Cycle 1
Health 2023-09-15 · Fire 2023-09-15
0 health deficiencies
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Columbia, TN
Nhc-Maury Regional Transitional Care Center
5-star overall rating with 5-star inspections with 2 fire-safety deficiencies in the latest cycle
5010 Trotwood Ave, Columbia, TN
(931) 398-6300
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
112
Certified beds
Average residents
97
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
National Healthcare Corporation
Operator or chain grouping
Approved since
1967-02-02
CMS approved date
Coverage
Medicare
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
0.61
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
1.53
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.34
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
4.48
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
2.14
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
3.96
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.38
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.26
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.55
CMS adjusted RN staffing hours
Adjusted total hours
4.06
CMS adjusted total nurse staffing hours
Case-mix index
1.51
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,481
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.25
Composite VBP score used to determine payment impact.
Payment multiplier
0.9823
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.26% · Performance 22.02% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
1.17
Baseline 7.26% · Performance 7.49% · Measure score 1.17 · Achievement 1.17 · Improvement 0
Total nurse turnover
5.14
Baseline 68.29% · Performance 43.81% · Measure score 5.14 · Achievement 4.86 · Improvement 5.14
Adjusted total nurse staffing
1.79
Baseline 3.86 hours · Performance 3.59 hours · Measure score 1.79 · Achievement 1.79 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12% |
10.72%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 662 · Observed rate 10.57% · Lower 95% interval 10.14% |
| Discharge to community | 66.77% |
50.57%
16.2 pts better
|
Better than the National Rate · Eligible stays 663 · Observed rate 66.06% · Lower 95% interval 63.51% |
| Medicare spending per beneficiary | 1.18 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 99.78% |
95.27%
4.5 pts better
|
Numerator 461 · Denominator 462 |
| Falls with major injury | 1.95% |
0.77%
1.2 pts worse
|
Numerator 9 · Denominator 462 |
| Discharge self-care score | 77.43% |
53.69%
23.7 pts better
|
Numerator 199 · Denominator 257 |
| Discharge mobility score | 77.04% |
50.94%
26.1 pts better
|
Numerator 198 · Denominator 257 |
| Pressure ulcers or injuries, new or worsened | 0.22% |
2.29%
2.1 pts better
|
Numerator 1 · Denominator 462 · Adjusted rate 0.24% |
| Healthcare-associated infections requiring hospitalization | 7.49% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 439 · Observed rate 6.15% · Lower 95% interval 5.42% |
| Staff COVID-19 vaccination coverage | 0.51% |
8.2%
7.7 pts worse
|
Numerator 1 · Denominator 197 |
| Staff flu vaccination coverage | 29.01% |
42%
13 pts worse
|
Numerator 76 · Denominator 262 |
| Discharge function score | 77.82% |
56.45%
21.4 pts better
|
Numerator 200 · Denominator 257 |
| Transfer of health information to provider | 98.15% |
95.95%
2.2 pts better
|
Numerator 371 · Denominator 378 |
| Transfer of health information to patient | 96.49% |
96.28%
0.2 pts better
|
Numerator 55 · Denominator 57 |
| Resident COVID-19 vaccinations up to date | 20.66% |
25.2%
4.5 pts worse
|
Numerator 50 · Denominator 242 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.7 |
1.6
0.9 pts better
|
1.9
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.8 · Expected 2.2 · 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 1.2 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.1% |
89.9%
1.8 pts worse
|
93.4%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 86.8% · Q2 87.1% · Q3 90.0% · Q4 88.9% · 4Q avg 88.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 86.5% |
94.5%
8 pts worse
|
95.5%
9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 86.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.4% |
3.6%
0.8 pts worse
|
3.3%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · Q3 6.7% · Q4 8.3% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.0% |
11.8%
7.8 pts better
|
11.4%
7.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 3.4% · Q3 3.4% · Q4 2.9% · 4Q avg 4.0% |
| 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 8.3% · Q2 8.3% · Q3 9.1% · Q4 7.4% · 4Q avg 8.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.3% |
32.2%
17.9 pts better
|
19.6%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 12.5% · Q3 13.0% · Q4 18.5% · 4Q avg 14.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 1.4% |
18.1%
16.7 pts better
|
16.7%
