Murfreesboro, TN

Tennessee Veterans Home

1-star overall rating with 1-star inspections with abuse icon flag with $193,155 in total fines with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

345 Compton Road, Murfreesboro, TN

(615) 895-8850

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

140

Certified beds

Average residents

103

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Tennessee State Veterans' Home

Operator or chain grouping

Approved since

1991-07-01

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

0.52

Registered nurse staffing · state 0.61 · national 0.68

LPN hours / resident day

1.44

Licensed practical nurse staffing · state 1.09 · national 0.87

Aide hours / resident day

2.57

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

4.53

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

3.62

Weekend nurse staffing · state 3.34 · national 3.43

Weekend RN hours

0.29

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

0.57

CMS adjusted RN staffing hours

Adjusted total hours

4.92

CMS adjusted total nurse staffing hours

Case-mix index

1.26

Higher values indicate more complex resident acuity

RN turnover

67%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

75%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,546

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

29.47

Composite VBP score used to determine payment impact.

Payment multiplier

0.9855

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

0

Baseline 55.44% · Performance 69.62% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

5.89

Baseline 4.48 hours · Performance 4.75 hours · Measure score 5.89 · Achievement 5.89 · Improvement 1.59

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.04%
10.72%
0.3 pts worse
No Different than the National Rate · Eligible stays 29 · Observed rate 13.79% · Lower 95% interval 6.83%
Discharge to community Not Available
50.57%
Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary 1.05
1.02
About the same
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 14 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 14 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 91
Staff flu vaccination coverage 12.56%
42%
29.4 pts worse
Numerator 26 · Denominator 207
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.3
1.6
0.3 pts better
1.9
0.6 pts better
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.5 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.5
1.6
0.1 pts better
1.8
0.3 pts better
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.5 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.1%
89.9%
6.2 pts better
93.4%
2.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 94.1% · Q2 92.3% · Q3 98.0% · Q4 100.0% · 4Q avg 96.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.3%
94.5%
3.8 pts better
95.5%
2.8 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.3%
Percentage of long-stay residents experiencing one or more falls with major injury 1.7%
3.6%
1.9 pts better
3.3%
1.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 0.0% · Q3 1.0% · Q4 1.9% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.6%
11.8%
11.2 pts better
11.4%
10.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6%
Percentage of long-stay residents who lose too much weight 8.0%
6.2%
1.8 pts worse
5.4%
2.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 7.4% · Q3 5.6% · Q4 10.1% · 4Q avg 8.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.4%
32.2%
18.8 pts better
19.6%
6.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 17.0% · Q3 12.1% · Q4 11.1% · 4Q avg 13.4%
Percentage of long-stay residents who received an antipsychotic medication 13.9%
18.1%
4.2 pts better
16.7%
2.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 17.1% · Q3 13.6% · Q4 13.5% · 4Q avg 13.9% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.2%
0.1%
0.1 pts worse
0.1%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.0% · Q4 0.0% · 4Q avg 0.2%
Percentage of long-stay residents whose ability to walk independently worsened 31.7%
19.9%
11.8 pts worse
16.3%
15.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q3 30.6% · 4Q avg 31.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 17.3%
15.3%
2 pts worse
14.9%
2.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 19.5% · Q2 25.9% · Q3 9.5% · Q4 14.5% · 4Q avg 17.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.2%
0.9%
0.3 pts worse
1.0%
0.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.8% · Q3 0.7% · Q4 1.5% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 3.9%
1.9%
2 pts worse
1.7%
2.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 4.8% · Q3 4.0% · Q4 4.9% · 4Q avg 3.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 32.6%
20.2%
12.4 pts worse
19.8%
12.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 37.6% · Q2 31.4% · Q3 22.2% · Q4 38.9% · 4Q avg 32.6%
Percentage of long-stay residents with pressure ulcers 4.4%
5.4%
1 pts better
5.1%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 4.9% · Q3 5.6% · Q4 3.1% · 4Q avg 4.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 75.7%
79.6%
3.9 pts worse
81.7%
6 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 64.5% · Q2 69.0% · Q3 90.9% · Q4 82.8% · 4Q avg 75.7%
Percentage of short-stay residents who had an outpatient emergency department visit 0.0%
11.2%
11.2 pts better
12.0%
12 pts better
Short Stay · 20240701-20250630 · Adjusted 0.0% · Observed 0.0% · Expected 12.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.6%
1.6 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 79.3%
79.8%
0.5 pts worse
79.7%
0.4 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 79.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 27.7%
22.2%
5.5 pts worse
23.9%
3.8 pts worse
Short Stay · 20240701-20250630 · Adjusted 27.7% · Observed 28.6% · Expected 24.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-30 · Fire 2025-01-30

