Focused Care at Clarksville

In the surveyor’s words

From the most serious findings on record at Focused Care at Clarksville, in the surveyor’s own words.

• Actual harm, isolatedF600Oct 5, 2024

  Based on observation, interview and record review, the facility failed to protect a resident's right to be free from abuse for 2 of 4 residents (Resident #1 and Resident #2) reviewed for abuse. The facility failed to protect Resident #1 from inappropriate sexual touching by Resident #2. This failure could place residents at risk of for psychosocial harm and a diminished quality of life. Findings included: 1. Record review of Resident #1's face sheet dated 10/04/24 indicated she was an [AGE] year-old female who readmitted to the facility on [DATE] with the diagnoses of dementia (loss of cognitive functioning), cognitive communication deficit (result in difficulty with thinking and how someone uses language), diabetes (a chronic condition that affects the way the body processes blood… […]

• No harm, potential for more than minimal, widespreadF812Nov 2, 2023

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service in the facility's only kitchen The facility failed to ensure that kitchen staff appropriately restrained their hair with the hairnet. The facility failed to ensure cans were free from damage. These failures could place residents at risk of cross contamination and foodborne illness. Findings included: 1. […]

• No harm, potential for more than minimal, widespreadF804Aug 31, 2022

  Based on observation, interview, and record review, the facility failed to provide food that was palatable and served at an appetizing temperature for 3 of 14 residents reviewed for palatable food. (Residents #1, #5, and #24) The facility failed to provide palatable food to Residents #1, #5 and #24. This failure could place residents who eat food from the kitchen at risk of weight loss, altered nutritional status, and diminished quality of life. Findings include: 1. Record review of the face sheet dated 08/31/2022 indicated Resident #1 was an [AGE] year-old female, admitted to the facility on [DATE] with diagnoses including type 2 diabetes mellitus with unspecified complications (chronic condition that affects the way the body processes blood sugar), essential hypertension (force of the… […]

• No harm, potential for more than minimal, patternF641Feb 25, 2026

  Based on observation, interview, and record review, the facility failed to ensure residents assessments accurately reflected the resident's status for 3 of 15 residents (Residents #7, #8 and #36) reviewed for accuracy of assessments. 1. The facility failed to accurately complete the MDS assessment to indicate Resident #7's PASRR status was positive. 2. The facility failed to accurately complete the MDS assessment to indicate Resident #8's tobacco use.3. The facility failed to accurately complete the MDS assessment to indicate Resident #36's PASRR status was positive. These failures could place residents at risk of not receiving the appropriate care and services to maintain their highest level of well-being. Findings included: 1. […]

• No harm, potential for more than minimal, patternF755Feb 25, 2026

  Based on observation, interview and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 of 1 medication rooms and 1 of 2 medication carts for 4 of 18 residents reviewed for pharmacy services (Resident #8, #42, #43 and #52). 1. The facility failed to perform an inventory of controlled substances of the medication cart upon transfer of keys between staff.2. […]