Humboldt, TN

W D Bill Manning Tennessee State Veterans Home

4-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

2865 Main Street, Humboldt, TN

(731) 784-8405

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

140

Certified beds

Average residents

135

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

Tennessee State Veterans' Home

Operator or chain grouping

Approved since

1996-02-15

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

0.44

Registered nurse staffing · state 0.61 · national 0.68

LPN hours / resident day

1.34

Licensed practical nurse staffing · state 1.09 · national 0.87

Aide hours / resident day

2.76

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

4.54

All reported nurse hours · state 3.85 · national 3.89

Licensed hours

1.78

RN + LPN hours · state 1.70 · national 1.54

Weekend hours

3.85

Weekend nurse staffing · state 3.34 · national 3.43

Weekend RN hours

0.26

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

0.45

CMS adjusted RN staffing hours

Adjusted total hours

4.66

CMS adjusted total nurse staffing hours

Case-mix index

1.33

Higher values indicate more complex resident acuity

RN turnover

23%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

27%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,365

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

Performance score

57.20

Composite VBP score used to determine payment impact.

Payment multiplier

1.0124

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.13

Baseline 19.26% · Performance 19.52% · Measure score 4.13 · Achievement 4.13 · Improvement 0

Healthcare-associated infections

5.71

Baseline 7.24% · Performance 6.13% · Measure score 5.71 · Achievement 5.71 · Improvement 4.45

Total nurse turnover

7.92

Baseline 33.33% · Performance 31.30% · Measure score 7.92 · Achievement 7.92 · Improvement 1.90

Adjusted total nurse staffing

5.12

Baseline 4.93 hours · Performance 4.53 hours · Measure score 5.12 · Achievement 5.12 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.58%	10.72% 1.1 pts better	No Different than the National Rate · Eligible stays 87 · Observed rate 8.05% · Lower 95% interval 6.49%
Discharge to community	34.41%	50.57% 16.2 pts worse	Worse than the National Rate · Eligible stays 65 · Observed rate 21.54% · Lower 95% interval 27.33%
Medicare spending per beneficiary	1.09	1.02 0.1 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 89 · Denominator 89
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 89
Discharge self-care score	30.51%	53.69% 23.2 pts worse	Numerator 18 · Denominator 59
Discharge mobility score	20.34%	50.94% 30.6 pts worse	Numerator 12 · Denominator 59
Pressure ulcers or injuries, new or worsened	5.62%	2.29% 3.3 pts worse	Numerator 5 · Denominator 89 · Adjusted rate 3.97%
Healthcare-associated infections requiring hospitalization	6.13%	7.12% 1 pts better	No Different than the National Rate · Eligible stays 65 · Observed rate 4.62% · Lower 95% interval 3.56%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 217
Staff flu vaccination coverage	21.16%	42% 20.8 pts worse	Numerator 51 · Denominator 241
Discharge function score	32.2%	56.45% 24.2 pts worse	Numerator 19 · Denominator 59
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 34 · Denominator 34
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	24.44%	25.2% 0.8 pts worse	Numerator 11 · Denominator 45

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 1.6 · Expected 2.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.2	1.6 0.4 pts better	1.8 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.3 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.3%	89.9% 8.4 pts better	93.4% 4.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 94.7% · Q2 99.2% · Q3 99.2% · Q4 100.0% · 4Q avg 98.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	94.5% 5.5 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	6.7%	3.6% 3.1 pts worse	3.3% 3.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 6.7% · Q3 8.3% · Q4 6.5% · 4Q avg 6.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	5.1%	11.8% 6.7 pts better	11.4% 6.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 5.5% · Q3 4.8% · Q4 7.2% · 4Q avg 5.1%
Percentage of long-stay residents who lose too much weight	3.6%	6.2% 2.6 pts better	5.4% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 5.8% · Q3 4.5% · Q4 0.0% · 4Q avg 3.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	19.5%	32.2% 12.7 pts better	19.6% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.0% · Q2 18.9% · Q3 19.6% · Q4 21.1% · 4Q avg 19.5%
Percentage of long-stay residents who received an antipsychotic medication	20.1%	18.1% 2 pts worse	16.7% 3.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 22.0% · Q3 20.0% · Q4 17.9% · 4Q avg 20.1% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	22.5%	19.9% 2.6 pts worse	16.3% 6.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 34.2% · Q2 28.7% · Q3 13.3% · Q4 15.7% · 4Q avg 22.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	13.6%	15.3% 1.7 pts better	14.9% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.2% · Q2 18.4% · Q3 7.8% · Q4 8.6% · 4Q avg 13.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.9% 0.9 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.7%	1.9% 1.8 pts worse	1.7% 2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 6.2% · Q3 1.7% · Q4 2.5% · 4Q avg 3.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.7%	20.2% 2.5 pts better	19.8% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 29.2% · Q2 17.4% · Q3 14.8% · Q4 10.3% · 4Q avg 17.7%
Percentage of long-stay residents with pressure ulcers	4.2%	5.4% 1.2 pts better	5.1% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 4.6% · Q3 3.6% · Q4 3.6% · 4Q avg 4.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	85.8%	79.6% 6.2 pts better	81.7% 4.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 78.7% · Q2 85.0% · Q3 93.1% · Q4 86.7% · 4Q avg 85.8%
Percentage of short-stay residents who had an outpatient emergency department visit	14.9%	11.2% 3.7 pts worse	12.0% 2.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.9% · Observed 16.9% · Expected 12.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.0%	1.6% 0.6 pts better	1.6% 0.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q3 0.0% · Q4 3.6% · 4Q avg 1.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	91.8%	79.8% 12 pts better	79.7% 12.1 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 91.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	15.3%	22.2% 6.9 pts better	23.9% 8.6 pts better	Short Stay · 20240701-20250630 · Adjusted 15.3% · Observed 15.5% · Expected 24.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-10-19 · Fire 2023-10-19

2 health deficiencies

Top issue: Infection Control (1 deficiency)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2021-11-17 · Fire 2021-11-17

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2020-02-06 · Fire 2020-02-06

0 health deficiencies

No concentrated health issue counts in this cycle.

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2023-10-19

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-11-30

D · Potential for more than minimal harm 2023-10-19

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-10-23

D · Potential for more than minimal harm 2020-02-06

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2020-02-17

Inspection history

Recent health citations

D · Potential for more than minimal harm 2023-10-19

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-11-30

D · Potential for more than minimal harm 2023-10-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-11-30

F · Potential for more than minimal harm 2021-11-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-12-24

E · Potential for more than minimal harm 2021-11-17

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 2021-12-24

D · Potential for more than minimal harm 2021-11-17

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2021-12-24

D · Potential for more than minimal harm 2021-11-17

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-12-24

D · Potential for more than minimal harm 2021-11-17

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 2021-12-24

Penalties and ownership