Provider Name: BRIGADIER GENERAL WENDELL H GILBERT TN STATE VETER
Address: 250 ARROWOOD DRIVE, CLARKSVILLE, TN 37042
Phone: (931) 245-4700
County: Montgomery (620)
Ownership Type: Government - State
Certified Beds: 108
Average Residents Per Day: 105. ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: TENNESSEE STATE VETERANS HOME BOARD
First Approved Date: May 10, 2016
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 3 ()
Health Inspection Rating: 3 ()
QM Rating: 3 ()
Long Stay QM Rating: 2 ()
Short Stay QM Rating: 4 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 3.24976, LPN Staff Hours Per Day: 1.5311, RN Staff Hours Per Day: 0.5319, Licensed Staff Hours Per Day: 2.0631
Total Nurse Staff Hours Per Day, per resident: 5.31291
Weekend Nurse Staff Hours: 4.73467, Weekend RN Staff Hours: 0.2604
PT Staff Hours Per Day, per resident: 0.0263
Nurse Staff Turnover: 46.6, Nurse Turnover Note:
RN Turnover: 38.9, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0357, Case Mix LPN Hours Per Day: 0.7548, Case Mix RN Hours Per Day: 0.3728
Adjusted Nurse Aide Hours Per Day, per resident: 3.25210, Adjusted LPN Hours Per Day: 1.4970, Adjusted RN Hours Per Day: 0.5376
Total Adjusted Nurse Hours Per Day, per resident: 5.29375
Adjusted Weekend Nurse Hours Per Day, per resident: 4.71760
Health Survey Dates and Scores: Cycle 1: 2022-04-08 (Score: 36), Cycle 2: 2019-06-12 (Score: 12), Cycle 3: 2018-08-09 (Score: 24)
Total Weighted Health Score: 26.000
Reported Incidents: 1, Substantiated Complaints: 1
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 14679.60, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 250 ARROWOOD DRIVE,CLARKSVILLE,TN,37042 (36.5799, -87.423)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-05-03
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-05-03
Type: Health, Deficiency: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-07-27
Type: Health, Deficiency: Ensure each resident receives an accurate assessment.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-07-27
Type: Health, Deficiency: Ensure that residents are free from significant medication errors.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-07-27
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-09-04
Type: Health, Deficiency: Provide safe, appropriate dialysis care/services for a resident who requires such services.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-09-04
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications: