Cycle 1
Health 2025-02-27 · Fire 2025-02-27
2 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
15 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Smithville, TN
Nhc Healthcare, Smithville
3-star overall rating with 2-star inspections with $228,511 in total fines with 2 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
825 Fisher Ave, Smithville, TN
(615) 597-4284
Overall
3 / 5
CMS overall stars
Health inspections
2 / 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
114
Certified beds
Average residents
85
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
National Healthcare Corporation
Operator or chain grouping
Approved since
1977-06-02
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
0.51
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
0.83
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.49
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.83
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
1.34
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.43
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.27
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.47
CMS adjusted RN staffing hours
Adjusted total hours
3.54
CMS adjusted total nurse staffing hours
Case-mix index
1.48
Higher values indicate more complex resident acuity
RN turnover
13%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
48%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,694
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.93
Composite VBP score used to determine payment impact.
Payment multiplier
0.9920
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.35
Baseline 21.35% · Performance 18.95% · Measure score 5.35 · Achievement 5.35 · Improvement 5.05
Healthcare-associated infections
4
Baseline 7.83% · Performance 6.64% · Measure score 4 · Achievement 4 · Improvement 3.70
Total nurse turnover
4.22
Baseline 49.43% · Performance 46.43% · Measure score 4.22 · Achievement 4.22 · Improvement 0.72
Adjusted total nurse staffing
2
Baseline 3.59 hours · Performance 3.65 hours · Measure score 2 · Achievement 2 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.28% |
10.72%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 83 · Observed rate 15.66% · Lower 95% interval 8.59% |
| Discharge to community | 61.34% |
50.57%
10.8 pts better
|
Better than the National Rate · Eligible stays 77 · Observed rate 57.14% · Lower 95% interval 52.26% |
| Medicare spending per beneficiary | 1.06 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 46 · Denominator 46 |
| Falls with major injury | 2.17% |
0.77%
1.4 pts worse
|
Numerator 1 · Denominator 46 |
| Discharge self-care score | 53.33% |
53.69%
0.4 pts worse
|
Numerator 16 · Denominator 30 |
| Discharge mobility score | 66.67% |
50.94%
15.7 pts better
|
Numerator 20 · Denominator 30 |
| Pressure ulcers or injuries, new or worsened | 2.17% |
2.29%
0.1 pts better
|
Numerator 1 · Denominator 46 · Adjusted rate 1.81% |
| Healthcare-associated infections requiring hospitalization | 6.64% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 47 · Observed rate 4.26% · Lower 95% interval 3.29% |
| Staff COVID-19 vaccination coverage | 2.34% |
8.2%
5.9 pts worse
|
Numerator 3 · Denominator 128 |
| Staff flu vaccination coverage | 64.58% |
42%
22.6 pts better
|
Numerator 124 · Denominator 192 |
| Discharge function score | 63.33% |
56.45%
6.9 pts better
|
Numerator 19 · Denominator 30 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 25 · Denominator 25 |
| Resident COVID-19 vaccinations up to date | 12% |
25.2%
13.2 pts worse
|
Numerator 3 · Denominator 25 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
89.9%
10.1 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 2.1% |
3.6%
1.5 pts better
|
3.3%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 1.4% · Q3 1.4% · Q4 1.3% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.5% |
11.8%
5.3 pts better
|
11.4%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 10.1% · Q3 7.4% · Q4 5.3% · 4Q avg 6.5% |
| Percentage of long-stay residents who lose too much weight | 0.5% |
6.2%
5.7 pts better
|
5.4%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.2% · Q4 0.0% · 4Q avg 0.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.4% |
32.2%
11.8 pts better
|
19.6%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 25.0% · Q3 19.6% · Q4 19.1% · 4Q avg 20.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.6% |
18.1%
7.5 pts better
|
16.7%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 8.9% · Q3 12.7% · Q4 12.5% · 4Q avg 10.6% · 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 | 5.0% |
19.9%
14.9 pts better
|
16.3%
11.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 10.1% · Q3 0.0% · Q4 5.8% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.4% |
15.3%
6.9 pts better
|
14.9%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 9.1% · Q3 4.3% · Q4 6.4% · 4Q avg 8.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
1.9%
0.9 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 1.4% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.6% |
20.2%
1.4 pts worse
|
19.8%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 26.9% · Q3 20.1% · Q4 16.4% · 4Q avg 21.6% |
| Percentage of long-stay residents with pressure ulcers | 0.6% |
5.4%
4.8 pts better
|
5.1%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 0.9% · Q4 0.7% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
79.6%
20.4 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.9% |
11.2%
0.7 pts worse
|
12.0%
0.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.9% · Observed 11.5% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.6%
0.8 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.8% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
79.8%
20.2 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 12.9% |
22.2%
9.3 pts better
|
23.9%
11 pts better
|
Short Stay · 20240701-20250630 · Adjusted 12.9% · Observed 11.5% · Expected 21.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-11-20 · Fire 2019-11-20
7 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
1 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Cycle 3
Health 2018-10-31 · Fire 2018-10-31
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2 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
2025-02-27
E32 · Emergency Preparedness Deficiencies
Fire Safety
Provide primary/alternate means for communication.
