nursing home in Smithville, TN
Nhc Healthcare, Smithville
825 Fisher Ave PO Box 549, Smithville, TN 37166 · (615) 597-4284
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Nhc Healthcare, Smithville at a glance
Nhc Healthcare, Smithville is a 114-bed for-profit nursing home in Smithville, Tennessee (De Kalb County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Tennessee average of 3.
Residents receive about 3.8 hours of nursing care per day (0.6 of them from registered nurses), close to the state average of 3.8 hours.
Its most recent standard health inspection (May 21, 2026) found 0 health citations. The Tennessee average is 4.4.
Federal regulators fined it 1 time in the past three years, totaling $228,511.
Nursing staff turnover is 42.2% per year (state average 48.9%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 114
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- National Healthcare Corporation
- Medicare-certified since
- June 2, 1977
- Resident/family council
- Resident
- County
- De Kalb County
- CMS Certification Number
- 445116
Ratings
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 2.5 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.6 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.6 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.4 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.82 hrs | 3.80 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.61 hrs | 0.60 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.44 hrs | 2.12 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.37 hrs | 3.31 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 42.2% | 48.9% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 37.5% | 43.2% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 0 | 4 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 61 | 47.9 | 80.6 | Better |
Penalties
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $228,511 | $22,907 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 114 | 114 | 107 | |
| Average residents per day | 84 | 84 | 86 | |
| Occupancy | 73.8% | 74.8% | 80.9% |
Long-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.4% | 3.4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 0.9% | 5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 10.8% | 16.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1% | 1.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 6.4% | 14% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 5.2% | 17.2% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 0.5% | 6.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 4.9% | 13.8% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 20.2% | 31.7% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 19.4% | 20% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 94.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 89.4% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.7% | 1.7% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 100% | 79.8% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 79.3% | 82% | Better |
Inspection citations
State inspectors cited this home for 9 health deficiencies and 19 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 21, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected June 4, 2026 |
| May 21, 2026 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | D Potential harm, isolated | Corrected June 4, 2026 |
| May 21, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected June 4, 2026 |
| February 27, 2025 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | D Potential harm, isolated | Corrected April 11, 2025 |
| February 27, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected March 10, 2025 |
| February 27, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected March 24, 2025 |
| February 27, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected March 10, 2025 |
| February 27, 2025 Fire safety | Meet other general requirements that are deficient. Services Deficiencies · Tag K0500 | D Potential harm, isolated | Corrected March 24, 2025 |
| February 27, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected March 17, 2025 |
| February 27, 2025 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. Services Deficiencies · Tag K0523 | D Potential harm, isolated | Corrected March 18, 2025 |
| February 27, 2025 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected March 10, 2025 |
| February 27, 2025 Fire safety | Provide properly sized and located linen or trash receptacles. Miscellaneous Deficiencies · Tag K0754 | D Potential harm, isolated | Corrected March 10, 2025 |
| February 27, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | D Potential harm, isolated | Corrected April 11, 2025 |
| February 27, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected February 25, 2025 |
| February 27, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected March 17, 2025 |
| February 27, 2025 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected March 10, 2025 |
| February 27, 2025 Fire safety | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Tag E0032 | D Potential harm, isolated | Corrected March 10, 2025 |
| February 27, 2025 Fire safety | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Tag K0232 | D Potential harm, isolated | Corrected March 17, 2025 |
