AHAVA HEALTHCARE OF CLARKSVILLE

111 USSERY ROAD
CLARKSVILLE, TN, 37043
9316470269
CCN: 445433
2
Overall
3
Health
1
Staffing
3
Quality
ChainAHAVA HEALTHCARE
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
MFI HEALTHCARE TN II LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
MCE ASSOCIATES LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST10%
PHILIPSON FAMILY LIMITED LIABILITY COMPANY, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST43%
LABIN, SHIYA5% OR GREATER INDIRECT OWNERSHIP INTEREST8%
NIEDERMAN, ANSHEL5% OR GREATER INDIRECT OWNERSHIP INTEREST30%
NEUMAN, BENJAMIN5% OR GREATER INDIRECT OWNERSHIP INTEREST10%
NIEDERMAN, ANSHELCORPORATE OFFICERNOT APPLICABLE
CARTER, ALYSENOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GAYHEART, BRANDYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (9)
2022-03-11 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F761 · Pharmacy Service Deficiencies
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.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
E
F622 · Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
2018-11-01 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.55
3.68
RN Hrs/Resident/Day
0.29
0.54
LPN Hrs/Resident/Day
1.14
0.81
CNA Hrs/Resident/Day
2.11
2.33
PT Hrs/Resident/Day
0.03
0.12
Data as of 2026-03-01