Home / Tennessee / Clarksville
Brigadier General Wendell H Gilbert Tn State Veter
250 Arrowood Drive, Clarksville, TN 37042 · Montgomery County · (931) 245-4700
108 certified beds, about 99 residents a day · Government - State · Medicare and Medicaid since 2016
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445524 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 4, 2026, inspectors cited 2 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
Of 8 health citations since June 2019, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 5.34 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.56 of those hours.
CMS links it to Tennessee State Veterans' Home, an affiliated group of 5 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.
June 4, 2026Standard inspection · 2 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to develop and implement an individualized Comprehensive Care Plans for 3 of 21 (Resident #33, #101, and #104) residents sampled.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to follow physician's orders for oxygen administration for 1 of 1 (Resident #84) residents reviewed for respiratory care.
November 21, 2025Complaint inspection · 1 citation
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on facility policy review, medical record review, facility camera footage recording review, police report review, and interview, the facility failed to ensure the residents' right to be free from sexual abuse for 2 of 3 (Resident #1 and Resident #2) sampled residents reviewed for abuse.
April 8, 2022Standard inspection · 2 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on facility investigation, policy review, medical record review, observation, and interview, the facility failed to follow interventions to prevent falls and injury for 2 of 13 sampled residents (Resident #22 and #25) reviewed for accidents. [...]
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on the Centers for Disease Control and Prevention (CDC) guidelines, policy review, review of Employee Screening Logs, Employee Schedules, assignment sheets, and interview, the facility failed to follow CDC infection control guidelines to ensure practices to prevent the potential spread of COVID-19 when 9 of 113 employees (Registered Nurse (RN) #1, #2, and #3, Licensed Practical Nurse (LPN) #1 and #2, and Certified Nursing Assistant (CNA) #1, #2, #3, and #4) failed to complete screenings for prevention and detection of COVID-19 prior to working 4 of 4 days (3/25/2022, 3/26/2022, 3/27/2022, and 3/28/2022) reviewed. This had the potential to affect the 83 residents residing in the facility.
June 12, 2019Standard inspection · 3 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to maintain resident dignity for 1 of 2 (Resident #18) residents observed during insulin administration.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on medical record review and interview, the facility failed to accurately assess residents for contractures and medications for 3 of 24 (Resident #4, #19, and #55) sampled residents reviewed.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on review of the GERIATRIC MEDICATION HANDBOOK, medical record review, observation, and interview, the facility failed to ensure 1 of 8 (Licensed Practical Nurse (LPN) #1) nurses administered medications free of significant medication errors. LPN #1 failed to administer insulin within the proper time frame related to food intake for Resident #18, which resulted in a significant medication error.
Fire safety inspections
2 fire safety citations on file: 2 on June 4, 2026.
Every fire safety citation2 citations
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Inspect, test, and maintain automatic sprinkler systems.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Tennessee | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.34 | 3.80 | 3.86 |
| Registered nurses | 0.56 | 0.60 | 0.69 |
| All nursing staff on weekends | 4.64 | 3.31 | 3.42 |
| Nurse aides | 3.22 | ||
| Licensed practical nurses | 1.55 | ||
| Nursing staff turnover (share who left in a year) | not reported | 48.9% | 45.8% |
| Registered nurse turnover | not reported | 43.2% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.30 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.62 on weekdays and 4.64 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.44 in July to September 2025 to 5.34 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.34 | 0.56 | 5.62 | 4.64 | 0.0% | 1 of 90 | 99 |
| Oct to Dec 2025 | 5.63 | 0.59 | 5.88 | 4.99 | 0.0% | 0 of 92 | 100 |
| Jul to Sep 2025 | 5.44 | 0.53 | 5.72 | 4.72 | 0.0% | 0 of 92 | 105 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Tennessee, Jan to Mar 2026 | 3.75 | 0.56 | 3.95 | 3.27 | 4.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Tennessee | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 22.8 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.8 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.3 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.3 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 4.0 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 21.2 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.5 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 20.0 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 14.0 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.5 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.6 | 1.8 |
Owners and operators
Legal business name: TENNESSEE STATE VETERANS HOME BOARD. CMS links this home to Tennessee State Veterans' Home, a group of 5 nursing homes averaging 3.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ferland, Robert | Operational/managerial control | Individual | 06/21/2024 | |
| Fleming, Adam | Operational/managerial control | Individual | 04/20/2024 | |
| Harries, Edward | Operational/managerial control | Individual | 01/11/2010 | |
| Hogan, Suzanne | Operational/managerial control | Individual | 10/05/2020 | |
| Ferland, Robert | Adp of the SNF | Individual | 06/21/2024 | |
| Hogan, Suzanne | Adp of the SNF | Individual | 03/19/2026 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on June 4, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on June 4, 2026: "Provide safe and appropriate respiratory care for a resident when needed."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on November 21, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on April 8, 2022: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Ahava Healthcare of Clarksville Clarksville, 7.6 mi · 2 of 5 stars · 11 citations
- Park Meadows Post Acute Clarksville, 8.4 mi · 3 of 5 stars · 22 citations
- Spring Meadows Health and Rehabilitation Clarksville, 9.7 mi · 2 of 5 stars · 21 citations
- Signature Healthcare of Clarksville Clarksville, 12.1 mi · 2 of 5 stars · 7 citations
- Christian Heights Nursing and Rehabilitation Cente Pembroke, 14.2 mi · 1 of 5 stars · 5 citations
- Christian Health Center Hopkinsville, 19.6 mi · 5 of 5 stars · 4 citations
- Western State Nursing Facility Hopkinsville, 19.6 mi · 4 of 5 stars · 12 citations
- Elkton Nursing and Rehabilitation Center Elkton, 21.1 mi · 1 of 5 stars · 13 citations
Tennessee contacts for a concern about a nursing home
These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Tennessee Health Facilities Commission, Division of Licensure and Regulation, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Tennessee Long-Term Care Ombudsman, Department of Disability and Aging, 877-236-0013. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Brigadier General Wendell H Gilbert Tn State Veter's Medicare star rating?
- CMS rates Brigadier General Wendell H Gilbert Tn State Veter 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Brigadier General Wendell H Gilbert Tn State Veter get at its last inspection?
- 2 health deficiencies at the standard inspection on June 4, 2026. The Tennessee average is 4.4.
- Has Brigadier General Wendell H Gilbert Tn State Veter been fined?
- CMS lists no fines in the last three years.
- Does Brigadier General Wendell H Gilbert Tn State Veter accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Brigadier General Wendell H Gilbert Tn State Veter?
- CMS lists 6 owners and managers, and links the home to Tennessee State Veterans' Home. Legal business name: TENNESSEE STATE VETERANS HOME BOARD.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.