Cycle 1
Health 2022-06-08 · Fire 2022-06-08
10 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Hendersonville, TN
Nhc Healthcare, Hendersonville
2-star overall rating with 2-star inspections with 10 recent health deficiencies
370 Old Shackle Island Rd, Hendersonville, TN
(615) 824-0720
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
122
Certified beds
Average residents
100
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
National Healthcare Corporation
Operator or chain grouping
Approved since
1986-04-04
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
0.59
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
1.32
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
1.75
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.66
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.91
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.37
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.49
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.57
CMS adjusted RN staffing hours
Adjusted total hours
3.49
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
42%
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
2,240
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
50.76
Composite VBP score used to determine payment impact.
Payment multiplier
1.0050
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.59
Baseline 23.23% · Performance 17.59% · Measure score 8.59 · Achievement 8.29 · Improvement 8.59
Healthcare-associated infections
1.76
Baseline 7.10% · Performance 7.31% · Measure score 1.76 · Achievement 1.76 · Improvement 0
Total nurse turnover
7.97
Baseline 58.68% · Performance 31.11% · Measure score 7.97 · Achievement 7.97 · Improvement 7.65
Adjusted total nurse staffing
1.99
Baseline 3.91 hours · Performance 3.64 hours · Measure score 1.99 · Achievement 1.99 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.93% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 142 · Observed rate 10.56% · Lower 95% interval 7.77% |
| Discharge to community | 57.96% |
50.57%
7.4 pts better
|
No Different than the National Rate · Eligible stays 153 · Observed rate 53.59% · Lower 95% interval 49.16% |
| Medicare spending per beneficiary | 1.07 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 90 · Denominator 90 |
| Falls with major injury | 1.11% |
0.77%
0.3 pts worse
|
Numerator 1 · Denominator 90 |
| Discharge self-care score | 73.33% |
53.69%
19.6 pts better
|
Numerator 33 · Denominator 45 |
| Discharge mobility score | 66.67% |
50.94%
15.7 pts better
|
Numerator 30 · Denominator 45 |
| Pressure ulcers or injuries, new or worsened | 2.22% |
2.29%
0.1 pts better
|
Numerator 2 · Denominator 90 · Adjusted rate 2.84% |
| Healthcare-associated infections requiring hospitalization | 7.31% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 83 · Observed rate 6.02% · Lower 95% interval 4.34% |
| Staff COVID-19 vaccination coverage | 12.5% |
8.2%
4.3 pts better
|
Numerator 21 · Denominator 168 |
| Staff flu vaccination coverage | 79.31% |
42%
37.3 pts better
|
Numerator 138 · Denominator 174 |
| Discharge function score | 71.11% |
56.45%
14.7 pts better
|
Numerator 32 · Denominator 45 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 98.36% |
96.28%
2.1 pts better
|
Numerator 60 · Denominator 61 |
| Resident COVID-19 vaccinations up to date | 30.77% |
25.2%
5.6 pts better
|
Numerator 16 · Denominator 52 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
1.6
0.5 pts worse
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.7 · Expected 2.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.6
0.5 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.3 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.8% |
89.9%
6.9 pts better
|
93.4%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.8% · Q3 96.1% · Q4 92.2% · 4Q avg 96.8% |
| 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 | 3.8% |
3.6%
0.2 pts worse
|
3.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.4% · Q3 5.2% · Q4 5.2% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.7% |
11.8%
6.1 pts better
|
11.4%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 6.3% · Q3 8.1% · Q4 1.5% · 4Q avg 5.7% |
| Percentage of long-stay residents who lose too much weight | 5.3% |
6.2%
0.9 pts better
|
5.4%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 2.8% · Q3 8.1% · Q4 7.8% · 4Q avg 5.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 37.8% |
32.2%
5.6 pts worse
|
19.6%
18.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.8% · Q2 40.3% · Q3 39.4% · Q4 38.5% · 4Q avg 37.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.2% |
18.1%
2.1 pts worse
|
16.7%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.1% · Q2 17.6% · Q3 20.0% · Q4 21.1% · 4Q avg 20.2% · 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 | 21.6% |
19.9%
1.7 pts worse
|
16.3%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q4 19.3% · 4Q avg 21.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.8% |
15.3%
8.5 pts worse
|
14.9%
8.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.1% · Q2 14.9% · Q3 27.0% · Q4 15.9% · 4Q avg 23.8% · 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 1.0% · Q2 0.8% · Q3 0.9% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.6% |
1.9%
0.3 pts better
|
1.7%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.2% · Q3 2.7% · Q4 1.3% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.7% |
