Nursing Care Index

Spring Meadows Health And Rehabilitation

Clarksville, Montgomery County, Tennessee · CCN 445402 · For-profit (LLC) · part of Lyon Healthcare (11 facilities, chain average 1.7 stars)

CMS rates Spring Meadows Health And Rehabilitation 2 of 5 overall as of August 2026. 121 certified beds, 110 residents a day on average. 21 citations on record from the current inspection cycles, 5 at immediate jeopardy; no fines on record.

On record

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★☆☆☆ 2 of 5
Health inspections★☆☆☆☆ 1 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / 4 of 5

Staffing

Total nurse staffing3.4306 hours per resident per day
Registered nurses0.54239 hours per resident per day
Weekend total3.20481 hours per resident per day
Nursing staff turnover39.4% (registered nurses 33.3%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2024-07-11 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-08-10
2024-07-11 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.
Resident Rights Deficiencies · tag F0584
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-10
2024-07-11
complaint survey
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · tag F0640
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-10
2024-07-11 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-10
2024-07-11 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.
Quality of Life and Care Deficiencies · tag F0693
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-10
2024-07-11 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · tag F0947
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-10
2022-07-25 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2022-08-19
2022-07-25 Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2022-08-19
2022-07-25 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2022-08-19
2022-07-25 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · tag F0835
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2022-08-19
2022-07-25 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · tag F0867
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2022-08-19
2022-07-25 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2022-08-19
2022-07-25 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2022-08-19
2022-07-25 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.
Resident Rights Deficiencies · tag F0578
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-08-19
2022-07-25 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-08-19
2020-03-12 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2020-04-26
2020-03-12 Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · tag F0802
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2020-04-26
2020-03-12 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2020-04-26
2020-03-12 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2020-04-26
2020-03-12 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2020-04-26
2020-03-12 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2020-04-26

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Tky 2 Snf Operations Holdings LLC
Organization
5% or greater direct ownership interest100%2024-11-01
Tky 2 Snf Operations Holdings LLC
Organization
adp of the snf2024-11-01
Lion 26 Holdings LLC
Organization
indirect ownership interest2024-11-01
Sabrina 1818 Holdings LLC
Organization
indirect ownership interest2024-11-01
Saessy Irrevocable Trust
Organization
indirect ownership interest2024-11-01
Tatiriq Irrevocable Trust
Organization
indirect ownership interest2024-11-01
Lion 26 Holdings LLC
Organization
operational/managerial control2024-11-01
Sabrina 1818 Holdings LLC
Organization
operational/managerial control2024-11-01
Tky 2 Snf Operations Holdings LLC
Organization
operational/managerial control2024-11-01
Carver, Dillion
Individual
adp of the snf2024-11-01
Idels, Shimon
Individual
adp of the snf2024-11-01
Robinson, Jennifer
Individual
adp of the snf2024-11-01
Schwartz, Steven
Individual
adp of the snf2024-11-01
Williams, John
Individual
adp of the snf2025-09-22
Carver, Dillion
Individual
operational/managerial control2024-11-01
Idels, Shimon
Individual
operational/managerial control2024-11-01
Robinson, Jennifer
Individual
operational/managerial control2024-11-01
Schwartz, Steven
Individual
operational/managerial control2024-11-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Montgomery County.