Tennessee Veterans Home

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.33 therapist hours per resident per day in 2026Q1 — more than 54% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 140 beds and averages 97.3 residents a day — about 70% occupied, or roughly 43 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.83 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.49 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.88 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.89 hrs/resident/day on weekends vs 5.21 on weekdays — 25% thinner on weekends — a notable drop. RN hours go from 0.58 to 0.26 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 67% is well above the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

23 citations, most serious first. The 15 most serious are shown; the remaining 8 are one tap away and print in full.

• Immediate jeopardy · L2024-05-15 · tag F0835 — failed to run the facility competently — widespread
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on the Board of Examiners of Nursing Home Administrators (BENHA) review, job description review, policy review, and interview, Administration failed to provide oversight of staff to ensure an adequate and thorough investigation was conducted to determine a root cause for Residents #9 and Resident #10's major injuries of unknown origin. Administration also failed to provide oversight and supervision of staff to prevent resident neglect when they failed to ensure physician's orders for wound care were followed for Residents #7, #9, #12, #13, and #14. Administration failed to provide oversight and supervision to ensure nursing staff provided effective pain management when Resident #10 sustained a major injury and experienced unresolved severe pain. Administration failed to provide oversight and supervision to conduct effective Quality Assurance Performance Improvement (QAPI) meetings to develop and implement corrective action plans for identified quality deficiencies. Administration's failure to provide oversight and supervision resulted in Immediate Jeopardy (IJ), a situation in…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · L2024-05-15 · tag F0867 — failed to act on quality-improvement findings — widespread
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on facility policy review, job description, Quality Assurance Performance Improvement (QAPI) Plan review, QAPI Meeting Minutes review, and interview, the QAPI committee failed to ensure an effective QAPI program that identified quality deficiencies and implement performance improvement activities to address quality concerns related to resident neglect, thorough investigations for adverse events which included major injuries of unknown origin and providing effective pain management. The QAPI committee failed to provide oversight that established and implemented policies and procedures to assure the facility was administered in a manner to use its resources effectively and efficiently. The census on entrance was 114. The facility's failure resulted in an Immediate Jeopardy (IJ), a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident. The Administrator and the Director of Clinical Services was notified of the IJ on 5/15/2024 at 7:27 PM in the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Kcited before2024-05-15 · tag F0600 — failed to protect residents from abuse and neglect — pattern
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, Quality Assurance Performance Improvement Plan review, QAPI Meeting Minutes review, medical record review, observation, and interview, the facility failed to ensure all residents were free from neglect for 5 of 12 residents (Resident #7, Resident #9, Resident #12, Resident #13, and Resident #14) who required wound care. The facility's failure to provide goods and services for residents resulted in Immediate Jeopardy (IJ), (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment or death to a resident) when Resident #7 did not receive wound care as ordered by the physician for a wound identified on 12/17/2023 as excoriation (skin is scraped or abraded) to the bilateral buttocks that progressed to an unstageable wound (wound is covered by dead tissue and the base of the wound is obscured-cannot be visualized) noted on 1/2/2024, when Resident #9 did not receive wound care as…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2024-05-15 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, and interview, the facility failed to conduct a thorough investigation and take appropriate corrective actions for 2 of 2 (Residents #9 and #10) sampled residents reviewed for injuries of unknown origin. The facility's failure to conduct a thorough investigation related to Resident #9's right displaced tibia (shin bone) fracture identified on 10/3/2023, and Resident #10's subtrochanteric right femur fracture (proximal femur fracture located within 5 centimeters of the lesser trochanter of the right femur) identified on 11/5/2023, resulted in an Immediate Jeopardy related to Resident #9 and #10. Immediate Jeopardy (IJ) is a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident. The Administrator and Director of Clinical Services were notified of the Immediate Jeopardy on 5/15/2024 at 7:27 PM in the Conference Room. The facility…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2024-05-15 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, and interview, the facility failed to implement an effective pain management regimen for 1 of 6 (Resident #10) sampled residents reviewed for pain management. Resident #10, who was cognitively impaired and vulnerable, remained in the facility and experienced moderate to severe pain without effective pain management for approximately 15 hours before being transferred to the hospital. Resident #10 sustained a subtrochanteric right femur fracture (proximal femur fractures located within 5 centimeters of the lesser trochanter of the right femur). The facility's failure to provide effective pain management resulted in an Immediate