Brigadier General Wendell H Gilbert Tn State Veter
250 Arrowood Drive · Clarksville, TN · 37042 · 9312454700
108 certified beds Government - State Chain: Tennessee State Veterans' Home
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 5.63 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.59 | 0.55–0.75 |
| Weekend hours / resident-day | 4.99 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (8 in the current record)
-
Potential for harm · D November 21, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G April 8, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 3, 2022 · Quality of Life and Care
-
Potential for harm · F April 8, 2022
Provide and implement an infection prevention and control program.
Corrected May 3, 2022 · Infection Control
-
Potential for harm · D June 12, 2019
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 27, 2019 · Resident Rights
-
Potential for harm · D June 12, 2019
Ensure each resident receives an accurate assessment.
Corrected July 27, 2019 · Resident Assessment and Care Planning
-
Potential for harm · D June 12, 2019
Ensure that residents are free from significant medication errors.
Corrected July 27, 2019 · Pharmacy Service
-
Actual harm · G August 9, 2018
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 4, 2018 · Quality of Life and Care
-
Potential for harm · D August 9, 2018
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected September 4, 2018 · Quality of Life and Care
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445524 · certified since May 10, 2016. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.