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.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
BRIGADIER GENERAL WENDELL H GILBERT TN STATE VETER
CLARKSVILLE, TN · Medicare-certified · 108 beds
In good standing
Government-runChain member
3 of 5 overall
Overall rating: 3 out of 5 stars. Health inspections and staffing are both 3 stars, quality measures are lower at 2 stars, nurse staffing is above the federal benchmark (5.63 vs 4.1 hours per resident per day), and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
5.6287 hrs/resident/day
Quality measures
Last inspection: November 21, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.6287.
Staffing detail
- Registered nurses
- 0.59
- Licensed practical nurses
- 1.73
- Nurse aides
- 3.30
- Weekend nursing
- 4.99
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
11.1%23.1%Worsening
Residents with a fall causing major injury
8.3%3%Improving
Residents with pressure ulcers (bedsores)
3%1.1%Improving
Residents with a urinary tract infection
5.2%3%Improving
Residents who lost too much weight
12%6.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
39.1%23.3%Improving
Residents whose ability to walk got worse
29.7%17.1%Improving
Long-stay residents on antianxiety or sleep medication
17.4%14.6%Improving
Short-stay residents newly given an antipsychotic
—9.5%—
Residents with a long-term catheter
1.3%0.8%No change
Residents with new or worsening incontinence
22.5%27.8%Worsening
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%99%Worsening
Short-stay residents given the seasonal flu vaccine
—97.6%—
Short-stay residents given the pneumonia vaccine
100%91.7%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 protect residents from abuse and neglect by others. Cited November 2025 — isolated incident, potential for harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: D
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited June 2019 — isolated incident, potential for harm.
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F-Tag 550 — 42 CFR §483.10(a) — S/S: D
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited June 2019 — isolated incident, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: D
Recent history
- 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 · 3.6 stars avg
- Occupancy
- 99.6 residents on an average day (92% of 108 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 10 years
The most recent standard health inspection was more than two years ago.
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.