Cycle 1
Health 2022-01-21 · Fire 2022-01-21
3 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Dickson, TN
Nhc Healthcare, Dickson
5-star overall rating with 4-star inspections with 3 recent health deficiencies
812 Charlotte St, Dickson, TN
(615) 446-8046
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
191
Certified beds
Average residents
179
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
National Healthcare Corporation
Operator or chain grouping
Approved since
1967-01-01
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
0.65
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
0.89
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.28
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.82
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.54
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.30
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.44
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.66
CMS adjusted RN staffing hours
Adjusted total hours
3.90
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
22%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
809
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
63.45
Composite VBP score used to determine payment impact.
Payment multiplier
1.0182
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 16.21% · Performance 16.76% · Measure score 10 · Achievement 10 · Improvement 0
Healthcare-associated infections
8.68
Baseline 4.84% · Performance 5.24% · Measure score 8.68 · Achievement 8.68 · Improvement 0
Total nurse turnover
4
Baseline 60.24% · Performance 47.34% · Measure score 4 · Achievement 4 · Improvement 3.14
Adjusted total nurse staffing
2.70
Baseline 3.83 hours · Performance 3.85 hours · Measure score 2.70 · Achievement 2.70 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.59% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 227 · Observed rate 8.37% · Lower 95% interval 7.02% |
| Discharge to community | 53.39% |
50.57%
2.8 pts better
|
No Different than the National Rate · Eligible stays 257 · Observed rate 47.08% · Lower 95% interval 47.74% |
| Medicare spending per beneficiary | 1.18 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 97.37% |
95.27%
2.1 pts better
|
Numerator 148 · Denominator 152 |
| Falls with major injury | 1.97% |
0.77%
1.2 pts worse
|
Numerator 3 · Denominator 152 |
| Discharge self-care score | 56.94% |
53.69%
3.2 pts better
|
Numerator 41 · Denominator 72 |
| Discharge mobility score | 68.06% |
50.94%
17.1 pts better
|
Numerator 49 · Denominator 72 |
| Pressure ulcers or injuries, new or worsened | 0.66% |
2.29%
1.6 pts better
|
Numerator 1 · Denominator 151 · Adjusted rate 0.68% |
| Healthcare-associated infections requiring hospitalization | 5.24% |
7.12%
1.9 pts better
|
No Different than the National Rate · Eligible stays 165 · Observed rate 3.03% · Lower 95% interval 3.17% |
| Staff COVID-19 vaccination coverage | 0.66% |
8.2%
7.5 pts worse
|
Numerator 2 · Denominator 305 |
| Staff flu vaccination coverage | 22.33% |
42%
19.7 pts worse
|
Numerator 92 · Denominator 412 |
| Discharge function score | 63.89% |
56.45%
7.4 pts better
|
Numerator 46 · Denominator 72 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 74 · Denominator 74 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 39 · Denominator 39 |
| Resident COVID-19 vaccinations up to date | 49.33% |
25.2%
24.1 pts better
|
Numerator 37 · Denominator 75 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.8 |
1.6
0.8 pts better
|
1.9
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 1.3 · Expected 3.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
1.6
0.8 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 1.0 · Expected 2.1 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
89.9%
9.6 pts better
|
93.4%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 100.0% · Q3 98.6% · Q4 100.0% · 4Q avg 99.5% |
| 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 | 3.2% |
3.6%
0.4 pts better
|
3.3%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 3.4% · Q3 2.8% · Q4 2.6% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.2% |
11.8%
10.6 pts better
|
11.4%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.9% · Q3 1.6% · Q4 1.5% · 4Q avg 1.2% |
| Percentage of long-stay residents who lose too much weight | 9.6% |
6.2%
3.4 pts worse
|
5.4%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 12.1% · Q3 9.6% · Q4 6.9% · 4Q avg 9.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.3% |
32.2%
9.9 pts better
|
19.6%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.0% · Q2 25.2% · Q3 21.6% · Q4 19.7% · 4Q avg 22.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.0% |
18.1%
2.1 pts better
|
16.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.3% · Q2 18.9% · Q3 13.1% · Q4 14.0% · 4Q avg 16.0% · 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 | 16.1% |
19.9%
3.8 pts better
|
16.3%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.9% · Q2 21.1% · Q3 10.9% · Q4 10.5% · 4Q avg 16.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.7% |
15.3%
4.6 pts better
|
14.9%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.0% · Q2 12.8% · Q3 7.0% · Q4 12.1% · 4Q avg 10.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.9%
0.6 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.6% · Q3 0.6% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.2% |
1.9%
0.3 pts worse
|
1.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 1.4% · Q3 2.8% · Q4 1.3% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.1% |
20.2%
3.1 pts better
|
19.8%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 16.4% · Q3 15.2% · Q4 19.5% · 4Q avg 17.1% |
| Percentage of long-stay residents with pressure ulcers | 5.0% |
5.4%
0.4 pts better
|
5.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 3.2% · Q3 6.0% · Q4 6.9% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.8% |
79.6%
15.2 pts better
|
81.7%
13.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.1% · Q2 94.0% · Q3 95.1% · Q4 96.1% · 4Q avg 94.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.8% |
11.2%
6.4 pts better
|
12.0%
7.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.8% · Observed 4.8% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.6%
0.1 pts better
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 1.5% · Q3 0.7% · Q4 0.8% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.8% |
79.8%
15 pts better
|
79.7%
15.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.6% |
22.2%
1.6 pts better
|
23.9%
3.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.6% · Observed 20.0% · Expected 23.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-08-01 · Fire 2019-08-01
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2018-09-19 · Fire 2018-09-19
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
F · Potential for more than minimal harm
2022-01-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-03-01
D · Potential for more than minimal harm
2022-01-21
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-03-01
D · Potential for more than minimal harm
2022-01-21
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2022-03-01
D · Potential for more than minimal harm
2019-08-01
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2019-08-15
Penalties and ownership
What sits behind the stars
Ownership
Nhc-Op LP
5% Or Greater Direct Ownership Interest · Organization
Bidwell, Charles
Operational/Managerial Control · Individual
Bidwell, Charles
Corporate Officer · Individual
Blackrock Inc
5% Or Greater Indirect Ownership Interest · Organization
Dimensional Fund Advisors LP
5% Or Greater Indirect Ownership Interest · Organization
Dodson, Vicki
Operational/Managerial Control · Individual
Kidd, Brian
Operational/Managerial Control · Individual
Moen, Jessica
Operational/Managerial Control · Individual
Morgan Stanley
5% Or Greater Indirect Ownership Interest · Organization
National Health Corporation
5% Or Greater Indirect Ownership Interest · Organization
National Healthcare Corporation
5% Or Greater Indirect Ownership Interest · Organization
National Healthcare Corporation
Operational/Managerial Control · Organization
Nhc-Op LP
Operational/Managerial Control · Organization
Shah, Viren
Operational/Managerial Control · Individual
Shelly, Timothy
Operational/Managerial Control · Individual
Tummins, Misty
Operational/Managerial Control · Individual
Ussery, Robert
Operational/Managerial Control · Individual
Vanguard Group Inc
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Dickson Health And Rehab
Dickson, TN
1-star overall rating with 2-star inspections with 19 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
The Waters Of Cheatham, LLC
Ashland City, TN
3-star overall rating with 2-star inspections with $6,350 in total fines with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Life Care Center Of Centerville
Centerville, TN
4-star overall rating with 3-star inspections with 3 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
Jump out