Tennessee State Veterans Home- Cleveland
1940 Westland Drive, Cleveland, TN 37311 · Bradley County · (423) 813-3600
108 certified beds, about 102 residents a day · Government - State · Medicare and Medicaid since 2024
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445543 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 22, 2026, inspectors cited 5 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
Of 5 health citations since February 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $13,520 in the last three years; the largest was $13,520, and the latest is dated January 22, 2026.
Nurses and nurse aides worked 5.03 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.57 of those hours.
56.1% of nursing staff left within the year CMS measured (Tennessee average 48.9%).
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 5 health citations on file.
January 22, 2026Standard inspection, Complaint inspection · 5 citations
- G 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 documentation review, geriatric psychiatric (geri-psych) hospital documentation review, observation, and interviews, the facility failed to protect 1 resident (Resident #103) of 6 residents reviewed for abuse from sexual abuse which resulted in actual Psychosocial Harm to Resident #103.
- D Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Inspectors wroteBased on facility policy review, medical record review, facility documentation review, and interview, the facility failed to ensure residents right to privacy for 1 resident (Resident #49) of 32 residents reviewed for resident rights.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on medical record review, facility documentation review, and interview, the facility failed to provide the required Skilled Nursing Facility Advance Beneficiary Notice (SNF ABN) for 1 resident (Residents #116) of 3 residents reviewed for beneficiary notices.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on facility policy review, Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual review, medical record review, and interviews, the facility failed to ensure MDS assessments were accurate for 5 residents (Residents #107, #38, #96, #43, #54) of 22 residents reviewed for MDS assessments.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to ensure Transmission Based Precautions (TBP) were maintained for 1 resident (Resident #73) of 1 resident observed in TBP and failed to ensure appropriate Personal Protective Equipment [PPE] was donned (applied) for 1 resident (Resident #10) in Enhanced Barrier Precautions (EBP) of 4 residents observed in EBP.
February 16, 2024Standard inspection · 0 citations
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| January 22, 2026 | Fine | $13,520 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 5.03 | 3.80 | 3.86 |
| Registered nurses | 0.57 | 0.60 | 0.69 |
| All nursing staff on weekends | 4.33 | 3.31 | 3.42 |
| Nurse aides | 2.94 | ||
| Licensed practical nurses | 1.52 | ||
| Nursing staff turnover (share who left in a year) | 56.1% | 48.9% | 45.8% |
| Registered nurse turnover | 42.9% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.50 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 5.32 on weekdays and 4.33 on weekends, 19% 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 5.32 in April to June 2025 to 5.03 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 | 5.03 | 0.57 | 5.32 | 4.33 | 0.0% | 1 of 90 | 102 |
| Oct to Dec 2025 | 4.76 | 0.63 | 5.03 | 4.10 | 0.0% | 0 of 92 | 104 |
| Jul to Sep 2025 | 4.95 | 0.66 | 5.20 | 4.31 | 0.0% | 0 of 92 | 103 |
| Apr to Jun 2025 | 5.32 | 0.76 | 5.63 | 4.56 | 0.0% | 0 of 91 | 92 |
| 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 | 14.1 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.3 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 7.4 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.0 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.6 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.4 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.9 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 24.9 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.4 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.4 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 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 |
|---|---|---|---|---|
| Bledsoe, Courtney | Operational/managerial control | Individual | 07/11/2022 | |
| Fleming, Adam | Operational/managerial control | Individual | 04/20/2024 | |
| Harries, Edward | Operational/managerial control | Individual | 01/11/2010 | |
| Jackson, Robert | Operational/managerial control | Individual | 06/21/2024 | |
| Bledsoe, Courtney | Adp of the SNF | Individual | 03/20/2026 | |
| Jackson, Robert | Adp of the SNF | Individual | 06/21/2024 |
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.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on January 22, 2026: "Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions."
- 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 January 22, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on January 22, 2026: "Ensure each resident receives an accurate assessment."
- 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 January 22, 2026: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Life Care Center of Cleveland Cleveland, 3.1 mi · 2 of 5 stars · 16 citations
- Bradley Health Care & Rehab Cleveland, 3.6 mi · 1 of 5 stars · 13 citations
- Signature Healthcare of Cleveland Cleveland, 3.9 mi · 3 of 5 stars · 11 citations
- Life Care Center of Ooltewah Ooltewah, 10.1 mi · 4 of 5 stars · 7 citations
- Life Care Center of Collegedale Collegedale, 10.7 mi · 4 of 5 stars · 8 citations
- Chattanooga Health and Rehab Center Chattanooga, 13.9 mi · 1 of 5 stars · 22 citations
- The Health Center at Standifer Place Chattanooga, 14.8 mi · 4 of 5 stars · 15 citations
- Soddy-Daisy Health Care Center Soddy-Daisy, 16.7 mi · 3 of 5 stars · 8 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 Tennessee State Veterans Home- Cleveland's Medicare star rating?
- CMS rates Tennessee State Veterans Home- Cleveland 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Tennessee State Veterans Home- Cleveland get at its last inspection?
- 5 health deficiencies at the standard inspection on January 22, 2026. The Tennessee average is 4.4.
- Has Tennessee State Veterans Home- Cleveland been fined?
- Yes. CMS lists 1 fine totaling $13,520 in the last three years.
- Does Tennessee State Veterans Home- Cleveland 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 Tennessee State Veterans Home- Cleveland?
- 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.