Federal inspection record · CMS data as of October 1, 2026
Nhc Healthcare, Cookeville
815 South Walnut Avenue, Cookeville, TN · (931) 528-5516
- CMS high-performer trophy
- Certified beds
- 104
- Residents per day
- 99
- Ownership
- For-Profit
- Chain
- National Healthcare Corporation
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 28, 1976
1
How this home got 5 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.
-
Quality measures
★★★★★no change (already 5)
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
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Tennessee homes
Nhc Healthcare, Cookeville carries 6 inspection points. That is fewer than 94% 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 2020. 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning2D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care1D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary1D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2026-06-17
1 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2025-02-12
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2020-02-05
1 health deficiencies · 1 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 14 min of nursing staff time a day, 32 min of it from a registered nurse.
This home
4 h 14 min
Tennessee average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 42% of nursing staff and 31% 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
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 days0.6 pts worse | 2.2 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts better | 0.4 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine10.5 pts better | 100.0% | 89.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.2 pts better | 100.0% | 93.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.3 pts worse | 5.6% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms10.1 pts better | 4.8% | 14.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.9 pts better | 2.1% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication20.1 pts better | 11.6% | 31.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.8 pts better | 8.2% | 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 worsened10.3 pts better | 5.1% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.3 pts better | 5.2% | 13.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 0.6% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.5 pts worse | 4.2% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.3 pts worse | 19.3% | 19.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.4 pts better | 2.4% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine20.2 pts better | 99.6% | 79.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.6 pts better | 3.7% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.5 pts better | 0.2% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine20.3 pts better | 99.5% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission9.1 pts better | 13.5% | 22.6% | 23.4% |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4D
- D
Provide properly protected cooking facilities.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems1D
- D
Have generator or other power source capable of supplying service within 10 seconds.
·
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