The nursing home failed to protect residents from abuse and neglect by others. Cited January 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
Tennessee State Veterans' Home
Registered name: TENNESSEE STATE VETERANS HOME- CLEVELAND
CLEVELAND, TN · Medicare-certified · 108 beds
Needs attention
Abuse citationGovernment-runChain member
Data as of September 1, 2026
2 of 5 overall
Tennessee State Veterans' Home in Cleveland, TN has a 2-star overall rating, with a 2-star health inspection rating, 4-star staffing, and 3-star quality measures. It reports staffing above the federal benchmark (5.03 vs. 4.1 hours per resident per day) but has $13,520 in fines in the last 24 months and a recent abuse citation.
Facility ratings
Health inspections
Staffing
5.0303 hrs/resident/day
Quality measures
Last inspection: January 22, 2026Penalties, last 24 months: $13,520recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.0303.
Staffing detail
- Registered nurses
- 0.57
- Licensed practical nurses
- 1.52
- Nurse aides
- 2.94
- Weekend nursing
- 4.33
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 43%
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
17.6%29.8%Worsening
Residents with a fall causing major injury
9%4%Improving
Residents with pressure ulcers (bedsores)
3.7%0.8%Improving
Residents with a urinary tract infection
7.8%9.3%Worsening
Residents who lost too much weight
6.9%1.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14.5%13.6%Improving
Residents whose ability to walk got worse
11.4%2.6%Improving
Long-stay residents on antianxiety or sleep medication
20.5%30%Worsening
Short-stay residents newly given an antipsychotic
0%4.8%Worsening
Residents with a long-term catheter
2.4%1%Improving
Residents with new or worsening incontinence
26.3%22%Improving
Residents with depressive symptoms
6.9%11%Worsening
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
—98.5%—
Long-stay residents given the pneumonia vaccine
100%93.9%Worsening
Short-stay residents given the seasonal flu vaccine
—88.1%—
Short-stay residents given the pneumonia vaccine
68.1%72.2%Improving
What the inspectors found
The home failed to respect the resident’s dignity and personal belongings. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 557 — 42 CFR §483.10 — S/S: D
The home failed to give residents clear notice about what Medicare or Medicaid would cover and what costs they might have to pay themselves. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 582 — 42 CFR §483.10 — S/S: D
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: D
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 January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
Recent history
- PENALTY
A federal fine of $13,520 was recorded.
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $13,520 in total fines.
- $13,520
Federal fine
Jan 22, 2026
Operator & ownership
- Ownership
- Government - State
- Chain
- Part of TENNESSEE STATE VETERANS' HOME · 5 homes · 3.4 stars avg
- Occupancy
- 101.7 residents on an average day (94% of 108 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 2 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.