The nursing home failed to coordinate resident assessments with required screening and make needed service referrals. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 644 — 42 CFR §483.20 — S/S: D
Nursing home report
SENATOR BEN ATCHLEY STATE VETERANS' HOME
KNOXVILLE, TN · Medicare-certified · 140 beds
In good standing
Government-runChain member
5 of 5 overall
5-star nursing home overall, with 5-star health inspection and staffing ratings, nurse staffing above the federal benchmark (4.56 vs 4.1 hours/resident/day), and no fines in the last 24 months. Quality measures are lower at 2 stars, and recent inspection citations included assessment/referral processes, medication storage/labeling, and resident protection from abuse or neglect.
Facility ratings
Health inspections
Staffing
4.5581 hrs/resident/day
Quality measures
Last inspection: March 11, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5581.
Staffing detail
- Registered nurses
- 0.71
- Licensed practical nurses
- 1.21
- Nurse aides
- 2.64
- Weekend nursing
- 3.98
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 25%
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
13.6%21.6%Worsening
Residents with a fall causing major injury
6.1%0%Improving
Residents with pressure ulcers (bedsores)
11.5%5.8%Improving
Residents with a urinary tract infection
3.6%2.4%Improving
Residents who lost too much weight
8.4%2.1%Improving
Residents who were physically restrained
0.9%0.8%No change
Residents needing more help with daily activities
17.5%16.1%Improving
Residents whose ability to walk got worse
—34.6%—
Long-stay residents on antianxiety or sleep medication
33%36.3%Worsening
Short-stay residents newly given an antipsychotic
—8.7%—
Residents with a long-term catheter
2.2%0%Improving
Residents with new or worsening incontinence
27.2%21.3%Improving
Residents with depressive symptoms
6.7%0.9%Improving
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
—96.1%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—82.5%—
Short-stay residents given the pneumonia vaccine
91.2%83%Worsening
What the inspectors found
The home failed to properly label and securely store medications and biologicals. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: D
The nursing home failed to protect residents from abuse and neglect by others. Cited January 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: D
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited February 2024 — 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 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 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
- 131.2 residents on an average day (94% of 140 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 19 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.