Cycle 1
Health 2024-02-14 · Fire 2024-02-14
2 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Knoxville, TN
Senator Ben Atchley State Veterans' Home
5-star overall rating with 5-star inspections with 2 recent health deficiencies
One Veterans Way, Knoxville, TN
(865) 862-8100
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
140
Certified beds
Average residents
134
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
Tennessee State Veterans' Home
Operator or chain grouping
Approved since
2007-01-18
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 4 overall / 4 health / 4 staffing / 2 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.72
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
1.24
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.69
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
4.65
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.96
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
4.03
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.35
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.74
CMS adjusted RN staffing hours
Adjusted total hours
4.80
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
26%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
38%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,846
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
42.44
Composite VBP score used to determine payment impact.
Payment multiplier
0.9954
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
4.43
Baseline 31.37% · Performance 45.58% · Measure score 4.43 · Achievement 4.43 · Improvement 0
Adjusted total nurse staffing
4.06
Baseline 4.12 hours · Performance 4.23 hours · Measure score 4.06 · Achievement 4.06 · Improvement 0.16
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.25% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 36 · Observed rate 8.33% · Lower 95% interval 6.85% |
| Discharge to community | 41.73% |
50.57%
8.8 pts worse
|
No Different than the National Rate · Eligible stays 25 · Observed rate 28% · Lower 95% interval 27.08% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 43 · Denominator 43 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 43 |
| Discharge self-care score | 25.93% |
53.69%
27.8 pts worse
|
Numerator 7 · Denominator 27 |
| Discharge mobility score | 22.22% |
50.94%
28.7 pts worse
|
Numerator 6 · Denominator 27 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 43 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 2.2% |
8.2%
6 pts worse
|
Numerator 4 · Denominator 182 |
| Staff flu vaccination coverage | 44.21% |
42%
2.2 pts better
|
Numerator 107 · Denominator 242 |
| Discharge function score | 29.63% |
56.45%
26.8 pts worse
|
Numerator 8 · Denominator 27 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 48.15% |
25.2%
22.9 pts better
|
Numerator 13 · Denominator 27 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
1.6
0.6 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.1 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.6
1.1 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.5 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
89.9%
10.1 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.1% |
94.5%
1.6 pts better
|
95.5%
0.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.7% |
3.6%
1.1 pts worse
|
3.3%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 6.1% · Q3 4.4% · Q4 2.4% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.4% |
11.8%
7.4 pts better
|
11.4%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 6.7% · Q3 2.9% · Q4 3.3% · 4Q avg 4.4% |
| Percentage of long-stay residents who lose too much weight | 4.3% |
6.2%
1.9 pts better
|
5.4%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 8.4% · Q3 3.5% · Q4 4.3% · 4Q avg 4.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 35.2% |
32.2%
3 pts worse
|
19.6%
15.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.7% · Q2 33.0% · Q3 34.0% · Q4 38.8% · 4Q avg 35.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.1% |
18.1%
About the same
|
16.7%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 14.6% · Q3 16.4% · Q4 25.0% · 4Q avg 18.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.6% |
0.1%
0.5 pts worse
|
0.1%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 0.9% · Q4 0.8% · 4Q avg 0.6% |
| Percentage of long-stay residents whose ability to walk independently worsened | 25.7% |
19.9%
5.8 pts worse
|
16.3%
9.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.7% · 4Q avg 25.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.9% |
15.3%
2.6 pts worse
|
14.9%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 17.5% · Q3 14.5% · Q4 21.1% · 4Q avg 17.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
0.9%
0.2 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.2% · Q3 0.7% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.8% |
1.9%
0.9 pts worse
|
1.7%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 3.6% · Q3 2.7% · Q4 4.1% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.1% |
20.2%
3.9 pts worse
|
19.8%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 27.2% · Q3 25.1% · Q4 21.1% · 4Q avg 24.1% |
| Percentage of long-stay residents with pressure ulcers | 7.0% |
5.4%
1.6 pts worse
|
5.1%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 11.5% · Q3 7.7% · Q4 5.6% · 4Q avg 7.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.8% |
79.6%
7.2 pts better
|
81.7%
5.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 86.3% · Q2 91.2% · Q3 87.5% · Q4 80.9% · 4Q avg 86.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.5% |
11.2%
2.3 pts worse
|
12.0%
1.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.5% · Observed 13.0% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 9.2% |
1.6%
7.6 pts worse
|
1.6%
7.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q3 8.7% · 4Q avg 9.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 82.5% |
79.8%
2.7 pts better
|
79.7%
2.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 82.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.6% |
22.2%
1.4 pts worse
|
23.9%
0.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.6% · Observed 22.2% · Expected 22.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-06-29 · Fire 2021-06-29
1 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2019-04-24 · Fire 2019-04-24
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-01-23
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-01-22
D · Potential for more than minimal harm
2024-02-14
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-02-26
D · Potential for more than minimal harm
2024-02-14
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-02-26
D · Potential for more than minimal harm
2019-04-24
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-05-22
C · Minimal harm
2019-04-24
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-05-22
Penalties and ownership
What sits behind the stars
Ownership
Brown, Danielle
W-2 Managing Employee · Individual
Harries, Edward
Corporate Director · Individual
Harries, Edward
W-2 Managing Employee · Individual
Tennessee State Veterans Home Board
Operational/Managerial Control · Organization
Nearby options
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#3
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4-star overall rating with 4-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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