Staffing
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.48 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
Also known publicly as Clarksville Health and Rehab
CLARKSVILLE, VA
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.48 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Nov 30, 2022 cited 4 deficiencies.
View inspection evidenceCMS-published records list 56 ownership or control parties.
View ownership evidenceCMS groups this facility with a chain covering 127 facilities across 6 states or territories.
View chain evidenceCMS records show a $22,874 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
102 currently connected nursing homes share this CMS organization identity with SABER HEALTHCARE HOLDINGS LLC.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 90%
Association date reported to CMS: Jan 1, 2026
Other facilities connected through this exact CMS organization identity: 0 across VA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 10%
Association date reported to CMS: Jan 1, 2026
Other facilities connected through this exact CMS organization identity: 0 across VA.
Organization · 5% OR GREATER SECURITY INTEREST
Association date reported to CMS: Nov 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across VA.
Individual · ADP OF THE SNF
Association date reported to CMS: May 31, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: May 8, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 2, 2022
Other facilities connected through this exact CMS organization identity: 0 across VA.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2020
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 30, 2026
Other facilities connected through this exact CMS organization identity: 0 across VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 26, 2026
Other facilities connected through this exact CMS organization identity: 0 across VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 30, 2026
Other facilities connected through this exact CMS organization identity: 0 across VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 26, 2026
Other facilities connected through this exact CMS organization identity: 0 across VA.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2020
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across VA.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2020
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Nov 1, 2020
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Nov 1, 2020
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 1, 2020
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 1, 2020
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 1, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 31, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 8, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across VA.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Nov 1, 2020
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 101 across NC, OH, PA, VA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 22.22%
Association date reported to CMS: Dec 31, 2020
Other facilities connected through this exact CMS organization identity: 101 across NC, OH, PA, VA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 33%
Association date reported to CMS: Jan 1, 2023
Other facilities connected through this exact CMS organization identity: 101 across NC, OH, PA, VA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 67%
Association date reported to CMS: Jan 1, 2023
Other facilities connected through this exact CMS organization identity: 100 across NC, OH, PA, VA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Nov 1, 2020
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 33 across NC, OH, PA, VA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 77.78%
Association date reported to CMS: Nov 1, 2020
Other facilities connected through this exact CMS organization identity: 101 across NC, OH, PA, VA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Nov 1, 2020
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 34 across NC, OH, PA, VA.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Nov 1, 2020
CMS classifications: Real estate investment trust (REIT)
Other facilities connected through this exact CMS organization identity: 0 across VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2020
CMS classifications: Investment firm
Other facilities connected through this exact CMS organization identity: 85 across IA, KY, NC, OH, PA, VA.
Individual · ADP OF THE SNF
Association date reported to CMS: May 31, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: May 8, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 20, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2020
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2020
CMS classifications: Real estate investment trust (REIT)
Other facilities connected through this exact CMS organization identity: 0 across VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2020
Other facilities connected through this exact CMS organization identity: 100 across NC, OH, PA, VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 26, 2026
Other facilities connected through this exact CMS organization identity: 21 across NC, OH, PA, VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2020
Other facilities connected through this exact CMS organization identity: 100 across NC, OH, PA, VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 26, 2026
Other facilities connected through this exact CMS organization identity: 24 across NC, OH, PA, VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 2, 2022
Other facilities connected through this exact CMS organization identity: 24 across NC, OH, PA, VA.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2020
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2020
Other facilities connected through this exact CMS organization identity: 25 across NC, VA.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2020
Individual · CORPORATE DIRECTOR
Published ownership percentage: 0%
Association date reported to CMS: Nov 1, 2020
Individual · CORPORATE DIRECTOR
Published ownership percentage: 0%
Association date reported to CMS: Nov 1, 2020
Individual · CORPORATE OFFICER
Published ownership percentage: 0%
Association date reported to CMS: Nov 1, 2020
Individual · CORPORATE OFFICER
Published ownership percentage: 0%
Association date reported to CMS: Nov 1, 2020
Individual · CORPORATE OFFICER
Published ownership percentage: 0%
Association date reported to CMS: Nov 1, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 31, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 8, 2023
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across VA.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 461 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 127 | 2.9 | 2.2 |
| Mon Jun | 127 | 2.9 | 2.3 |
| Fri May | 126 | 3 | 2.3 |
| Wed Apr | 126 | 3 | 2.3 |
| Sun Mar | 126 | 3 | 2.5 |
| Sun Feb | 126 | 3 | 2.5 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Respond appropriately to all alleged violations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 2, 2024)
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 2, 2024)
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 2, 2024)
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 2, 2024)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 2, 2024)
Provide safe, appropriate pain management for a resident who requires such services.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 2, 2024)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 2, 2024)
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 10, 2024)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 10, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 4, 2023)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 4, 2023)
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 4, 2023)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 4, 2023)
No health-deficiency rows were deterministically linked to this inspection.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 12, 2021)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 12, 2021)
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 12, 2021)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 12, 2021)
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 12, 2021)
Ensure medication error rates are not 5 percent or greater.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 12, 2021)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 12, 2021)
Provide timely, quality laboratory services/tests to meet the needs of residents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 12, 2021)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 12, 2021)
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 16, 2019)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 16, 2019)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 16, 2019)
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 16, 2019)
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 16, 2019)
Provide enough food/fluids to maintain a resident's health.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 16, 2019)
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 16, 2019)
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 16, 2019)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 16, 2019)
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 16, 2019)
Provide and implement an infection prevention and control program.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 16, 2019)
Penalties & enforcement
Published fine amount: $22,874.00
Questions to ask
Facility history
6 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
No major recent changes were identified in the available history.
7 deficiencies were recorded. That includes 2 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
CMS recorded a $22,874 civil monetary penalty.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
9 deficiencies were recorded.
CMS · Recorded event date · View related evidence
11 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 2 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.463 | 3.072 |
| RN categories | 0.54 | 0.334 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.008 higher than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.434 | 0.444 | 0.852 | 2.113 | 0.1% | 91 |
| 2025Q3 | 3.437 | 0.455 | 0.919 | 2.043 | 0% | 92 |
| 2025Q4 | 3.412 | 0.473 | 0.913 | 2.026 | 0.1% | 92 |
| 2026Q1 | 3.351 | 0.481 | 0.892 | 1.978 | 0% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.