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

Spring Meadows Health and Rehabilitation

220 Highway 76, Clarksville, TN · (931) 552-0219

CMS overall rating

2 of 5

Compare with a nearby home →
Certified beds
121
Residents per day
111
Ownership
For-Profit
Chain
Lyon Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
October 1, 1997

1

How this home got 2 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 Tennessee.

  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

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Tennessee homes

Spring Meadows Health and Rehabilitation carries 113.25 inspection points. That is fewer than 6% of Tennessee's 300 rated homes.

5★4★3★2★1★+9 homes above 175.505102550100inspection points → fewer is better on the leftThis home · 113.25 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Tennessee: 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★ 0–9 pts
  • 4★ 9–17 pts
  • 3★ 17–31 pts
  • 2★ 31–61 pts
  • 1★ over 61 pts

Bars show every rated home in Tennessee 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

21 health citations on record since 2020. 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 5 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 10 4 pts
E 3 8 pts
F 3 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.

Harm and immediate-jeopardy citations (5)

  1. J

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    July 25, 2022 · Standard inspection · Freedom from Abuse, Neglect, and Exploitation · F609 · Corrected August 19, 2022

  2. J

    Respond appropriately to all alleged violations.

    July 25, 2022 · Standard inspection · Freedom from Abuse, Neglect, and Exploitation · F610 · Corrected August 19, 2022

  3. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    July 25, 2022 · Standard inspection · Quality of Life and Care · F689 · Corrected August 19, 2022

  4. J

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    July 25, 2022 · Standard inspection · Administration · F835 · Corrected August 19, 2022

  5. J

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    July 25, 2022 · Standard inspection · Administration · F867 · Corrected August 19, 2022

Everything else, by area of care

Infection Control3F
  1. E

    Provide and implement an infection prevention and control program.

    July 11, 2024 · Standard · F880 · Corrected August 10, 2024

  2. F

    Provide and implement an infection prevention and control program.

    July 25, 2022 · Standard · F880 · Corrected August 19, 2022

  3. D

    Provide and implement an infection prevention and control program.

    March 12, 2020 · Standard · F880 · Corrected April 26, 2020

Resident Assessment and Care Planning3D
  1. D

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    July 11, 2024 · Complaint · F640 · Corrected August 10, 2024

  2. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    July 11, 2024 · Standard · F657 · Corrected August 10, 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.

    March 12, 2020 · Standard · F656 · Corrected April 26, 2020

Quality of Life and Care3D
  1. D

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    July 11, 2024 · Standard · F693 · Corrected August 10, 2024

  2. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    March 12, 2020 · Standard · F686 · Corrected April 26, 2020

  3. D

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

    March 12, 2020 · Standard · F695 · Corrected April 26, 2020

Nutrition and Dietary3F
  1. F

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

    July 25, 2022 · Standard · F812 · Corrected August 19, 2022

  2. F

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

    March 12, 2020 · Standard · F812 · Corrected April 26, 2020

  3. E

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    March 12, 2020 · Standard · F802 · Corrected April 26, 2020

Resident Rights2E
  1. D

    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.

    July 11, 2024 · Standard · F584 · Corrected August 10, 2024

  2. E

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    July 25, 2022 · Standard · F578 · Corrected August 19, 2022

Nursing and Physician Services1D
  1. D

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    July 11, 2024 · Standard · F947 · Corrected August 10, 2024

Pharmacy Service1D
  1. D

    Ensure that residents are free from significant medication errors.

    July 25, 2022 · Standard · F760 · Corrected August 19, 2022

Inspection history

  1. 2024-07-11

    6 health deficiencies · 13 fire-safety deficiencies

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

  2. 2022-07-25

    9 health deficiencies · 6 fire-safety deficiencies

    Top issue: Administration (2 deficiencies)

  3. 2020-03-12

    6 health deficiencies · 0 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 32 min of nursing staff time a day, 32 min of it from a registered nurse.

