Overall impression: Reviews for Signature HealthCARE of Clarksville are deeply mixed, with a stark split between highly positive experiences—especially around rehabilitation outcomes and individual staff members—and numerous, repeated reports of serious care lapses, safety problems, and management failures. Many families and patients praise the therapy department, certain nurses, CNAs, and administrative staff by name and credit the facility with meaningful rehabilitation progress and compassionate day-to-day care. Conversely, a sizable number of reviews describe understaffing, neglect, unsanitary conditions, medication and billing problems, theft, and even events that reviewers linked to hospitalizations or death. The volume and severity of negative reports create a pattern of concern that coexists with pockets of excellent care.
Rehabilitation and therapy: The most consistent praise across reviews is for the rehab/therapy teams. Multiple reviewers called the therapy department outstanding, the best in the county, or life-changing—crediting therapists for measurable improvements in balance, walking, independence, and safe discharge home. Staff members and therapists such as Kalyn, Katie Beth, Shane, and others received specific thanks for knowledgeable, hands-on, and above-and-beyond care. Outpatient therapy success stories and clearly documented goals/action plans were also noted. That said, several reviewers reported inconsistency—some received individualized, aggressive therapy, while others described therapy that was mostly group-based or insufficient for their needs.
Nursing, caregivers, and staffing: Opinions about nursing and caregiving are highly polarized. Many families report kind, attentive, and committed nurses and CNAs who provided prompt help and emotional support. However, a large cluster of complaints highlights chronic understaffing, long waits for assistance, unresponsive call buttons, and staff who were difficult to find. These staffing problems were linked to missed medications, delayed diagnostic care, inadequate hygiene assistance (no showers, not shaved), unattended bedpans, and in several cases, neglect serious enough to produce bedsores, sepsis, or rehospitalization. Reviewers repeatedly described staffing shortages as a root cause for delayed responses and lapses in routine and emergency care.
Safety, infection control, and clinical care: Multiple reviewers raised alarming safety and clinical concerns. Reports include blood on floors, dirty rooms, urine odors, pest problems (ants and other pests), poor wound care, missed labs (e.g., diabetes-related testing), medication administration delays, and restrictions or failures of respiratory equipment (CPAP not allowed, oxygen machine issues). Several reviewers described residents falling (sometimes more than once), delayed fall notification, or transport incidents that dislodged IV lines. More severe accounts describe septic infections, malnutrition, and death shortly after facility stays; these accounts allege neglect and prompted recommendations for hospice or legal action in at least some reviews. Theft and missing personal items—iPads, headphones, false teeth, cash—were also recurring and drove perceptions of poor security and damaged trust.
Facilities, dining, and activities: Descriptions of the physical plant and dining services are mixed. Some reviewers praised the facility as clean, nicely decorated, and not rundown, with comfortable communal spaces, a fenced garden, and family-friendly programming. Many families appreciated daily activity postings, active programming (bingo, music, holiday parties), and an engaged activity staff. Dining reviews vary: numerous reviewers loved the hot, home-cooked meals, generous portions, and attractive presentation, while others experienced cold or unappetizing food and reported dietary requests being ignored. Rooms were sometimes described as small, cramped, or dark, and several reviewers noted that the facility could use updates or a facelift in places.
Management, communication, and administration: Communication and administrative responsiveness show a clear divide. Some families reported helpful, proactive front-office staff, responsive administrators, and good communication around care. Others experienced poor communication from management, unanswered calls, a business office with turnover and billing errors, lost check payments, and refusal to release prescriptions at discharge. Theft complaints and perceived lack of accountability exacerbated mistrust of management in those negative reviews. Additionally, several reviewers felt discharge decisions were financially motivated or rushed, leaving patients unready and sometimes requiring readmission.
Patterns and variability: A notable theme is variability: experiences appear to hinge on shifts, specific staff members, and timing (some reviewers blamed COVID-era staffing shortages). Positive reports often cite specific named staff and strong therapy outcomes, while negative reports describe systemic problems—understaffing, unsafe conditions, and poor management follow-through. This suggests that while parts of the facility (notably the therapy department and some caregivers) deliver excellent care, there are recurring operational and safety failures that affect a substantial number of residents.
Implications for families and referral sources: Prospective families should weigh the strong therapy and some excellent nursing reports against the recurring and serious concerns around staffing, safety, infection control, medication handling, billing, and theft. Practical steps before admission include asking about current staffing ratios, infection control practices, fall prevention protocols, medication management and transition-of-care procedures, property/security policies, and how the facility handles equipment like CPAPs and oxygen. Visit at different times of day and on weekends if possible, ask to meet the therapy team, and clarify billing and discharge procedures in writing.
In conclusion: Signature HealthCARE of Clarksville appears to offer top-tier rehabilitation services and has many compassionate, effective staff members, but a substantial number of reviews describe systemic problems—understaffing, neglectful care episodes, safety lapses, theft, and administrative breakdowns—that cannot be ignored. The facility may provide excellent outcomes for some patients, particularly those whose care is driven by the strong therapy department and committed staff, but the frequency and severity of the negative reports indicate significant variability in the resident experience and persistent operational risks that families should investigate carefully before choosing this facility.
