Government - Hospital district · 132 certified beds · CMS number 455985

Clarksville Nursing Center, Clarksville, TX

CMS records 31 health deficiencies at Clarksville Nursing Center in Clarksville, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Dec 10, 2025. The highest severity cited is F (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.

Inspections and deficiencies

CMS findings for Clarksville Nursing Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Clarksville Nursing Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (14 deficiencies)

Standard inspection Dec 10, 2025. CMS counts 14 health deficiencies and 0 fire safety deficiencies in this cycle.

Apr 14, 2026 · Complaint inspection

1 deficiency, highest E

F921 · Safe, functional, sanitary building

Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 30, 2026

Dec 10, 2025 · Standard inspection

13 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 6, 2026

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 6, 2026

F810 · Adaptive eating equipment and help

Requirement cited (CMS): Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 6, 2026

F804 · Palatable, attractive food at safe temperatures

Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 6, 2026

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 6, 2026

F760 · No significant medication errors

Requirement cited (CMS): Ensure that residents are free from significant medication errors.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 6, 2026

F759 · Medication error rate under 5 percent

Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 6, 2026

F699 · Trauma-informed, culturally competent care

Requirement cited (CMS): Provide care or services that was trauma informed and/or culturally competent.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 6, 2026

F692 · Nutrition and hydration

Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 6, 2026

F676 · Maintaining daily living abilities

Requirement cited (CMS): Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 6, 2026

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 6, 2026

F582 · Notice of covered and extra charges

Requirement cited (CMS): Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 6, 2026

F553 · Taking part in care planning

Requirement cited (CMS): Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 6, 2026
Previous cycle: 4 deficiencies (standard inspection Sep 18, 2024)

Standard inspection Sep 18, 2024. CMS counts 4 health deficiencies and 1 fire safety deficiency in this cycle.

Sep 18, 2024 · Standard + complaint inspection

4 deficiencies, highest D

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 3, 2024

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 3, 2024

F645 · Pre-admission screening for mental disorder or intellectual disability

Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 3, 2024

F550 · Dignity and the right to exercise rights

Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 3, 2024
Earlier cycle: 13 deficiencies (standard inspection Aug 16, 2023)

Standard inspection Aug 16, 2023. CMS counts 13 health deficiencies and 1 fire safety deficiency in this cycle.

Aug 16, 2023 · Standard inspection

13 deficiencies, highest F

F925 · Pest control

Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 8, 2023

F868 · Quality committee membership and meetings

Requirement cited (CMS): Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 8, 2023

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Sep 8, 2023

F804 · Palatable, attractive food at safe temperatures

Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 8, 2023

F803 · Menus that meet nutritional needs

Requirement cited (CMS): Ensure 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 8, 2023

F759 · Medication error rate under 5 percent

Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 8, 2023

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 8, 2023

F699 · Trauma-informed, culturally competent care

Requirement cited (CMS): Provide care or services that was trauma informed and/or culturally competent.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 8, 2023

F677 · Help with daily care

Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 8, 2023

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 8, 2023

F644 · Coordinating with PASARR screening

Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 8, 2023

F636 · Full assessment at admission and yearly

Requirement cited (CMS): Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 8, 2023

F584 · Safe, clean, homelike surroundings

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 8, 2023

Tags cited in more than one inspection

5 tags cited on more than one inspection date at Clarksville Nursing Center; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F656 Comprehensive person-centered care plan3Dec 10, 2025; Sep 18, 2024; Aug 16, 2023
F699 Trauma-informed, culturally competent care2Dec 10, 2025; Aug 16, 2023
F759 Medication error rate under 5 percent2Dec 10, 2025; Aug 16, 2023
F804 Palatable, attractive food at safe temperatures2Dec 10, 2025; Aug 16, 2023
F812 Food safety and sanitation2Dec 10, 2025; Aug 16, 2023

Fines and payment denials

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.01 h (below the Texas median of 3.27 h)
RN hours per resident per day
0.49 h (above the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.65 h
Nursing staff turnover
40.5% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
3 of 5
Health inspection rating
3 of 5
Staffing rating
3 of 5
Quality measure rating
4 of 5

CMS figures for Clarksville Nursing Center, copied as published; Texas medians are ours.

Facility details

Address
300 East Baker St., Clarksville, TX 75426
Phone
(903) 427-2236
County
Red River
Accepts
Medicare and Medicaid
Ownership
Government - Hospital district
Chain (CMS)
Advanced Healthcare Solutions
Certified beds
132
Average residents per day
49.9
In Medicare/Medicaid since
Jan 27, 1992
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • How are a resident's goals and preferences written into the care plan? (F656, cited 3 times)
  • How does the home learn about a resident's history and cultural needs when planning care? (F699, cited 2 times)
  • How do nurses double-check medications before giving them? (F759, cited 2 times)
  • How does the home keep meals at the right temperature when they are delivered to residents' rooms? (F804, cited 2 times)

Other nursing homes in Clarksville and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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