Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Focused Care At Clarksville during CMS and state inspections, most recent first.
Staff failed to protect residents from misappropriation of property and medications, including a medication aide removing prescription drugs from medication carts for personal use and a housekeeper accepting cash from a resident without providing the requested items. Residents affected had significant cognitive and medical needs, and staff interviews revealed inconsistent practices for securing and disposing of medications.
The facility failed to properly date and dispose of expired food items, and residents were observed self-serving ice, posing risks of foodborne illness and cross-contamination. The Dietary Manager and staff were aware of some issues but did not fully adhere to food safety and infection control policies.
A resident with a history of hemiplegia and other health conditions was found smoking alone in the designated area, contrary to the facility's policy requiring supervision and secure storage of smoking materials. The resident accessed cigarettes unsupervised, and staff failed to ensure compliance with the smoking policy, placing the resident at risk of safety hazards.
A resident had several medications, including Vagisil cream and fluticasone nasal spray, stored in her room and bathroom, accessible to unauthorized individuals. The facility failed to secure these medications as required, and the resident's electronic medical record did not indicate a self-administration assessment. The DON and Administrator acknowledged the oversight, emphasizing that all staff were responsible for ensuring medications were not left in residents' rooms.
Two CNAs failed to use enhanced barrier precautions during foley care for a resident with an indwelling catheter, leading to a deficiency in the facility's infection prevention and control program. The CNAs did not wear gowns and failed to change gloves after the procedure, touching clean surfaces and the resident with the same gloves. The resident, who had multiple health conditions, required enhanced precautions to prevent infections. Despite being aware of the protocol, the CNAs did not adhere to it due to nervousness and oversight.
A resident's bathroom toilet was not functioning properly, with issues of running and leaking water persisting despite being reported to staff. The Maintenance Director was aware of the problem but did not document it, believing it was fixed. The ongoing issue placed the resident at risk for falls, contrary to the facility's policy of providing a safe and homelike environment.
A resident's controlled medications, including Hydrocodone-Acetaminophen and Lorazepam, were misappropriated after their death in an LTC facility. An RN was alleged to have stolen the narcotics, with initial drug tests showing positive for opiates. The facility's procedures for handling narcotics were scrutinized, revealing discrepancies in medication counts and highlighting the risk to residents' quality of life and dignity.
A facility failed to protect a resident from abuse when a female resident with severe cognitive impairment was found in a compromising situation with a male resident with moderate cognitive impairment. The incident involved inappropriate sexual touching, and both residents later showed no recollection of the event. The facility's policy on abuse was not effectively implemented, contributing to the occurrence of the event.
Failure to Prevent Misappropriation of Resident Property and Medications
Penalty
Summary
The facility failed to protect residents from the misappropriation of their property and funds, resulting in multiple incidents involving both medication and money. A medication aide (CMA) removed various prescription medications, including Megace, Zofran, Pantoprazole, and others, from the medication carts without authorization and for personal gain. These medications were prescribed to residents with significant cognitive impairments and complex medical conditions, such as Alzheimer's disease, dementia, diabetes, and hypertension. The medications were later found at the CMA's home during a police investigation, and the CMA admitted to taking non-narcotic medications that were left on the countertop instead of being secured in the locked cabinet as required by facility policy. Additionally, a housekeeper accepted cash from a resident with moderate cognitive impairment, who had given the money in hopes of receiving personal items. The housekeeper did not return the money or provide the items, and subsequently left employment at the facility. The resident was unable to recall the exact amount given, but it was reported to be $60. The incident was reported to the police, and the housekeeper later admitted to taking the money and claimed to have purchased some items, though this was not verified by the resident or facility records. Interviews with staff revealed inconsistent understanding and implementation of the facility's procedures for medication disposal and handling of resident property. Several staff members described varying practices for securing and disposing of medications, with some indicating that non-narcotic medications were sometimes left on countertops rather than being immediately secured. The facility's failure to ensure consistent adherence to policies and procedures for safeguarding resident property and medications directly led to the misappropriation incidents.
