The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Brigadier General Wendell H. Gilbert Tennessee State Veterans’ Home
Registered name: BRIGADIER GENERAL WENDELL H GILBERT TN STATE VETER
CLARKSVILLE, TN · Medicare-certified · 108 beds
In good standing
Government-runChain member
Data as of September 1, 2026
4 of 5 overall
4 out of 5 stars overall. Health inspections are also 4 stars, staffing and quality measures are 3 stars, reported nurse staffing is above the federal benchmark (5.34 vs 4.1 hours per resident per day), and there were no fines in the last 24 months; recent inspection citations included accident hazards/supervision, infection control, and care planning.
Facility ratings
Health inspections
Staffing
5.3393 hrs/resident/day
Quality measures
Last inspection: June 4, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.3393.
Staffing detail
- Registered nurses
- 0.56
- Licensed practical nurses
- 1.55
- Nurse aides
- 3.22
- Weekend nursing
- 4.64
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
12%22.2%Worsening
Residents with a fall causing major injury
6.1%2.1%Improving
Residents with pressure ulcers (bedsores)
1.9%3.3%Worsening
Residents with a urinary tract infection
3.1%6.2%Worsening
Residents who lost too much weight
3.3%2.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
42.2%10.3%Improving
Residents whose ability to walk got worse
40.2%5.1%Improving
Long-stay residents on antianxiety or sleep medication
19.6%12.1%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
2.2%2.4%No change
Residents with new or worsening incontinence
22.7%15.1%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%97.9%Worsening
Short-stay residents given the seasonal flu vaccine
—97.6%—
Short-stay residents given the pneumonia vaccine
100%92.3%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited June 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited June 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: D
The nursing home failed to protect residents from abuse and neglect by others. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Government - State
- Chain
- Part of TENNESSEE STATE VETERANS' HOME · 5 homes · 3.4 stars avg
- Occupancy
- 98.7 residents on an average day (91% of 108 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 10 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.