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Complaint Investigation

Brigadier General Wendell H Gilbert Tn State Veter

Inspection Date: November 21, 2025
Total Violations 1
Facility ID 445524
Location CLARKSVILLE, TN
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Inspection Findings

F-Tag F0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

response. On 11/29/2023 at 10:48 AM, Detective N documented, he assigned this case for further investigation. On 11/30/2023, Detective N documented, .the victim has not disclosed any sexual assault.

The victim does not wish to continue with the investigation for prosecution. Detective N placed the case in-active. During an interview on 10/22/2025 at 11:43 AM, CNA B stated she has been working at the facility for about 8 years and served as an activity staff. CNA B stated on 11/23/2023 she was preparing to leave after her shift and went to answer a call-light in Resident #2's room. When she entered, she found Resident #1 naked lying on his stomach between the opened legs of Resident #2. Resident #2 was also unclothed from the waist down. When asked whether there were any covers present on the bed, CNA B stated, they were off. Resident #2 stated she wanted the CNA to bring her something for pain because she had a headache. When asked Resident #1's reaction to CNA B entering the room, she stated she did not think that Resident #1 knew that she was there. CNA B stated she then left the room, went down the hall to find the nurse and the nurse was the one that got Resident #1 off of Resident #2. Once Resident #1 left the room, he returned to his private room. CNA B then stated she went to find the supervisor. CNA B went home after having given her employee statement. CNA B stated when Resident #1 returned to facility after psychiatric hospitalization, CNA B stated Resident #1 was transferred to another room in the 600 House (each section/hall was called a house - which consists of resident rooms, a kitchen area and a living room or common social area). CNA B was asked whether Resident #1 had ever displayed sexual aggression previously and she stated this was the first time she had seen him in anyone else's room. During an

interview on 10/22/2025 at 5:24 PM, the Social Services Director (SSD) was asked about Resident #2's cognitive ability at the time of the incident. The SSD stated .even though [Resident #2] scored initially high I feel that [Resident #2] was confused. During a phone interview on 10/23/2025 at 8:13 AM, LPN C was asked to explain the incident that happened on 11/23/2023 between Resident #1 and Resident #2. LPN C stated, It was towards the beginning of the shift I was on the other side of the common area passing meds.

The CNA [CNA B] went into the room [Resident #2's room] and came out yelling that she needed the nurse and I [LPN C] went into the room [Resident #2's room] and named Resident [Resident #2] was laying in her bed with no brief on, it was in the floor, and she had her gown pulled up below her breast. Named Resident [Resident #1] was in bed with her between her legs.LPN C told Resident #1 he needed to get up and he said No, we are fine. LPN C said You have to leave and Resident #1 got up and got dressed and was walked out by a staff member. LPN C asked Resident #2 if she was ok and if she wanted him in there and

she just said I didn't know what he wanted. There was a CNA that stayed in the common area to ensure the residents stayed in their own rooms. LPN C stated the next time she came to work, there was a Velcro stop sign placed across the threshold of Resident #2's room . During an interview on 10/23/2025 at 2:42 PM, the former DON (current Regional Consultant) stated she was notified of this incident and then notified the Administrator (The Abuse Coordinator). The former DON stated Resident #2 exhibited accusatory behaviors, and staff would ensure they had a witness to ensure they were not accused falsely. Resident #2 had behaviors mostly related to self-removal of her colostomy bag. The former DON was asked whether Resident #1 had ever had any episodes of sexual aggression, and she stated there had been no sexual behavior noted with Resident #1 prior to this incident and there had been no incident of sexual aggression afterwards.

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📋 Inspection Summary

BRIGADIER GENERAL WENDELL H GILBERT TN STATE VETER in CLARKSVILLE, TN inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CLARKSVILLE, TN, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BRIGADIER GENERAL WENDELL H GILBERT TN STATE VETER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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