Deficiencies in Food Safety and Infection Control
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as observed in the kitchen and dietary services. During inspections, it was noted that food items were not properly dated, and expired food was not disposed of. Specifically, an unopened gallon of milk was found expired, and a serving of hot sauce was past its prep date. Additionally, several containers of cereal and spices were either missing use-by dates or were past their expiration dates. The Dietary Manager acknowledged these issues, stating that all food items should be labeled with receive, open, and expiration dates, and admitted to being aware of some of the labeling deficiencies. Furthermore, the facility did not maintain proper infection control measures, as residents were observed self-serving ice from an ice chest cooler. This practice was noted on multiple occasions, and staff interviews revealed a lack of awareness regarding the potential for cross-contamination. RN C and the ADON both acknowledged the infection control risks associated with residents self-serving ice, yet were unaware of the practice until it was pointed out by surveyors. The DON and Administrator also confirmed that residents should not be self-serving ice due to the risk of cross-contamination. The facility's policies on food safety and infection control were not being followed, as evidenced by the observations and staff interviews. The Food Safety policy required all food to be labeled and dated, while the Infection Control policy emphasized preventing the transmission of disease. Despite these policies, the facility's practices fell short, leading to potential risks for foodborne illness and infection among residents.
Failure to Supervise Resident Smoking
Penalty
Summary
The facility failed to ensure a safe environment for a resident who was reviewed for accident hazards. The resident, who had a history of hemiplegia following a cerebral infarction, diabetes mellitus, depression, high blood pressure, and lack of coordination, was found smoking alone in the designated smoking area. Despite the facility's policy requiring supervision during smoking and secure storage of smoking materials, the resident was able to access and use cigarettes unsupervised. The resident's care plan specified supervised smoking privileges, and the facility policy mandated that all smoking materials be kept in a locked box at the nurse's station. During an observation, the resident was found smoking alone, and she did not disclose who provided her with the cigarette or who lit it. The Director of Nursing (DON) confirmed that the resident had cigarettes in her pocket and refused to reveal their source. The Administrator acknowledged that the resident could obtain cigarettes while out on pass with friends and family, but expected all smoking items to be secured upon return. The facility's failure to adhere to its smoking policy placed the resident at risk of burns, safety hazards, or respiratory issues.
Unauthorized Access to Medications in Resident's Room
Penalty
Summary
The facility failed to store all drugs and biologicals in locked compartments under proper temperature controls and allowed unauthorized access to medication for one resident. Specifically, Resident #14 had several medications, including Vagisil cream, Preparation H ointment, Aspercreme lidocaine roll-on, fluticasone nasal spray, and Systane eye drops, stored in her room and bathroom, accessible to unauthorized staff, residents, or visitors. These medications were not locked away as required by facility policy. Resident #14, a cognitively intact female with a BIMS score of 14, was admitted to the facility with diagnoses including high blood pressure, arthritis, and seasonal allergies. Her care plan indicated a need for assistance with ADLs and medication administration, and she was at risk for a decrease in ADLs and injuries. Despite this, her electronic medical record did not indicate a self-administration assessment, and she had medications in her possession that were not ordered by the facility. Observations revealed that Resident #14 had medications in her room and bathroom, which were not secured. A CNA confirmed that these medications should not have been in the resident's room and removed them. The DON and Administrator acknowledged the failure to secure medications and stated that all staff were responsible for ensuring medications were not left in residents' rooms. The facility's policy required medications to be stored safely and securely, accessible only to authorized personnel.
Infection Control Deficiency in Foley Care
Penalty
Summary
The facility failed to establish and maintain an effective infection prevention and control program, as evidenced by the actions of two CNAs during foley care for a resident. The CNAs did not adhere to enhanced barrier precautions, which required donning a gown, while performing foley care on a resident with an indwelling catheter. This oversight was observed during a survey, where the CNAs only wore gloves and failed to change them after completing the foley care, subsequently touching clean surfaces and the resident with the same gloves. The resident involved was an elderly male with multiple diagnoses, including Parkinson's disease, type 2 diabetes, hyperlipidemia, and obstructive and reflux uropathy. He was dependent on staff for toilet hygiene and transfers and had a foley catheter, which necessitated enhanced barrier precautions to prevent infections. Despite the presence of signs in the resident's room indicating the need for such precautions, the CNAs did not follow the required protocol. Interviews with the CNAs revealed that they were aware of the need for enhanced barrier precautions but failed to implement them due to nervousness and oversight. The ADON, who was responsible for training and evaluating staff on infection control practices, had not yet completed skills evaluations for the staff, including the CNAs involved. The DON and Administrator both emphasized the importance of following infection control procedures to prevent cross-contamination and infection, highlighting the deficiency in the facility's infection prevention and control program.