15.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q4 4.8% · 4Q avg 1.4% · 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 | 19.1% |
19.9%
0.8 pts better
|
16.3%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 19.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.4% |
15.3%
0.1 pts worse
|
14.9%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 21.7% · Q3 9.5% · Q4 11.5% · 4Q avg 15.4% · 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 0.0% · Q2 3.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.9%
1.9 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 22.6% |
20.2%
2.4 pts worse
|
19.8%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.4% · Q2 37.2% · Q3 11.2% · Q4 22.4% · 4Q avg 22.6% |
| Percentage of long-stay residents with pressure ulcers | 7.0% |
5.4%
1.6 pts worse
|
5.1%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 7.8% · Q3 7.7% · Q4 8.7% · 4Q avg 7.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 78.8% |
79.6%
0.8 pts worse
|
81.7%
2.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 79.8% · Q2 80.1% · Q3 78.2% · Q4 76.9% · 4Q avg 78.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.0% |
11.2%
1.2 pts better
|
12.0%
2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.0% · Observed 9.8% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.6%
0.1 pts better
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.0% · Q3 1.3% · Q4 0.7% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 78.9% |
79.8%
0.9 pts worse
|
79.7%
0.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 78.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.9% |
22.2%
0.7 pts worse
|
23.9%
1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.9% · Observed 21.5% · Expected 22.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-06-05 · Fire 2019-06-05
3 health deficiencies
Top issue: Administration (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2018-08-01 · Fire 2018-08-01
4 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2023-09-15
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-10-30
D · Potential for more than minimal harm
2023-09-15
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-10-22
D · Potential for more than minimal harm
2019-06-05
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-07-20
Inspection history
Recent health citations
D · Potential for more than minimal harm
2019-06-05
F728 · Nursing and Physician Services Deficiencies
Health
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected 2019-07-20
D · Potential for more than minimal harm
2019-06-05
F839 · Administration Deficiencies
Health
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected 2019-07-20
D · Potential for more than minimal harm
2019-06-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-07-20
D · Potential for more than minimal harm
2018-08-01
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2018-08-17
D · Potential for more than minimal harm
2018-08-01
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2018-08-17
D · Potential for more than minimal harm
2018-08-01
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2018-08-17
D · Potential for more than minimal harm
2018-08-01
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2018-08-17
Penalties and ownership
What sits behind the stars
Ownership
Nhc-Op LP
5% Or Greater Direct Ownership Interest · Organization
National Healthcare Corporation
5% Or Greater Indirect Ownership Interest · Organization
Maury Regional Hospital
5% Or Greater Direct Ownership Interest · Organization
Andrews, Spenser
Operational/Managerial Control · Individual
Bidwell, Charles
Operational/Managerial Control · Individual
Bidwell, Charles
Corporate Director · Individual
Chaney, Martin
Corporate Director · Individual
Couch, James
Operational/Managerial Control · Individual
Dodson, Vicki
Operational/Managerial Control · Individual
Flatt, Stephen
Operational/Managerial Control · Individual
Jones, Craig
Operational/Managerial Control · Individual
Kidd, Brian
Operational/Managerial Control · Individual
Maury Regional Hospital
Operational/Managerial Control · Organization
National Healthcare Corporation
Operational/Managerial Control · Organization
Nhc-Op LP
Operational/Managerial Control · Organization
Shelly, Timothy
Operational/Managerial Control · Individual
Tennessee Healthcare Advisors, LLC
Operational/Managerial Control · Organization
Ussery, Robert
Operational/Managerial Control · Individual
Ussery, Robert
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Nhc Healthcare, Columbia
Columbia, TN
4-star overall rating with 3-star inspections with 4 recent health deficiencies
#2
Magnolia Healthcare And Rehabilitation Center
Columbia, TN
1-star overall rating with 2-star inspections with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Life Care Center Of Columbia
Columbia, TN
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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