Federal inspection record · CMS data as of October 1, 2026
Nhc Healthcare, Smithville
825 Fisher Ave Po Box 549, Smithville, TN · (615) 597-4284
- Certified beds
- 114
- Residents per day
- 85
- Ownership
- For-Profit
- Chain
- National Healthcare Corporation
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 2, 1977
1
How this home got 3 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Tennessee.
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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.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Tennessee homes
Nhc Healthcare, Smithville carries 61 inspection points. That is fewer than 19% 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
9 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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.
Harm and immediate-jeopardy citations (3)
-
K
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Everything else, by area of care
Resident Assessment and Care Planning2D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nursing and Physician Services2D
- D
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.
- D
Observe each nurse aide's job performance and give regular training.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Administration1D
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspection history
2026-05-21
0 health deficiencies · 3 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2025-02-27
2 health deficiencies · 15 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2019-11-20
7 health deficiencies · 1 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 56 min of nursing staff time a day, 43 min of it from a registered nurse.
This home
3 h 56 min
Tennessee average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 44% of nursing staff and 42% 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
Fines and payment denials
$228,511 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-04-11 | Fine | $228,511 |
| 2024-04-11 | Payment Denial · 40 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| 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 injury2 pts better | 1.3% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms10.3 pts better | 4.6% | 14.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.5 pts better | 0.5% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10.2 pts better | 21.5% | 31.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6 pts better | 11.0% | 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 worsened8.5 pts better | 6.9% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.1 pts better | 5.4% | 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 infection1 pts better | 0.7% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.4 pts better | 18.6% | 19.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.5 pts better | 1.3% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine20.6 pts better | 100.0% | 79.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.2 pts worse | 11.5% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better | 1.6% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine18 pts better | 97.2% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission8.9 pts better | 13.7% | 22.6% | 23.4% |
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Who owns and runs it
21 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, Gregory | Managing Control - Governing Body · Individual | 0% | 8 facilities |
| Bidwell, Gregory | Corporate Officer · Individual | 0% | 8 facilities |
| Bidwell, Gregory | Operational/Managerial Control · Individual | 0% | 8 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 |
| 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 |
| Panter, Lori | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sherwood, William | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sherwood, William | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ussery, Robert | Operational/Managerial Control · Individual | 0% | 57 facilities |
| Vaden, Ryan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Vaden, Ryan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Vanguard Group Inc | Adp Of The SNF · Organization | 0% | 84 facilities |
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Fire safety
19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems5F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the installation and maintenance of electrical systems.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
Smoke4D
- D
Install corridor and hallway doors that block smoke.
- D
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
Services3D
- D
Meet other general requirements that are deficient.
- D
Have properly installed electrical wiring and gas equipment.
- D
Ensure that HVAC heat units are suspended and out of the reach of patients and can be shut off if unit is working improperly.
Miscellaneous3D
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D
Provide properly sized and located linen or trash receptacles.
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Egress2D
- D
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- D
Have exits that are accessible at all times.
Emergency Preparedness1D
- D
Provide primary/alternate means for communication.
Construction1D
- D
Meet requirements for sections of health care facilities separated by fire resistive construction.
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Other homes nearby
-
Woodbury Health And Rehabilitation Center
Woodbury, TN · Twin Rivers Health & Rehabilitation
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 20 min
- Fines
- $13,870
-
Willow Branch Health And Rehabilitation
Mcminnville, TN · Simcha Hyman & Naftali Zanziper
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 8 min
- Fines
- $0
-
Life Care Center Of Sparta
Sparta, TN · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 49 min
- Fines
- $0