Focused Care At Clarksville

Penalties

• Oct 5, 2024 — Fine ($5,211)

Inspection findings

1. Feb 25, 2026 Health · 8 findings
   • Not serious Scope/severity E

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Mar 20, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

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

     Corrected Mar 20, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0755 Pharmacy Service Deficiencies

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

     Corrected Mar 20, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0757 Pharmacy Service Deficiencies

     Ensure each resident’s drug regimen must be free from unnecessary drugs.

     Corrected Mar 20, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Mar 20, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0908 Environmental Deficiencies

     Keep all essential equipment working safely.

     Corrected Mar 20, 2026 · CMS health inspection

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Mar 20, 2026 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

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

     CMS fire safety

2. May 21, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0602 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from the wrongful use of the resident's belongings or money.

     Corrected Apr 4, 2025 · CMS health inspection

3. Dec 4, 2024 Health · 10 findings
   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

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

     Corrected Dec 20, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected Dec 20, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected Dec 20, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Dec 20, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0921 Environmental Deficiencies

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

     Corrected Dec 20, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Jan 3, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Jan 3, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Jan 3, 2025 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

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

     CMS fire safety

   • Not serious Scope/severity E

     K0929 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

     Corrected Jan 3, 2025 · CMS fire safety

4. Nov 21, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0602 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from the wrongful use of the resident's belongings or money.

     Corrected Aug 8, 2024 · CMS health inspection

5. Oct 5, 2024 Health · 1 finding
   • Serious Scope/severity G Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Oct 30, 2024 · CMS health inspection

6. Nov 2, 2023 Health · 19 findings
   • Not serious Scope/severity D Complaint

     F0550 Resident Rights Deficiencies

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

     Corrected Nov 24, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Nov 24, 2023 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0578 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.

     Corrected Nov 24, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0584 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.

     Corrected Nov 24, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Nov 24, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

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

     Corrected Nov 24, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

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

     Corrected Nov 24, 2023 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0689 Quality of Life and Care Deficiencies

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

     Corrected Nov 24, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0755 Pharmacy Service Deficiencies

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

     Corrected Nov 24, 2023 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0758 Pharmacy Service Deficiencies

     Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

     Corrected Nov 24, 2023 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Nov 24, 2023 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected Nov 24, 2023 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0804 Nutrition and Dietary Deficiencies

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

     Corrected Nov 24, 2023 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0809 Nutrition and Dietary Deficiencies

     Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

     Corrected Nov 24, 2023 · CMS health inspection

   • Not serious Scope/severity F Complaint

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected Nov 24, 2023 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Nov 27, 2023 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0881 Infection Control Deficiencies

     Implement a program that monitors antibiotic use.

     Corrected Nov 24, 2023 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0926 Environmental Deficiencies

     Have policies on smoking.

     Corrected Nov 24, 2023 · CMS health inspection

   • Not serious Scope/severity C

     K0521 Services Deficiencies

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

     CMS fire safety

Owners and managers (as published by CMS)

• ABERNATHY, MARY — managing control - governing body, NOT APPLICABLE, since 05/01/2024
• BROWN, RUTH — operational/managerial control, NOT APPLICABLE, since 05/01/2021
• BROWN, RUTH — adp of the snf, NOT APPLICABLE, since 06/11/2025
• CASTLE, LISA — adp of the snf, NOT APPLICABLE, since 03/27/2023
• CASTLE, LISA — operational/managerial control, NOT APPLICABLE, since 03/27/2023
• CONLEY, SHAWN — operational/managerial control, NOT APPLICABLE, since 05/01/2021
• CONLEY, SHAWN — adp of the snf, NOT APPLICABLE, since 05/01/2021
• COOPER, KIMBERLY — operational/managerial control, NOT APPLICABLE, since 01/29/2024
• COOPER, KIMBERLY — corporate officer, NOT APPLICABLE, since 01/29/2024
• HUMPHREY, ERIC — managing control - governing body, NOT APPLICABLE, since 05/01/2024
• LEGG, STEPHEN — managing control - governing body, NOT APPLICABLE, since 01/01/2024
• MCKENZIE, MARK — adp of the snf, NOT APPLICABLE, since 05/01/2021
• MCKENZIE, MARK — managing control - governing body, NOT APPLICABLE, since 05/01/2024
• MCKENZIE, MARK — operational/managerial control, NOT APPLICABLE, since 05/01/2021
• MUTHAPPA, DEEPAK — adp of the snf, NOT APPLICABLE, since 05/01/2021
• MUTHAPPA, DEEPAK — operational/managerial control, NOT APPLICABLE, since 05/01/2021
• NEWTON, ELIZABETH — operational/managerial control, NOT APPLICABLE, since 02/22/2024
• STRUBBE, LORETTA — operational/managerial control, NOT APPLICABLE, since 05/01/2021
• STRUBBE, LORETTA — adp of the snf, NOT APPLICABLE, since 05/01/2021
• TINNERMAN, LINDA — managing control - governing body, NOT APPLICABLE, since 12/15/2020
• TURNER, LESLIE — managing control - governing body, NOT APPLICABLE, since 01/01/2024
• WEISELOGEL, MELISA — adp of the snf, NOT APPLICABLE, since 05/18/2021
• WEISELOGEL, MELISA — operational/managerial control, NOT APPLICABLE, since 05/18/2021
• CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 — direct ownership interest, NOT APPLICABLE, since 05/01/2021
• CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 — operational/managerial control, NOT APPLICABLE, since 05/01/2021
• FOCUSED POST ACUTE CARE PARTNERS LLC — adp of the snf, NOT APPLICABLE, since 06/11/2025
• FOCUSED POST ACUTE CARE PARTNERS LLC — operational/managerial control, NOT APPLICABLE, since 05/01/2021
• FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC — adp of the snf, NOT APPLICABLE, since 06/11/2025
• FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC — operational/managerial control, NOT APPLICABLE, since 05/01/2021
• FPACP CLARKSVILLE LLC — adp of the snf, NOT APPLICABLE, since 06/11/2025
• FPACP CLARKSVILLE LLC — operational/managerial control, NOT APPLICABLE, since 05/01/2021