This home

3 h 32 min

Tennessee average

3 h 49 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 36% of nursing staff and 18% 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 days0.5 pts better1.11.61.8
Number of outpatient emergency department visits per 1000 long-stay resident days1 pts better0.51.51.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.9 pts better98.4%89.5%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.3 pts better97.1%93.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.2 pts better1.1%3.3%3.2%
Percentage of long-stay residents who have depressive symptoms16.3 pts worse31.2%14.9%13.5%
Percentage of long-stay residents who lose too much weight1.9 pts better4.1%6.0%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication6.9 pts better24.8%31.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication2.3 pts worse19.3%17.0%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened8 pts better7.4%15.4%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2.4 pts better11.1%13.5%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better0.2%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection1.7 pts better0.0%1.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence3 pts better16.0%19.0%18.3%
Percentage of long-stay residents with pressure ulcers1 pts better3.8%4.8%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.6 pts worse74.8%79.4%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit3 pts better8.3%11.3%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better0.8%1.7%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.5 pts worse74.7%79.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.1 pts better17.5%22.6%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Tky 2 SNF Operations Holdings LLC5% Or Greater Direct Ownership Interest · Organization100%2 facilities
Carver, DillionOperational/Managerial Control · Individual0%10 facilities
Carver, DillionAdp Of The SNF · Individual0%10 facilities
Idels, ShimonOperational/Managerial Control · Individual0%49 facilities
Idels, ShimonAdp Of The SNF · Individual0%49 facilities
Lion 26 Holdings LLCIndirect Ownership Interest · Organization0%8 facilities
Lion 26 Holdings LLCOperational/Managerial Control · Organization0%8 facilities
Robinson, JenniferOperational/Managerial Control · Individual0%2 facilities
Robinson, JenniferAdp Of The SNF · Individual0%2 facilities
Sabrina 1818 Holdings LLCIndirect Ownership Interest · Organization0%8 facilities
Sabrina 1818 Holdings LLCOperational/Managerial Control · Organization0%8 facilities
Saessy Irrevocable TrustIndirect Ownership Interest · Organization0%7 facilities
Schwartz, StevenOperational/Managerial Control · Individual0%15 facilities
Schwartz, StevenAdp Of The SNF · Individual0%15 facilities
Tatiriq Irrevocable TrustIndirect Ownership Interest · Organization0%7 facilities
Tky 2 SNF Operations Holdings LLCOperational/Managerial Control · Organization0%2 facilities
Tky 2 SNF Operations Holdings LLCAdp Of The SNF · Organization0%2 facilities
Williams, JohnAdp Of The SNF · Individual0%6 facilities

·

Fire safety

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

Smoke6D
  1. D

    Provide properly protected cooking facilities.

    July 11, 2024 · K324 · Corrected July 10, 2024

  2. D

    Have approved installation, maintenance and testing program for fire alarm systems.

    July 11, 2024 · K345 · Corrected July 22, 2024

  3. D

    Inspect, test, and maintain automatic sprinkler systems.

    July 11, 2024 · K353 · Corrected July 19, 2024

  4. D

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    July 11, 2024 · K374 · Corrected July 26, 2024

  5. D

    Provide properly protected cooking facilities.

    July 25, 2022 · K324 · Corrected July 18, 2022

  6. D

    Have approved installation, maintenance and testing program for fire alarm systems.

    July 25, 2022 · K345 · Corrected July 18, 2022

Emergency Preparedness4D
  1. D

    Establish procedures for tracking staff and patients during an emergency.

    July 11, 2024 · E18 · Corrected July 30, 2024

  2. D

    Establish staff and initial training requirements.

    July 11, 2024 · E37 · Corrected July 30, 2024

  3. D

    Conduct risk assessment and an All-Hazards approach.

    July 11, 2024 · E6 · Corrected July 10, 2024

  4. D

    Include a process for Emergency Preparedness collaboration.

    July 11, 2024 · E9 · Corrected July 30, 2024

Egress4D
  1. D

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    July 11, 2024 · K211 · Corrected July 10, 2024

  2. D

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    July 11, 2024 · K222 · Corrected July 31, 2024

  3. D

    Install emergency lighting that can last at least 1 1/2 hours.

    July 11, 2024 · K291 · Corrected August 22, 2024

  4. D

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    July 25, 2022 · K222 · Corrected July 28, 2022

Gas, Vacuum, and Electrical Systems3D
  1. D

    Ensure proper usage of power strips and extension cords.

    July 11, 2024 · K920 · Corrected July 31, 2024

  2. D

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    July 25, 2022 · K914 · Corrected July 18, 2022

  3. D

    Have generator or other power source capable of supplying service within 10 seconds.

    July 25, 2022 · K918 · Corrected July 27, 2022

Miscellaneous2D
  1. D

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    July 11, 2024 · K761 · Corrected August 1, 2024

  2. D

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    July 25, 2022 · K761 · Corrected July 19, 2022

·

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