Failure to Maintain Functional and Safe Bathroom Facilities
Penalty
Summary
The facility failed to provide a safe, functional, sanitary, and comfortable environment for a resident, specifically regarding the functionality of the bathroom toilet. The resident, who was cognitively intact and able to communicate, reported that her toilet had been running and leaking since her admission. Despite informing the staff, the issue persisted, and the maintenance request was not documented in the maintenance book. The Maintenance Director was aware of the problem three weeks prior but did not document it, believing he had fixed the issue by replacing the toilet flapper. However, the problem continued, as observed by surveyors, with water leaking onto the floor. The Director of Nursing (DON) and the Administrator both acknowledged the expectation for the toilets to be functional and not leaking, with the Maintenance Director responsible for ensuring this. The failure to maintain the toilet placed the resident at risk for falls, as confirmed by the Maintenance Director and the DON. The facility's policy on providing a safe and homelike environment was not adhered to, as evidenced by the ongoing issue with the resident's toilet.
Misappropriation of Resident's Medications After Death
Penalty
Summary
The facility failed to protect a resident's property from misappropriation, specifically involving the diversion of controlled medications after the resident's death. The medications in question included Hydrocodone-Acetaminophen and Lorazepam, which were not found after the resident expired. The incident involved a registered nurse (RN A) who was alleged to have stolen narcotics from the facility. Despite the nurse's denial, a drug test initially showed positive results for opiates, although the final results were negative. The investigation revealed that RN A had access to the medication carts containing the resident's medications. Interviews with various staff members, including licensed vocational nurses (LVNs) and medication aides (MAs), indicated that routine procedures involved leaving discontinued medications on the cart and counting them against the Controlled Drug Administration Record when the Director of Nursing (DON) was not present. However, discrepancies were noted when the DON reconciled the pharmacy manifest with the Controlled Drug Administration Record, highlighting the missing medications. The facility's procedures for handling and counting narcotics were scrutinized, with staff members reporting no prior issues with narcotic counts. The investigation involved interviews with staff and a review of the facility's records, but no confirmed perpetrator was identified. The facility's failure to prevent the misappropriation of medications placed residents at risk for decreased quality of life and dignity, as well as the potential for missed doses of necessary medications.
Failure to Protect Residents from Abuse
Penalty
Summary
The facility failed to protect a resident's right to be free from abuse, specifically involving inappropriate sexual touching between two residents. Resident #1, a female with severe cognitive impairment and multiple health conditions including dementia and major depressive disorder, was found in a compromising situation with Resident #2, a male with moderate cognitive impairment and a history of schizophrenia and bipolar disorder. The incident occurred when Resident #1 was found in Resident #2's room with her clothing disarranged, and Resident #2 was observed with his mouth on her breast. The records indicate that Resident #1 was tearful and indicated distress when found, although she later showed no recollection of the event. Resident #2 also claimed no memory of the incident but acknowledged the possibility of inappropriate behavior. The facility's documentation did not initially reflect any prior behaviors or incidents involving Resident #2, and his care plan was only updated after the incident to include monitoring for potential sexual behaviors. The facility's policy on abuse, which emphasizes the right of residents to be free from abuse by anyone, was not effectively implemented in this case. The incident was reported to the appropriate authorities within the facility, but the lack of preventive measures and prior identification of potential risks contributed to the occurrence of the event. The deficiency highlights a failure in the facility's responsibility to ensure the safety and protection of its residents from abuse.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Clarksville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Clarksville Nursing Home | 2 mi | — | 14 | 0 |
| Hill Nursing Home, Inc. | 24.4 mi | — | 0 | 0 |
| Heritage House At Paris Rehab & Nursing | 24.6 mi | — | 13 | 0 |
| Memorial Heights Nursing Center | 24.7 mi | — | 10 | 0 |
| Legend Healthcare And Rehabilitation - Paris | 27.2 mi | — | 14 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.