Federal inspection record · CMS data as of October 1, 2026
Tennessee State Veterans Home- Cleveland
1940 Westland Drive, Cleveland, TN · (423) 813-3600
- Cited for abuse (CMS abuse icon)
- Certified beds
- 108
- Residents per day
- 104
- Ownership
- Government
- Chain
- Tennessee State Veterans' Home
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 16, 2024
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Tennessee.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Tennessee homes
Tennessee State Veterans Home- Cleveland carries 27 inspection points. That is fewer than 47% of Tennessee's 300 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Tennessee: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–17 pts
- 3★ 17–31 pts
- 2★ 31–61 pts
- 1★ over 61 pts
Bars show every rated home in Tennessee by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
5 health citations on record since 2026. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Resident Rights2D
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Assessment and Care Planning1D
- D
Ensure each resident receives an accurate assessment.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2026-01-22
5 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2024-02-16
0 health deficiencies · 0 fire-safety deficiencies
No concentrated health issue counts in this cycle.
4
Nursing time per resident, per day
Each resident here gets about 4 h 52 min of nursing staff time a day, 36 min of it from a registered nurse.
This home
4 h 52 min
Tennessee average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 47% of nursing staff and 35% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$8,788 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-01-22 | Fine | $8,788 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts better | 1.3 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse | 1.6 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.9 pts better | 95.4% | 89.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.2 pts better | 99.0% | 93.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts worse | 4.9% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.4 pts better | 11.5% | 14.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight2 pts better | 4.0% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.5 pts better | 27.2% | 31.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.6 pts worse | 26.6% | 17.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.7 pts better | 14.7% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.8 pts better | 12.7% | 13.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts worse | 0.9% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection6.4 pts worse | 8.1% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.8 pts worse | 21.8% | 19.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.1 pts better | 1.7% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.2 pts worse | 75.2% | 79.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.6 pts better | 7.7% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts worse | 3.8% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine1.9 pts better | 81.1% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.3 pts better | 20.3% | 22.6% | 23.4% |
·
Who owns and runs it
6 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bledsoe, Courtney | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bledsoe, Courtney | Adp Of The SNF · Individual | 0% | 1 facilities |
| Fleming, Adam | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Harries, Edward | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Jackson, Robert | Operational/Managerial Control · Individual | 0% | 15 facilities |
| Jackson, Robert | Adp Of The SNF · Individual | 0% | 15 facilities |
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