Jeopardy (IJ), a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident. The Administrator and Director of Clinical Services were notified of the Immediate Jeopardy on 5/15/2024 at 2:00 PM in the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-06 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, and interview, the facility failed to provide wound care treatment as ordered by the Physician for 3 of 4 (Resident #11, #65, and #67) sampled residents reviewed for pressure ulcers. The findings include: 1. Review of the facility policy titled, Pressure Ulcer Policy, dated 1/7/2013, revealed .residents who are admitted with pressure ulcers receive the necessary treatment and services to promote healing, prevent infection and prevent new sores from developing. Review of the facility policy titled, Medication Administration-General Guidelines, dated 1/1/2018, revealed .Medications are administered as prescribed in accordance with good nursing principles and practices.The medication administration record (MAR) is always employed during medication administration.Medications are administered in accordance with written orders of the prescriber.The individual who administers the medication dose records the administration on the resident's MAR/eMAR [electronic…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-06 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, observation, and interview, the facility failed to follow Physician's Orders for oxygen for 3 of 7 (Resident #38, #48, and #94) residents reviewed for respiratory care. The findings include: 1. Review of the facility policy titled, Oxygen Policy, dated 2/20/2013, revealed .Oxygen will only be administered with a Physician's order. Review of the facility policy titled, Medication Administration-General Guidelines, dated 1/1/2018, revealed .Medications are administered as prescribed in accordance with good nursing principles and practices.The medication administration record (MAR) is always employed during medication administration.Medications are administered in accordance with written orders of the prescriber. Review of the facility policy titled, Clinical Comprehensive Care Plans Policy, dated 3/1/2016, revealed .The Comprehensive Plan of Care will be individualized and include measurable objectives and timetables to meet the Resident's medical, nursing,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-01-30 · tag F0814 — failed to dispose of garbage properly — widespread
  Dispose of garbage and refuse properly.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on facility policy review, observation, and interview, the facility failed to ensure the dumpster had lids to properly confine the refuse inside and prevent rodents or other animals from getting in for two of two trash dumpsters and one of one carboard dumpster. Findings include: 1.Review of the facility's policy titled, Food-Related Garbage & Rubbish Disposal with an approved date of 05/13/15, revealed Policy: Food-related garbage and rubbish shall be disposed of in accordance with current state laws regulating such matters. Policy Interpretation: 1. All garbage and rubbish containing food wastes shall be kept in containers. 2. All garbage and rubbish containers shall be provided with tight-fitting lids or covers and must be kept covered when stored or not in continuous use .5. Garbage and rubbish containing food waste will be stored in a manner that is inaccessible to vermin .7. Outside dumpsters provided by garbage pick-up services will be kept closed and free of surrounding litter. 2. During the initial tour of the kitchen on 01/27/25 at 10:03 AM, an observation was made…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-30 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, medical record review, and interview, the facility failed to ensure residents were free from physical abuse during two separate incidents on 07/29/24 and 08/21/24 that involved three of eight residents (Resident (R) 209, R76, and R54) reviewed for abuse. Findings include: 1. Review of the facility's policy titled, Abuse & Neglect and Misappropriation of Residents' Property, revised on 11/09/16, revealed Policy Statement: In keeping with our facility philosophy and to promote the total well-being of our residents through the provision of the highest quality of care with the goal of maintaining or enhancing each resident's functional level and quality of life .[name of facility] takes a firm stand on the issues of mistreatment, neglect, or abuse of the residents and misappropriation of the resident's property. Each resident is to be treated at all times with courtesy and respect, and full recognition of the individual's dignity and individuality. Every resident has the right to be free from…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-30 · tag F0623 — isolated
  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, record review, and interview, the facility failed to ensure three out of three residents (Resident (R) 49, R259, and R76) and/or their representatives reviewed for hospitalization were provided with written transfer notices upon emergent transfer to the hospital and ensure notification was provided to the ombudsman. Findings include: 1.Review of the facility policy titled, Resident Discharge Policy, approved on 11/11/13, revealed Policy .will give timely and proper notice for any intent to transfer or discharge a resident when permitted by Federal or State rules .Procedure .(i) Notify the resident and, if known, a family member or legal representative of the resident of the transfer or discharge and the reasons for the transfer or discharge in writing and in a language and manner they understand (include letter) . (iii) Notify the Department of Health and the Long-Term Care Ombudsman (facility responsibility) . 2. Review of R49's Resident Detail located in the electronic medical…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-30 · tag F0625 — isolated
  Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy, record review, and interview, the facility failed to ensure a written copy of a bed hold notice prior to or within 24 hours of transfer to the hospital was provided for three of three residents (Resident (R) 49, R259, and R76) and/or their representatives reviewed for hospitalization out of 31 sample residents. Findings include: 1.Review of the facility's policy titled, Bed Hold Notice-Hospital and therapeutic Leave, revised 07/18, revealed If a resident of this facility is hospitalized or on therapeutic leave, the following is our established policy to hold a bed or room for return: policy is to allow a bed hold agreement for hospital, therapeutic, or a leave of absence to not exceed 10 days. If a resident requests to hold a bed for longer than 10 days, another bed hold agreement for additional days, not to exceed 10, may be completed. There is no limit on the amount of bed hold agreements that can run consecutively . 2. Review of R49's Resident Detail located in the electronic medical…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-30 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on facility policy review, record reviews, and interview, the facility failed to follow the physician's orders which included notifying the physician of blood sugar levels above 300 milligrams/deciliter (mg/dL) for one of one resident (Resident (R) 20) of 31 sample residents. Findings include: 1.Review of the facility's policy titled, Notification of Changes Policy, dated 01/07/13, revealed, .the facility will promptly consult with the attending physician and notify the resident's responsible party when there is a need to alter treatment . 2. Review of R20's undated admission Record, provided by the facility, revealed an admission date of 01/03/25, with diagnoses to include type two diabetes, peripheral vascular disease, pressure ulcer of other sites, stage two, and end-stage renal disease. Review of R20's annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 01/10/25, located in the electronic medical record (EMR) under the MDS tab, revealed a Brief Interview for Mental Status (BIMS) score of 15 out of 15 which indicated R20 was cognitively intact. Review…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-30 · tag F0812 — failed to store, cook, and serve food safely — isolated
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on facility policy review, observation, and interview, the facility failed to ensure staff performed handwashing after glove contamination while serving on the tray line in one of one kitchen. These failures had the potential to affect 100 of 104 residents who consumed food prepared in the kitchen by the facility kitchen. Findings include: 1.Review of the facility's policy titled, Dietary Policies Personal Hygiene- Dress Code with an approval date of 09/05/18, revealed Policy Statement .guidelines for the personal hygiene of dietary staff to promote a safe and sanitary department must be followed. Procedures .8) Hand Washing: Staff must wash their hands .touching their hair, hat, nose, or mouth .9) Gloves . Gloves must be changed as often as hands need to be washed. Gloves may be used for one task Only . 2. During an observation of the tray line on 01/30/25 at 11:56 AM, Dietary [NAME] (DC) 1 was observed to be placing food on the trays and placing them in the cart for transport. DC1 was observed to run his right gloved hand under his nose, and he proceeded to set up trays. At…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-05-15 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, facility document review, medical record review, and interview, the facility failed to report injuries of unknown origin to the State Survey Agency (SSA) for 2 of 9 (Residents #9 and #10) sampled residents. Resident #9 sustained a right displaced tibia (shin bone) fracture identified on 10/3/2023, and Resident #10's sustained a subtrochanteric right femur fracture (proximal femur fractures located within 5 centimeters of the lesser trochanter of the right femur) identified on 11/5/2023. The findings include: Review of the facility's policy titled, Abuse & Neglect of Residents and Misappropriation of Residents' Property, dated 2/20/2013, revealed, .Abuse means knowingly causing physical harm or recklessly causing serious physical harm to a resident by physical contact with the resident or by use of physical or chemical restraint, medication, or isolation as punishment, for staff convenience, excessively, as a substitute for treatment, or in amounts that preclude habilitation and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-05-15 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, facility investigation review, and interview the facility failed to revise the comprehensive care plan to add interventions for abuse for 3 of 7 (Resident #3, #4, and #21) sampled residents. The findings include: Review of the facility's policy titled, Clinical Comprehensive Care Plans Policy, dated 3/1/2016, revealed, .[Named Facility] will utilize information gathered from the Minimum Data Set, family, and Resident interviews/assessments to develop, review and revise the Resident's Comprehensive Pan of Care. The Comprehensive Plan of Care will be individualized and include measurable objectives and timelines to meet the Resident's medical, nursing, mental, and psychological needs .The Care Planning/Interdisciplinary Team, in coordination with the Resident, his/her family or representative, develops and maintains a comprehensive plan of care for each Resident that identifies the Resident's unique problems/weakness, strengths, preferences, goals and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$193,155 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $193,155 — penalty dated 2024-05-30
• Medicare payment denial — starting 2024-05-19 for 24 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to TENNESSEE STATE VETERANS' HOME — 5 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 4 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported −$4.6M paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in TN