Nursing HomeInspections

Nhc Healthcare, Smithville

Nursing home in Smithville, TN

Medicare & Medicaid certified3★ overall (CMS)

Call (615) 597-4284Send a messageMap ↗

Public-record details

Address
825 Fisher Ave Po Box 549, Smithville, TN 37166
Phone
(615) 597-4284
Listed under
For-profit
Medicare CCN
445116
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
5 of 5
Certified beds
114
Average residents per day
84
Ownership
For-profit, corporation
Legal business name
Nhc Healthcare-Smithville LLC
Chain
National Healthcare Corporation (69 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 2, 1977
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 445116. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 27, 2025. CMS lists 10 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 31, 2018 to Feb 27, 2025): 7 from complaint inspections, 3 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Feb 27, 2025Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Feb 27, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Apr 11, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 11, 2024Ensure 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 11, 2024Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 11, 2024Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 11, 2024Develop 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 · complaint inspection		G
Actual harm, isolated
Apr 11, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Apr 11, 2024Protect 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 · complaint inspection		K
Immediate jeopardy, pattern
Oct 31, 2018Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $228,511 and 1 denial of Medicare payment for new admissions in the last three years.

Apr 11, 2024Fine: $228,511
Apr 11, 2024Payment denial for 40 days from May 10, 2024

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.82 hours
Registered nurse (RN) time per resident per day
0.61 hours
Nurse aide time per resident per day
2.44 hours
Total nurse staffing on weekends
3.37 hours
Nursing staff turnover (yearly)
42%
RN turnover (yearly)
38%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.