Corrected 2025-03-10
D · Potential for more than minimal harm
2025-02-27
K232 · Egress Deficiencies
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2025-03-17
D · Potential for more than minimal harm
2025-02-27
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-04-11
D · Potential for more than minimal harm
2025-02-27
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-03-10
D · Potential for more than minimal harm
2025-02-27
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-24
D · Potential for more than minimal harm
2025-02-27
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-03-10
D · Potential for more than minimal harm
2025-02-27
K500 · Services Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2025-03-24
D · Potential for more than minimal harm
2025-02-27
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-03-17
D · Potential for more than minimal harm
2025-02-27
K523 · Services Deficiencies
Fire Safety
Ensure that HVAC heat units are suspended and out of the reach of patients and can be shut off if unit is working improperly.
Corrected 2025-03-18
D · Potential for more than minimal harm
2025-02-27
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-03-10
D · Potential for more than minimal harm
2025-02-27
K754 · Miscellaneous Deficiencies
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2025-03-10
D · Potential for more than minimal harm
2025-02-27
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-04-11
D · Potential for more than minimal harm
2025-02-27
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-02-25
D · Potential for more than minimal harm
2025-02-27
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-03-17
D · Potential for more than minimal harm
2025-02-27
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-03-10
D · Potential for more than minimal harm
2019-11-20
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2020-01-03
C · Minimal harm
2018-10-31
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-11-30
C · Minimal harm
2018-10-31
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2018-11-30
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-02-27
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 2025-03-03
D · Potential for more than minimal harm
2025-02-27
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-03-12
K · Immediate jeopardy
2024-04-11
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-06-19
J · Immediate jeopardy
2024-04-11
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 2024-05-02
G · Actual harm
2024-04-11
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 2024-05-02
D · Potential for more than minimal harm
2024-04-11
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 2024-04-30
D · Potential for more than minimal harm
2024-04-11
F726 · Nursing and Physician Services Deficiencies
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-05-02
D · Potential for more than minimal harm
2024-04-11
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-05-02
D · Potential for more than minimal harm
2024-04-11
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-05-02
D · Potential for more than minimal harm
2018-10-31
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2018-11-30
Penalties and ownership
What sits behind the stars
$228,511
2024-04-11
Fine
Fine · fine $228,511
Fine
$0
2024-04-11
Payment Denial
Payment Denial · denial start 2024-05-10 · 40 days
40 day denial
Ownership
Nhc-Op LP
5% Or Greater Direct Ownership Interest · Organization
Bidwell, Gregory
Operational/Managerial Control · Individual
Bidwell, Gregory
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
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
Panter, Lori
Operational/Managerial Control · Individual
Sherwood, William
Operational/Managerial Control · Individual
Ussery, Robert
Operational/Managerial Control · Individual
Vaden, Ryan
Operational/Managerial Control · Individual
Vanguard Group Inc
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Woodbury Health And Rehabilitation Center
Woodbury, TN
2-star overall rating with 2-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Nhc Healthcare, Mcminnville
Mcminnville, TN
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
Willow Branch Health And Rehabilitation
Mcminnville, TN
3-star overall rating with 3-star inspections with 5 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
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