Elder Care Record

Texas › Red River County › Clarksville

Clarksville Nursing Center

300 East Baker St., Clarksville, TX 75426

CCN 455985 · Government, hospital district · 132 certified beds · chain Advanced Healthcare Solutions

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 132 beds, Clarksville Nursing Center serves Clarksville in Red River County, Texas and has taken Medicare and Medicaid residents since 1992.

CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 3, staffing 3 and quality measures 4.

Inspectors recorded 34 health deficiencies across the three most recent survey cycles (14, 4, 16 by cycle, most recent first), none at the actual-harm level. That is 25.8 per 100 beds, about the same as the state median of 22.5.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.0 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 40.5%.

34health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.0nurse hours per resident per daystate median 3.3
38%occupancy (residents ÷ beds)50 residents a day

Compared with county, state and nation

MeasureThis facilityRed River Co. medianTexas medianUS average
Overall star rating3333.0
Health citations, 3 cycles34342528.7
Citations per 100 beds25.826.722.526.8
Total nurse hours per resident day3.03.03.33.9
RN hours per resident day0.50.50.40.7
Nursing staff turnover40.5%40.5%52.1%45.8%
Fines listed$0$5,211$16,801—

County and state figures are medians across facilities (2 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)14
Cycle 24
Cycle 316

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 10 Dec 2025, 18 Sep 2024.

Severity mix: D ×23 E ×10 F ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
14 Apr 2026F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint investigation30 Apr 2026
10 Dec 2025F0699Provide care or services that was trauma informed and/or culturally competent.EStandard survey6 Jan 2026
10 Dec 2025F0759Ensure medication error rates are not 5 percent or greater.EStandard survey6 Jan 2026
10 Dec 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey6 Jan 2026
10 Dec 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey6 Jan 2026
10 Dec 2025F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DStandard survey6 Jan 2026
10 Dec 2025F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey6 Jan 2026
10 Dec 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey6 Jan 2026
10 Dec 2025F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard survey6 Jan 2026
10 Dec 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey6 Jan 2026
10 Dec 2025F0760Ensure that residents are free from significant medication errors.DStandard survey6 Jan 2026
10 Dec 2025F0761Ensure 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.DStandard survey6 Jan 2026
10 Dec 2025F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard survey6 Jan 2026
10 Dec 2025F0880Provide and implement an infection prevention and control program.DStandard survey6 Jan 2026
18 Sep 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation3 Oct 2024
18 Sep 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey3 Oct 2024
18 Sep 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey3 Oct 2024
18 Sep 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey3 Oct 2024
16 Aug 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey8 Sep 2023
16 Aug 2023F0584Honor 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.EStandard survey8 Sep 2023
16 Aug 2023F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard survey8 Sep 2023
16 Aug 2023F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey8 Sep 2023
16 Aug 2023F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyEStandard survey8 Sep 2023
16 Aug 2023F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EStandard survey8 Sep 2023
16 Aug 2023F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard survey8 Sep 2023
16 Aug 2023F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey8 Sep 2023
16 Aug 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey8 Sep 2023
16 Aug 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey8 Sep 2023
16 Aug 2023F0699Provide care or services that was trauma informed and/or culturally competent.DStandard survey8 Sep 2023
16 Aug 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey8 Sep 2023
16 Aug 2023F0759Ensure medication error rates are not 5 percent or greater.DStandard survey8 Sep 2023
9 Aug 2023F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation29 Aug 2023
9 Aug 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation29 Aug 2023
9 Aug 2023F0761Ensure 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.DComplaint investigation29 Aug 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.01 h
Nurse aides1.48 h
LPN1.04 h
RN0.49 h
Weekend total2.65 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 40.5%, RNs 37.5%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay10.6%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.3%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.8%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay6.3%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.4%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay1.1%8.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: government, hospital district. Legal business name: Hamilton County Hospital District. Chain: Advanced Healthcare Solutions (28 facilities).

OrganisationRole in the CMS recordInterestSince
Clarksville Hc LLCOperational/managerial controlNOT APPLICABLE03/01/2023

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Red River County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Focused Care At ClarksvilleClarksville1203323226.7$5K25 Feb 2026

All 2 facilities in Red River County

Questions and answers

How many deficiencies has Clarksville Nursing Center been cited for?

34 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Clarksville Nursing Center been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Clarksville Nursing Center compare?

Reported total nurse staffing is 3.0 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Clarksville Nursing Center?

It is part of the Advanced Healthcare Solutions chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include Clarksville Hc LLC. Individual owners and managers are not listed on this site.

When was Clarksville Nursing Center last inspected?

The most recent survey or investigation in the CMS record is dated 14 Apr 2026; the most recent standard health survey was 10 Dec 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.