Cycle 1
Health 2022-03-16 · Fire 2022-03-16
1 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Lawrenceburg, TN
Nhc Healthcare, Scott
5-star overall rating with 4-star inspections with 1 recent health deficiencies
2380 Buffalo Road, Lawrenceburg, TN
(931) 762-9418
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
49
Certified beds
Average residents
55
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
National Healthcare Corporation
Operator or chain grouping
Approved since
1977-07-01
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
0.93
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
0.88
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.11
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.92
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.81
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.26
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.35
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.15
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.83
CMS adjusted RN staffing hours
Adjusted total hours
3.50
CMS adjusted total nurse staffing hours
Case-mix index
1.53
Higher values indicate more complex resident acuity
RN turnover
31%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
61%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,140
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
30.63
Composite VBP score used to determine payment impact.
Payment multiplier
0.9861
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 21.24% · Performance 22.61% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
8.48
Baseline 7.88% · Performance 5.30% · Measure score 8.48 · Achievement 8.48 · Improvement 8.44
Total nurse turnover
2.57
Baseline 66.67% · Performance 53.85% · Measure score 2.57 · Achievement 2.41 · Improvement 2.57
Adjusted total nurse staffing
1.21
Baseline 3.51 hours · Performance 3.42 hours · Measure score 1.21 · Achievement 1.21 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.74% |
10.72%
1 pts worse
|
No Different than the National Rate · Eligible stays 207 · Observed rate 11.11% · Lower 95% interval 8.52% |
| Discharge to community | 56.05% |
50.57%
5.5 pts better
|
Better than the National Rate · Eligible stays 219 · Observed rate 54.79% · Lower 95% interval 50.95% |
| Medicare spending per beneficiary | 1.27 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 130 · Denominator 130 |
| Falls with major injury | 3.08% |
0.77%
2.3 pts worse
|
Numerator 4 · Denominator 130 |
| Discharge self-care score | 73.13% |
53.69%
19.4 pts better
|
Numerator 49 · Denominator 67 |
| Discharge mobility score | 83.58% |
50.94%
32.6 pts better
|
Numerator 56 · Denominator 67 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 130 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.3% |
7.12%
1.8 pts better
|
No Different than the National Rate · Eligible stays 138 · Observed rate 2.17% · Lower 95% interval 2.92% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 95 |
| Staff flu vaccination coverage | 20.61% |
42%
21.4 pts worse
|
Numerator 27 · Denominator 131 |
| Discharge function score | 79.1% |
56.45%
22.6 pts better
|
Numerator 53 · Denominator 67 |
| Transfer of health information to provider | 96.84% |
95.95%
0.9 pts better
|
Numerator 92 · Denominator 95 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 17.74% |
25.2%
7.5 pts worse
|
Numerator 11 · Denominator 62 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.6 |
1.6
1 pts better
|
1.9
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.9 · Expected 2.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
1.6
0.5 pts worse
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.6 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.4% |
89.9%
2.5 pts better
|
93.4%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 93.9% · Q2 93.9% · Q3 91.2% · Q4 90.6% · 4Q avg 92.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 89.7% |
94.5%
4.8 pts worse
|
95.5%
5.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 89.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.1% |
3.6%
2.5 pts worse
|
3.3%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 9.1% · Q3 5.9% · Q4 6.2% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
11.8%
11.8 pts better
|
11.4%
11.4 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 who lose too much weight | 8.2% |
6.2%
2 pts worse
|
5.4%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 16.0% · Q3 0.0% · Q4 8.7% · 4Q avg 8.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.8% |
32.2%
4.4 pts better
|
19.6%
8.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 32.0% · Q3 18.2% · Q4 26.1% · 4Q avg 27.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 2.6% |
18.1%
15.5 pts better
|
16.7%
14.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q4 5.0% · 4Q avg 2.6% · 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 | 17.8% |
19.9%
2.1 pts better
|
16.3%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.4% |
15.3%
5.1 pts worse
|
14.9%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 20.8% · Q3 23.8% · Q4 14.3% · 4Q avg 20.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
0.9%
About the same
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.5% |
1.9%
2.6 pts worse
|
1.7%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 6.1% · Q3 0.0% · Q4 3.1% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.2% |
20.2%
1 pts worse
|
19.8%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 24.3% · Q3 31.2% · Q4 17.5% · 4Q avg 21.2% |
| Percentage of long-stay residents with pressure ulcers | 3.6% |
5.4%
1.8 pts better
|
5.1%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 1.8% · Q3 3.4% · Q4 1.7% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 82.4% |
79.6%
2.8 pts better
|
81.7%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 85.9% · Q2 78.1% · Q3 79.6% · Q4 85.9% · 4Q avg 82.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.3% |
11.2%
1.9 pts better
|
12.0%
2.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.3% · Observed 8.7% · Expected 10.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.6%
1.3 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.2% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 78.6% |
79.8%
1.2 pts worse
|
79.7%
1.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 78.6% |
| 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 20.0% · Expected 24.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-05-01 · Fire 2019-05-01
2 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2018-06-19 · Fire 2018-06-19
3 health deficiencies
Top issue: Environmental (1 deficiency)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2018-06-19
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2018-08-03
D · Potential for more than minimal harm
2018-06-19
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2018-06-19
C · Minimal harm
2018-06-19
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2018-07-31
Inspection history
Recent health citations
D · Potential for more than minimal harm
2023-10-13
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-10-20
F · Potential for more than minimal harm
2022-03-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-04-05
E · Potential for more than minimal harm
2019-05-01
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 2019-05-31
D · Potential for more than minimal harm
2019-05-01
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-05-31
D · Potential for more than minimal harm
2018-06-19
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 2018-06-30
D · Potential for more than minimal harm
2018-06-19
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 2018-06-30
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
Dieringer, Nicholas
Operational/Managerial Control · Individual
Dimensional Fund Advisors LP
5% Or Greater Indirect Ownership Interest · Organization
Dodson, Vicki
Operational/Managerial Control · Individual
Jones, Jason
Operational/Managerial Control · Individual
Kidd, Brian
Operational/Managerial Control · Individual
Lopp, Tisha
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
Shelly, Timothy
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
Nhc Healthcare, Lawrenceburg
Lawrenceburg, TN
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Countryside Post-Acute And Rehabilitation Center
Lawrenceburg, TN
2-star overall rating with 2-star inspections with 9 recent health deficiencies
#3
Nhc Healthcare, Pulaski
Pulaski, TN
3-star overall rating with 2-star inspections with 6 recent health deficiencies
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