CMS CCN 4454022026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Spring Meadows Health And Rehabilitation

220 Highway 76 · Clarksville, TN 37043 · Montgomery County

CMS OVERALL RATING★★☆☆☆2/5CMS field—not our score or recommendation

Certified beds121CMS provider file

Recent citation rows40current CMS citation release

Penalty rows0current CMS penalties file

Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

Cycle	Health date	Health deficiencies	Fire date	Fire deficiencies
Cycle 1	2024-07-11	6	2024-07-11	13
Cycle 2	2022-07-25	9	2022-07-25	6
Cycle 3	2020-03-12	6	2020-03-12	0

02 / CITATION DETAIL

40 rows in the current release

5 rows carry G–L scope/severity codes; 5 carry J–L. 6 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2024-07-11 · FIREE0006Severity D · isolated; potential for more than minimal harm

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

Correction field: Deficient, Provider has date of correction · 2024-07-10

2024-07-11 · FIREE0009Severity D · isolated; potential for more than minimal harm

Emergency Preparedness Deficiencies

Include a process for Emergency Preparedness collaboration.

Correction field: Deficient, Provider has date of correction · 2024-07-30

2024-07-11 · FIREE0018Severity D · isolated; potential for more than minimal harm

Emergency Preparedness Deficiencies

Establish procedures for tracking staff and patients during an emergency.

Correction field: Deficient, Provider has date of correction · 2024-07-30

2024-07-11 · FIREE0037Severity D · isolated; potential for more than minimal harm

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

Correction field: Deficient, Provider has date of correction · 2024-07-30

2024-07-11 · HEALTHF0584Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2024-08-10

2024-07-11 · HEALTHF0640Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-08-10 · complaint

2024-07-11 · HEALTHF0657Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-08-10

2024-07-11 · HEALTHF0693Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2024-08-10

2024-07-11 · HEALTHF0880Severity E · pattern; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2024-08-10

2024-07-11 · HEALTHF0947Severity D · isolated; potential for more than minimal harm

Nursing and Physician Services Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-08-10

2024-07-11 · FIREK0211Severity D · isolated; potential for more than minimal harm

Egress Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-07-10

2024-07-11 · FIREK0222Severity D · isolated; potential for more than minimal harm

Egress Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2024-07-31

2024-07-11 · FIREK0291Severity D · isolated; potential for more than minimal harm

Egress Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-08-22

2024-07-11 · FIREK0324Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2024-07-10

2024-07-11 · FIREK0345Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-07-22

2024-07-11 · FIREK0353Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2024-07-19

2024-07-11 · FIREK0374Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-07-26

2024-07-11 · FIREK0761Severity D · isolated; potential for more than minimal harm

Miscellaneous Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-08-01

2024-07-11 · FIREK0920Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Correction field: Deficient, Provider has date of correction · 2024-07-31

2022-07-25 · HEALTHF0578Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

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.