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

Compare this facility

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

Staffing

Hours and turnover

RN hours / resident day

0.45

Registered nurse staffing

LPN hours / resident day

1.19

Licensed practical nurse staffing

Aide hours / resident day

2.45

Nurse aide staffing

Weekend hours

3.55

Weekend nurse staffing

RN turnover

23%

Annual RN turnover

Total nurse turnover

41%

Annual nurse turnover

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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

Survey summary

Recent inspection cycles

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.

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

100% 5 facilities 1986-10-30
Bean, Kelsie

Operational/Managerial Control · Individual

0% 1 facilities 2009-05-13
Dieringer, Nicholas

Operational/Managerial Control · Individual

0% 3 facilities 2020-06-10
Dodson, Vicki

Operational/Managerial Control · Individual

0% 61 facilities 2019-06-01
Kidd, Brian

Operational/Managerial Control · Individual

0% 62 facilities 2019-01-01
Kidd, Brian

Corporate Officer · Individual

0% 62 facilities 2019-01-01
National Healthcare Corporation

Operational/Managerial Control · Organization

0% 60 facilities 1997-09-26
Nhc-Op LP

Operational/Managerial Control · Organization

0% 63 facilities 2018-01-01
Smith, Jeffrey

Operational/Managerial Control · Individual

0% 7 facilities 2008-12-15
Smith, Jeffrey

Corporate Officer · Individual

0% 7 facilities 2008-12-15
Stoner, Jeremy

Operational/Managerial Control · Individual

0% 1 facilities 1998-06-01
Tennessee Healthcare Advisors, LLC

Operational/Managerial Control · Organization

0% 7 facilities 2018-01-01
Ussery, Robert

Operational/Managerial Control · Individual

0% 62 facilities 2025-07-23
Ussery, Robert

Corporate Officer · Individual

0% 62 facilities 2017-01-01

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Staffing
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