Park Meadows Post Acute
Park Meadows Post Acute reported 5.15 HPRD in Q1 2026. This level is above the CMS case-mix benchmark (4.64 HPRD) and in the top 5% of Tennessee nursing homes.
- Q2 2025: 3.63
- Q3 2025: 4.21
- Q4 2025: 5.09
- Q1 2026: 5.15
Direct staff excludes Admin/DON. State minimums via MACPAC (2022) may reflect calculated HPRD equivalents. Direct staff excludes Admin/DON. State minimums via MACPAC may reflect calculated HPRD equivalents.
CMS Case-Mix (Q1 2026)
Case-Mix by Position
CMS case-mix is an acuity metric based on PDPM. It is not a state or federal minimum; the ratio is a reference point, not a measure of whether staffing is sufficient. based on PDPM. It is not a state or federal minimum; the ratio is a reference point, not a measure of whether staffing is sufficient.
Ownership
Clarksville Nursing and Rehabilitation Center LLC
CMS owner data roles and percentages are reported filings, not proof of who operates the facility or care quality.CMS owner filings; not proof of who operates.
| Name | Type | Role | Since | |
|---|---|---|---|---|
| Tennessee Health Management LLC | Organization | Operational/managerial control | 4/1/2012 | |
| Juanita Dufour | Individual | Operational/managerial control | 8/15/2022 | |
| American Health Companies LLC | Organization | 100% ownership interest; Ownership interest | 10/26/1993 | |
| Ahpsnf Holdco LLC | Organization | 100% ownership interest; Ownership interest | 4/6/2021 | |
| Flp Limited Partnership | Organization | 100% ownership interest; Ownership interest | 4/6/2021 | |
| Mfo Ahp LLC | Organization | 99.0% ownership interest; Ownership interest | 4/6/2021 | |
| Ahp Orchards LLC | Organization | 93.3% ownership interest; Ownership interest | 4/6/2021 | |
| Mark T Mitchell | Individual | 47.1% ownership interest; Ownership interest | 4/6/2021 | |
| Orchard Holdings LLC | Organization | 47.1% ownership interest; Ownership interest | 4/6/2021 | |
| Mitchell Family Irrevocable Trust U/A Dated December 28, 2012 | Organization | 23.5% ownership interest; Ownership interest | 4/6/2021 | |
| Orchard Holdings II LLC | Organization | 23.5% ownership interest; Ownership interest | 4/6/2021 | |
| Orchard Holdings III, LLC | Organization | 23.5% ownership interest; Ownership interest | 4/6/2021 | |
| Mitchell Family II Irrevocable Trust U/A Dated October 26, 2016 | Organization | 11.8% ownership interest; Ownership interest | 4/6/2021 | |
| Mitchell Family III Irrevocable Trust U/A Dated July 14, 2017 | Organization | 11.8% ownership interest; Ownership interest | 4/6/2021 | |
| Robin Bradley | Individual | Corporate officer; Corporate director | 4/5/2018 |
How these figures are calculatedMethods, definitions, and data sources
Staffing from CMS Payroll-Based Journal (PBJ) public nurse files (2017–2026), plus Provider Information (August 2026) and chain data where shown. State staffing context via March 2022 compendium. Methodology · PBJ explained.
Metrics
- Hours Per Resident Day (HPRD): Total staff hours ÷ average residents. Example: 350 hours for 100 residents = 3.5 HPRD.
- Direct Care (excl. Admin, DON): Hours per resident day for direct care staff only (RN, LPN, CNA, NAtrn, MedAide), excluding administrative and supervisory roles.
- Contract Staff %: Share of hours provided by contract staff.
- Census: Average number of residents during the period.
Note: Some states set minimums (e.g., NJ, CA, NY at 3.5 HPRD); a federal 3.48 minimum was recently overturned (2025). A 2001 federal study linked 4.1 HPRD to better outcomes in that study. Staffing needs vary by resident acuity (case-mix), day, and shift. Estimates on PBJ Takeaway assume roughly 60% of staff are CNAs.
Data transparency
The PBJ Dashboard pulls directly from CMS data and is carefully vetted for accuracy. Still, sometimes a bug sneaks into the jelly. That could mean: a systemic CMS data reporting issue (e.g., Q2 2017 contract staffing, missing data in 2020 due to COVID) or there could be a coding error on our part. If you spot something that looks off, please let me know via the contact form so I can set things right.
Trend charts omit quarters with implausible submitted HPRD (total/direct below 0.25; RN, LPN, and aide use role floors and neighbor-quarter rules). Full criteria.
Rankings, within-state percentiles, CMS flags (including abuse icon): How metrics are calculated.