6 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

5 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 2 Health 2019-08-14 · Fire 2019-08-14

15 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2018-09-12 · Fire 2018-09-12

0 health deficiencies

No concentrated health issue counts in this cycle.

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-01-30

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-03-14

D · Potential for more than minimal harm 2025-01-30

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2025-03-14

D · Potential for more than minimal harm 2025-01-30

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-03-14

D · Potential for more than minimal harm 2025-01-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-14

D · Potential for more than minimal harm 2025-01-30

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-03-14

D · Potential for more than minimal harm 2019-08-14

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-09-28

D · Potential for more than minimal harm 2018-09-12

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2018-10-27

D · Potential for more than minimal harm 2018-09-12

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2018-10-27

D · Potential for more than minimal harm 2018-09-12

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2018-10-27

C · Minimal harm 2018-09-12

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2018-10-27

C · Minimal harm 2018-09-12

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2018-10-27

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-01-30

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2025-03-14

D · Potential for more than minimal harm 2025-01-30

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 2025-03-14

D · Potential for more than minimal harm 2025-01-30

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-03-14

D · Potential for more than minimal harm 2025-01-30

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2025-03-14

D · Potential for more than minimal harm 2025-01-30

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-03-14

D · Potential for more than minimal harm 2025-01-30

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-03-14

L · Immediate jeopardy 2024-05-15

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2024-05-16

L · Immediate jeopardy 2024-05-15

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2024-05-16

K · Immediate jeopardy 2024-05-15

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 2024-06-12

J · Immediate jeopardy 2024-05-15

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-05-16

J · Immediate jeopardy 2024-05-15

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-06-12

D · Potential for more than minimal harm 2024-05-15

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-05-16

D · Potential for more than minimal harm 2024-05-15

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 2024-06-12

D · Potential for more than minimal harm 2024-05-15

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-06-12

D · Potential for more than minimal harm 2019-08-14

F710 · Nursing and Physician Services Deficiencies

Health

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Corrected 2019-09-28

D · Potential for more than minimal harm 2019-08-14

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2019-09-28

D · Potential for more than minimal harm 2019-08-14

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2019-09-28

D · Potential for more than minimal harm 2019-08-14

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2019-09-28

D · Potential for more than minimal harm 2019-08-14

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2019-09-28

D · Potential for more than minimal harm 2019-08-14

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2019-09-28

D · Potential for more than minimal harm 2019-08-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-09-28

Penalties and ownership

What sits behind the stars

$193,155 2024-05-30

Fine

Fine · fine $193,155

Fine

$0 2024-05-30

Payment Denial

Payment Denial · denial start 2024-05-19 · 24 days

24 day denial

Ownership

Brown, Danielle

Operational/Managerial Control · Individual

0% 5 facilities 2006-08-01
Brown, Danielle

Corporate Director · Individual

0% 5 facilities 2010-01-11
Harries, Edward

Corporate Director · Individual

0% 5 facilities 2010-01-11
Tennessee State Veterans Home Board

Operational/Managerial Control · Organization

0% 3 facilities 2006-08-01

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