
Ownership
Government
Chain
Advanced Healthcare Solutions
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 27, 1992

1

How this home got 4 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

Clarksville Nursing Center carries 61 inspection points. That is fewer than 58% of Texas's 1,166 rated homes.

5★4★3★2★1★+35 homes above 292.505102550100200inspection points → fewer is better on the leftThis home · 61 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–26 pts
  • 4★ 26–51 pts
  • 3★ 51–85 pts
  • 2★ 85–145.75 pts
  • 1★ over 145.75 pts

Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

31 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 20 4 pts
E 10 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Quality of Life and Care6E
  1. E

    Provide care or services that was trauma informed and/or culturally competent.

    December 10, 2025 · Standard · F699 · Corrected January 6, 2026

  2. D

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    December 10, 2025 · Standard · F676 · Corrected January 6, 2026

  3. D

    Provide enough food/fluids to maintain a resident's health.

    December 10, 2025 · Standard · F692 · Corrected January 6, 2026

  4. D

    Provide safe and appropriate respiratory care for a resident when needed.

    September 18, 2024 · Standard · F695 · Corrected October 3, 2024

  5. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    August 16, 2023 · Standard · F677 · Corrected September 8, 2023

  6. D

    Provide care or services that was trauma informed and/or culturally competent.

    August 16, 2023 · Standard · F699 · Corrected September 8, 2023

Nutrition and Dietary6F
  1. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    December 10, 2025 · Standard · F804 · Corrected January 6, 2026

  2. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    December 10, 2025 · Standard · F812 · Corrected January 6, 2026

  3. D

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    December 10, 2025 · Standard · F810 · Corrected January 6, 2026

  4. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    August 16, 2023 · Standard · F812 · Corrected September 8, 2023

  5. E

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    August 16, 2023 · Standard · F803 · Corrected September 8, 2023

  6. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    August 16, 2023 · Standard · F804 · Corrected September 8, 2023

Resident Assessment and Care Planning6D
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    December 10, 2025 · Standard · F656 · Corrected January 6, 2026

  2. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    September 18, 2024 · Standard · F645 · Corrected October 3, 2024

  3. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    September 18, 2024 · Standard · F656 · Corrected October 3, 2024

  4. D

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    August 16, 2023 · Standard · F636 · Corrected September 8, 2023

  5. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    August 16, 2023 · Standard · F644 · Corrected September 8, 2023

  6. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    August 16, 2023 · Standard · F656 · Corrected September 8, 2023

Pharmacy Service5E
  1. E

    Ensure medication error rates are not 5 percent or greater.

    December 10, 2025 · Standard · F759 · Corrected January 6, 2026

  2. D

    Ensure that residents are free from significant medication errors.

    December 10, 2025 · Standard · F760 · Corrected January 6, 2026

  3. D

    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.

    December 10, 2025 · Standard · F761 · Corrected January 6, 2026

  4. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    August 16, 2023 · Standard · F755 · Corrected September 8, 2023

  5. D

    Ensure medication error rates are not 5 percent or greater.

    August 16, 2023 · Standard · F759 · Corrected September 8, 2023

Resident Rights4E
  1. D

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    December 10, 2025 · Standard · F553 · Corrected January 6, 2026

  2. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    December 10, 2025 · Standard · F582 · Corrected January 6, 2026

  3. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    September 18, 2024 · Complaint · F550 · Corrected October 3, 2024

  4. E

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    August 16, 2023 · Standard · F584 · Corrected September 8, 2023

Environmental2E
  1. E

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    April 14, 2026 · Complaint · F921 · Corrected April 30, 2026

  2. E

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    August 16, 2023 · Standard · F925 · Corrected September 8, 2023

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    December 10, 2025 · Standard · F880 · Corrected January 6, 2026

Administration1E
  1. E

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    August 16, 2023 · Standard · F868 · Corrected September 8, 2023

Inspection history

  1. 2025-12-10

    14 health deficiencies · 0 fire-safety deficiencies

    Top issue: Nutrition and Dietary (3 deficiencies)

  2. 2024-09-18

    4 health deficiencies · 1 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (2 deficiencies)

  3. 2023-08-16

    13 health deficiencies · 1 fire-safety deficiencies

    Top issue: Nutrition and Dietary (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 3 min of nursing staff time a day, 30 min of it from a registered nurse.

This home

3 h 3 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 42% of nursing staff and 43% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days1 pts better1.02.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better1.72.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better100.0%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better100.0%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts worse3.4%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms2.3 pts better0.0%2.3%13.5%
Percentage of long-stay residents who lose too much weight2.9 pts better0.0%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication14.2 pts better3.6%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication7.7 pts better2.1%9.8%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened5.5 pts better7.4%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased3.3 pts better12.5%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.8 pts better0.0%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.1 pts better8.4%12.5%18.3%
Percentage of long-stay residents with pressure ulcers2.3 pts better1.4%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.3 pts better98.0%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit17.7 pts worse29.9%12.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better0.9%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.6 pts better100.0%85.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.7 pts better19.8%25.5%23.4%

·

Who owns and runs it

4 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Clarksville Hc LLCOperational/Managerial Control · Organization0%1 facilities
Faulkner, GarrelW-2 Managing Employee · Individual0%2 facilities
Hooper, GradyCorporate Director · Individual0%61 facilities
Scheiner, EliezerOperational/Managerial Control · Individual0%32 facilities

·

Fire safety

2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Services2C
  1. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    September 18, 2024 · K521 · Not yet marked corrected

  2. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    August 16, 2023 · K521 · Not yet marked corrected

·

Other homes nearby

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  2. Worst citation, 3 yrs
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