| February 27, 2025 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected March 12, 2025 |
| February 27, 2025 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected March 3, 2025 |
| April 11, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | K Immediate jeopardy, pattern | Corrected June 19, 2024 |
| April 11, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected May 2, 2024 |
| April 11, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | G Actual harm, isolated | Corrected May 2, 2024 |
| April 11, 2024 Complaint | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | D Potential harm, isolated | Corrected May 2, 2024 |
| April 11, 2024 Complaint | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | D Potential harm, isolated | Corrected May 2, 2024 |
| April 11, 2024 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected May 2, 2024 |
| April 11, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected April 30, 2024 |
| November 20, 2019 Fire safety | Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies · Tag K0131 | D Potential harm, isolated | Corrected January 3, 2020 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $228,511 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 11, 2024 | Payment Denial | 40 days from May 10, 2024 |
| April 11, 2024 | Fine | $228,511 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BLACKROCK INC Organization | adp of the snf | NOT APPLICABLE | 01/20/2010 |
| DODSON, VICKI Individual | adp of the snf | NOT APPLICABLE | 06/01/2019 |
| KIDD, BRIAN Individual | adp of the snf | NOT APPLICABLE | 01/01/2017 |
| NATIONAL HEALTHCARE CORPORATION Organization | adp of the snf | NOT APPLICABLE | 03/24/2025 |
| NATIONAL HEALTH CORPORATION Organization | adp of the snf | NOT APPLICABLE | 06/02/2025 |
| SHERWOOD, WILLIAM Individual | adp of the snf | NOT APPLICABLE | 03/30/2025 |
| VADEN, RYAN Individual | adp of the snf | NOT APPLICABLE | 03/30/2025 |
| VANGUARD GROUP INC Organization | adp of the snf | NOT APPLICABLE | 11/30/2006 |
| BIDWELL, GREGORY Individual | corporate officer | NOT APPLICABLE | 07/01/2000 |
| MORGAN STANLEY INSTITUTIONAL ADVISORS LLC Organization | indirect ownership interest | NOT APPLICABLE | 11/08/2024 |
| NHC/DELAWARE INC Organization | indirect ownership interest | NOT APPLICABLE | 07/01/2000 |
| BIDWELL, GREGORY Individual | managing control - governing body | NOT APPLICABLE | 07/01/2000 |
| BIDWELL, GREGORY Individual | operational/managerial control | NOT APPLICABLE | 07/01/2000 |
| DODSON, VICKI Individual | operational/managerial control | NOT APPLICABLE | 06/01/2019 |
| KIDD, BRIAN Individual | operational/managerial control | NOT APPLICABLE | 01/01/2017 |
| NATIONAL HEALTHCARE CORPORATION Organization | operational/managerial control | NOT APPLICABLE | 07/01/2000 |
| NHC-OP LP Organization | operational/managerial control | NOT APPLICABLE | 07/01/2000 |
| PANTER, LORI Individual | operational/managerial control | NOT APPLICABLE | 05/18/2020 |
| SHERWOOD, WILLIAM Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| USSERY, ROBERT Individual | operational/managerial control | NOT APPLICABLE | 07/01/2000 |
| VADEN, RYAN Individual | operational/managerial control | NOT APPLICABLE | 10/11/2019 |
Other nursing homes near Nhc Healthcare, Smithville
Woodbury Health and Rehabilitation Center
119 West High Street, Woodbury, TN 37190 · 16.4 mi
Non-profit · 82 beds · Part of Twin Rivers Health & Rehabilitation
★★★★★3AverageWillow Branch Health and Rehabilitation
415 Pace Street, McMinnville, TN 37110 · 18 mi
For-profit · 140 beds · Part of Simcha Hyman & Naftali Zanziper
★★★★★2Below averageLife Care Center of Sparta
508 Mose Drive, Sparta, TN 38583 · 19 mi
For-profit · 100 beds · Part of Life Care Centers of America
★★★★★5Much above averageNhc Healthcare, McMinnville
928 Old Smithville Rd PO Box 528, McMinnville, TN 37110 · 19.2 mi
For-profit · 115 beds · Part of National Healthcare Corporation
★★★★★5Much above averageNhc Healthcare, Sparta
34 Gracey St, Sparta, TN 38583 · 20.6 mi
For-profit · 96 beds · Part of National Healthcare Corporation
★★★★★3AverageNhc Healthcare, Cookeville
815 South Walnut Avenue, Cookeville, TN 38501 · 21.9 mi
For-profit · 104 beds · Part of National Healthcare Corporation
- CMS high performer
★★★★★5Much above average
Frequently asked questions
What is Nhc Healthcare, Smithville's rating?
Nhc Healthcare, Smithville has 3 out of 5 stars on the CMS overall star rating. The average for Tennessee nursing homes is 3 stars.
How many inspection citations did Nhc Healthcare, Smithville receive?
Its most recent standard health inspection found 0 citations, compared with a Tennessee average of 4.4. Every citation is listed on this page with its severity.
Does Nhc Healthcare, Smithville accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Nhc Healthcare, Smithville?
It is for profit - corporation and part of National Healthcare Corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Nhc Healthcare, Smithville and how do I contact it?
Nhc Healthcare, Smithville is at 825 Fisher Ave PO Box 549, Smithville, TN 37166. Phone: (615) 597-4284.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.