20.2%
3.5 pts better
|
19.8%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 15.3% · Q3 20.5% · Q4 14.9% · 4Q avg 16.7% |
| Percentage of long-stay residents with pressure ulcers | 7.9% |
5.4%
2.5 pts worse
|
5.1%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 6.4% · Q3 10.0% · Q4 9.2% · 4Q avg 7.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 62.7% |
79.6%
16.9 pts worse
|
81.7%
19 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 74.9% · Q2 72.6% · Q3 55.9% · Q4 46.2% · 4Q avg 62.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.7% |
11.2%
5.5 pts better
|
12.0%
6.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.7% · Observed 5.2% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.0% |
1.6%
1.4 pts worse
|
1.6%
1.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.9% · Q3 3.7% · Q4 4.7% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 78.5% |
79.8%
1.3 pts worse
|
79.7%
1.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 78.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.6% |
22.2%
2.6 pts better
|
23.9%
4.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.6% · Observed 16.7% · Expected 20.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-07-11 · Fire 2019-07-11
6 health deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2018-07-18 · Fire 2018-07-18
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2019-07-11
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-08-25
E · Potential for more than minimal harm
2019-07-11
K232 · Egress Deficiencies
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2019-08-25
D · Potential for more than minimal harm
2018-07-18
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2018-08-31
Inspection history
Recent health citations
J · Immediate jeopardy
2025-11-04
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-17
E · Potential for more than minimal harm
2025-11-04
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-11-25
D · Potential for more than minimal harm
2022-06-08
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-07-22
D · Potential for more than minimal harm
2022-06-08
F574 · Resident Rights Deficiencies
Health
The resident has the right to receive notices in a format and a language he or she understands.
Corrected 2022-07-22
D · Potential for more than minimal harm
2022-06-08
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-07-22
D · Potential for more than minimal harm
2022-06-08
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-07-22
D · Potential for more than minimal harm
2022-06-08
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-07-22
D · Potential for more than minimal harm
2022-06-08
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2022-07-22
D · Potential for more than minimal harm
2022-06-08
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-07-22
D · Potential for more than minimal harm
2022-06-08
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2022-07-22
D · Potential for more than minimal harm
2019-07-11
F638 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2019-08-20
D · Potential for more than minimal harm
2019-07-11
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-08-20
D · Potential for more than minimal harm
2019-07-11
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2019-08-20
D · Potential for more than minimal harm
2019-07-11
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-08-20
D · Potential for more than minimal harm
2019-07-11
F711 · Nursing and Physician Services Deficiencies
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2019-08-20
D · Potential for more than minimal harm
2019-07-11
F712 · Nursing and Physician Services Deficiencies
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2019-08-20
F · Potential for more than minimal harm
2018-07-18
F800 · Nutrition and Dietary Deficiencies
Health
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2018-08-31
D · Potential for more than minimal harm
2018-07-18
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2018-08-31
D · Potential for more than minimal harm
2018-07-18
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2018-08-31
Penalties and ownership
What sits behind the stars
Ownership
Nhc-Op LP
5% Or Greater Direct Ownership Interest · Organization
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
Montgomery, David
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
Newman, Bernadette
Operational/Managerial Control · Individual
Nhc-Op LP
Operational/Managerial Control · Organization
Shelly, Timothy
Operational/Managerial Control · Individual
Ussery, Robert
Operational/Managerial Control · Individual
Vanguard Group Inc
5% Or Greater Indirect Ownership Interest · Organization
Vincent, Brandon
Operational/Managerial Control · Individual
Vincent, Brandon
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Life Care Center Of Old Hickory Village
Old Hickory, TN
3-star overall rating with 2-star inspections with $13,520 in total fines with 12 recent health deficiencies
#2
Alta Heights Post Acute
Goodlettsville, TN
2-star overall rating with 2-star inspections with 12 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#3
Nhc Place Sumner
Gallatin, TN
5-star overall rating with 4-star inspections with 2 recent health deficiencies
Jump out