Cycle 1
Health 2025-02-12 · Fire 2025-02-12
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cookeville, TN
Nhc Healthcare, Cookeville
5-star overall rating with 4-star inspections with 3 recent health deficiencies
815 South Walnut Avenue, Cookeville, TN
(931) 528-5516
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
104
Certified beds
Average residents
98
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
National Healthcare Corporation
Operator or chain grouping
Approved since
1976-01-28
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
65 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 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
0.45
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
1.19
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.45
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
4.09
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.64
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.55
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.18
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.37
CMS adjusted RN staffing hours
Adjusted total hours
3.39
CMS adjusted total nurse staffing hours
Case-mix index
1.65
Higher values indicate more complex resident acuity
RN turnover
23%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
41%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,489
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
36.01
Composite VBP score used to determine payment impact.
Payment multiplier
0.9895
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.33
Baseline 17.99% · Performance 19.89% · Measure score 3.33 · Achievement 3.33 · Improvement 0
Healthcare-associated infections
4.21
Baseline 6.81% · Performance 6.58% · Measure score 4.21 · Achievement 4.21 · Improvement 0.8
Total nurse turnover
6.14
Baseline 52.38% · Performance 38.60% · Measure score 6.14 · Achievement 6.14 · Improvement 4.51
Adjusted total nurse staffing
0.73
Baseline 3.71 hours · Performance 3.29 hours · Measure score 0.73 · Achievement 0.73 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.74% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 298 · Observed rate 8.39% · Lower 95% interval 7.03% |
| Discharge to community | 57.9% |
50.57%
7.3 pts better
|
Better than the National Rate · Eligible stays 329 · Observed rate 52.89% · Lower 95% interval 52.36% |
| Medicare spending per beneficiary | 1.21 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 99.48% |
95.27%
4.2 pts better
|
Numerator 192 · Denominator 193 |
| Falls with major injury | 1.55% |
0.77%
0.8 pts worse
|
Numerator 3 · Denominator 193 |
| Discharge self-care score | 70.09% |
53.69%
16.4 pts better
|
Numerator 75 · Denominator 107 |
| Discharge mobility score | 65.42% |
50.94%
14.5 pts better
|
Numerator 70 · Denominator 107 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 193 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.58% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 199 · Observed rate 5.53% · Lower 95% interval 4.6% |
| Staff COVID-19 vaccination coverage | 1.69% |
8.2%
6.5 pts worse
|
Numerator 3 · Denominator 178 |
| Staff flu vaccination coverage | 54.44% |
42%
12.4 pts better
|
Numerator 147 · Denominator 270 |
| Discharge function score | 71.96% |
56.45%
15.5 pts better
|
Numerator 77 · Denominator 107 |
| Transfer of health information to provider | 74.29% |
95.95%
21.7 pts worse
|
Numerator 104 · Denominator 140 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 11.88% |
25.2%
13.3 pts worse
|
Numerator 12 · Denominator 101 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.6
0.2 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.6 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.6
0.3 pts better
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.5 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
89.9%
9.4 pts better
|
93.4%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.2% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.3% |
| 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 | 3.9% |
3.6%
0.3 pts worse
|
3.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 1.4% · Q3 4.2% · Q4 7.1% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 12.0% |
11.8%
0.2 pts worse
|
11.4%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 13.6% · Q3 14.9% · Q4 8.1% · 4Q avg 12.0% |
| Percentage of long-stay residents who lose too much weight | 2.4% |
6.2%
3.8 pts better
|
5.4%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.4% · Q3 2.4% · Q4 2.5% · 4Q avg 2.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.1% |
32.2%
9.1 pts better
|
19.6%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.7% · Q2 27.9% · Q3 22.0% · Q4 15.0% · 4Q avg 23.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.8% |
18.1%
0.7 pts worse
|
16.7%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.5% · Q2 21.3% · Q3 15.7% · Q4 10.4% · 4Q avg 18.8% · 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 | 3.6% |
19.9%
16.3 pts better
|
16.3%
12.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.1% · Q3 0.0% · Q4 9.7% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.5% |
15.3%
12.8 pts better
|
14.9%
12.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.0% · Q3 0.0% · Q4 8.6% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
0.9%
0.2 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 1.5% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.9% |
1.9%
1 pts worse
|
1.7%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 0.0% · Q3 2.9% · Q4 5.8% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.8% |
20.2%
0.4 pts better
|
19.8%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 25.1% · Q3 14.4% · Q4 25.8% · 4Q avg 19.8% |
| Percentage of long-stay residents with pressure ulcers | 3.0% |
5.4%
2.4 pts better
|
5.1%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.6% · Q3 2.0% · Q4 3.0% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
79.6%
20.1 pts better
|
81.7%
18 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.4% · Q3 100.0% · Q4 99.4% · 4Q avg 99.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 3.6% |
11.2%
7.6 pts better
|
12.0%
8.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 3.6% · Observed 3.4% · Expected 10.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.6%
0.2 pts better
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.9% · Q3 1.8% · Q4 0.8% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.4% |
79.8%
19.6 pts better
|
79.7%
19.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.9% |
22.2%
5.3 pts better
|
23.9%
7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.9% · Observed 15.7% · Expected 22.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2020-02-05 · Fire 2020-02-05
1 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2019-02-06 · Fire 2019-02-06
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2020-02-05
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-03-02
D · Potential for more than minimal harm
2019-02-06
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-02-13
D · Potential for more than minimal harm
2019-02-06
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2019-02-14
D · Potential for more than minimal harm
2019-02-06
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-02-07
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-02-12
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-02-20
D · Potential for more than minimal harm
2025-02-12
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 2025-02-21
D · Potential for more than minimal harm
2025-02-12
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 2025-03-18
D · Potential for more than minimal harm
2020-02-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2020-02-20
F · Potential for more than minimal harm
2019-02-06
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 2019-02-07
D · Potential for more than minimal harm
2019-02-06
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 2019-02-18
Penalties and ownership
What sits behind the stars
Ownership
National Health Corp Leveraged Employee Stock Ownership Trust
5% Or Greater Direct Ownership Interest · Organization
Bean, Kelsie
Operational/Managerial Control · Individual
Dieringer, Nicholas
Operational/Managerial Control · Individual
Dodson, Vicki
Operational/Managerial Control · Individual
Kidd, Brian
Operational/Managerial Control · Individual
Kidd, Brian
Corporate Officer · Individual
National Healthcare Corporation
Operational/Managerial Control · Organization
Nhc-Op LP
Operational/Managerial Control · Organization
Smith, Jeffrey
Operational/Managerial Control · Individual
Smith, Jeffrey
Corporate Officer · Individual
Stoner, Jeremy
Operational/Managerial Control · Individual
Tennessee Healthcare Advisors, LLC
Operational/Managerial Control · Organization
Ussery, Robert
Operational/Managerial Control · Individual
Ussery, Robert
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Ahc Bethesda
Cookeville, TN
2-star overall rating with 2-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Signature Healthcare Of Putnam County
Cookeville, TN
2-star overall rating with 2-star inspections with 13 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Standing Stone Care And Rehab
Monterey, TN
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle
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