Nhc Healthcare, Dickson ratings, inspections, staffing, and fines

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.

Health inspections

starting point

Everything starts from what state inspectors found on site. This is a ranking against other homes in Tennessee.
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

+1 star

Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
Overall

5 of 5

Matches the rating CMS publishes on Care Compare.

2

Where it sits among Tennessee homes

Nhc Healthcare, Dickson carries 12 inspection points. That is fewer than 79% 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

6 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts

K 0 100 pts

L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts

H 0 35 pts

I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 5 4 pts

E 0 8 pts

F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts

B 0 0 pts

C 0 0 pts

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 Rights2D

D
Honor the resident's right to manage his or her financial affairs.
April 22, 2026 · Standard · F567 · Corrected May 8, 2026
D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
January 21, 2022 · Standard · F550 · Corrected March 1, 2022

Pharmacy Service2D

D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
April 22, 2026 · Standard · F761 · Corrected May 8, 2026
D
Ensure that residents are free from significant medication errors.
January 21, 2022 · Standard · F760 · Corrected March 1, 2022

Infection Control1F

F
Provide and implement an infection prevention and control program.
January 21, 2022 · Standard · F880 · Corrected March 1, 2022

Quality of Life and Care1D

D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
August 1, 2019 · Standard · F686 · Corrected August 15, 2019

Inspection history

2026-04-22
2 health deficiencies · 2 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
2022-01-21
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2019-08-01
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 58 min of nursing staff time a day, 38 min of it from a registered nurse.

This home

3 h 58 min

Tennessee average

3 h 49 min

U.S. average

3 h 54 min

Registered nurse
Licensed practical nurse
Nurse aide

Turnover: 37% of nursing staff and 21% 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 days1.2 pts better	0.4	1.6	1.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts better	0.3	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 injury0.1 pts better	3.2%	3.3%	3.2%
Percentage of long-stay residents who have depressive symptoms13.5 pts better	1.4%	14.9%	13.5%
Percentage of long-stay residents who lose too much weight0.7 pts worse	6.7%	6.0%	5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication14.3 pts better	17.4%	31.7%	19.5%
Percentage of long-stay residents who received an antipsychotic medication2 pts better	15.0%	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 worsened3 pts better	12.4%	15.4%	12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2.9 pts better	10.6%	13.5%	13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better	0.0%	0.6%	0.7%
Percentage of long-stay residents with a urinary tract infection0.8 pts worse	2.5%	1.7%	1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1 pts worse	20.0%	19.0%	18.3%
Percentage of long-stay residents with pressure ulcers0.3 pts worse	5.1%	4.8%	4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.9 pts better	97.3%	79.4%	82.3%
Percentage of short-stay residents who had an outpatient emergency department visit5.5 pts better	5.8%	11.3%	11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts worse	2.1%	1.7%	1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine18.8 pts better	98.0%	79.2%	80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission10.5 pts better	12.1%	22.6%	23.4%

·

Who owns and runs it

22 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list

Name	Role	Share	Homes
Bidwell, Charles	Managing Control - Governing Body · Individual	0%	13 facilities
Bidwell, Charles	Corporate Officer · Individual	0%	13 facilities
Bidwell, Charles	Operational/Managerial Control · Individual	0%	13 facilities
Blackrock Inc	Adp Of The SNF · Organization	0%	85 facilities
Dodson, Vicki	Operational/Managerial Control · Individual	0%	65 facilities
Dodson, Vicki	Adp Of The SNF · Individual	0%	65 facilities
Kidd, Brian	Operational/Managerial Control · Individual	0%	66 facilities
Kidd, Brian	Adp Of The SNF · Individual	0%	66 facilities
Moen, Jessica	Operational/Managerial Control · Individual	0%	1 facilities
Morgan Stanley Institutional Advisors LLC	Indirect Ownership Interest · Organization	0%	41 facilities
National Health Corporation	Adp Of The SNF · Organization	0%	59 facilities
National Healthcare Corporation	Operational/Managerial Control · Organization	0%	61 facilities
National Healthcare Corporation	Adp Of The SNF · Organization	0%	61 facilities
Nhc-Op LP	Operational/Managerial Control · Organization	0%	62 facilities
Nhc/Delaware Inc	Indirect Ownership Interest · Organization	0%	46 facilities
Shah, Viren	Operational/Managerial Control · Individual	0%	2 facilities
Shah, Viren	Adp Of The SNF · Individual	0%	2 facilities
Shelly, Timothy	Operational/Managerial Control · Individual	0%	34 facilities
Tummins, Misty	Operational/Managerial Control · Individual	0%	1 facilities
Tummins, Misty	Adp Of The SNF · Individual	0%	1 facilities
Ussery, Robert	Operational/Managerial Control · Individual	0%	57 facilities
Vanguard Group Inc	Adp Of The SNF · Organization	0%	84 facilities

·

Fire safety

2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Egress1D

D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
April 22, 2026 · K222 · Corrected May 8, 2026

Miscellaneous1D

D
Have restrictions on the use of portable space heaters.
April 22, 2026 · K781 · Corrected May 8, 2026

·

Other homes nearby

Dickson Health And Rehab
Dickson, TN

Worst citation, 3 yrs
J

Nursing / resident / day
2 h 51 min

Fines
$0
The Waters Of Cheatham, LLC
Ashland City, TN · Infinity Healthcare Consulting

Worst citation, 3 yrs
F

Nursing / resident / day
3 h 25 min

Fines
$2,117
Life Care Center Of Centerville
Centerville, TN · Life Care Centers Of America

Worst citation, 3 yrs
E

Nursing / resident / day
3 h 29 min

Fines
$0

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