Nursing home report card · Smithville, TN
Nhc Healthcare, Smithville
825 Fisher Ave PO Box 549, Smithville, TN 37166
Quick summary
Large fines appear in this home’s records
Reported penalties total about $228,511. Fines often follow serious or repeated inspection failures.
Our summary of public Medicare records. It does not establish that this home harmed a particular resident. About this summary.
How recent is this information?
- Medicare file prepared
- Aug 1, 2026
- Our record last updated
- Oct 15, 2026
- Last routine health inspection
- Feb 27, 2025
These dates mean different things. A new file can include older inspections and staffing figures. Read about the dates.
Medicare ratings
One star is the lowest rating. Five stars is the highest. Ratings are a starting point—read the inspection findings too.
Combines inspection, staffing, and care measures.
About average for U.S. nursing homes
Based on problems found during health inspections.
Below-average Medicare rating
Based on staffing levels and related measures.
About average for U.S. nursing homes
Based on reported health and care results.
Among the highest Medicare ratings
What do the ratings and warnings mean?
- Medicare ratings
- One star is the lowest rating. Five stars is the highest. These are government ratings, not family reviews.
- Inspection problems
- Inspectors found that a home did not meet a care or safety rule. The official term is “deficiency.”
- Abuse warning
- Medicare has flagged the home because of abuse-related inspection findings. Read the findings and dates.
- Nursing staff time
- Average staff hours for each resident per day. This does not mean each resident gets that much one-to-one care.
At a glance
These numbers come from the records we have. Inspection problems are rules the home did not meet. The dates covered can differ.
Care, safety, and resident-rights issues on recent inspections
Building, alarms, exits, and related safety citations
Total fine amounts in the imported penalty records
Medicare home ID: 445116
Inspection findings to read first
Start with these past findings. We show the most serious first, then the most recent. They do not describe the home’s condition today.
Immediate danger to residents · isolated case
Apr 11, 2024 · Inspection rule 0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents · pattern case
Apr 11, 2024 · Inspection rule 0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Caused actual harm · isolated case
Apr 11, 2024 · Inspection rule 0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nursing staff time
These are average staff hours for each resident per day. They are not one-to-one bedside care. The file does not give the reporting period for each figure.
about 36 minutes per resident per day
about 3 hr 49 min per resident per day
about 23 minutes per resident per day
Latest inspection summary
A summary of the most recent routine inspections. You can open the dated findings below.
We do not have a routine inspection summary for this home. Check the dated findings below and the Medicare.gov record.
How this home compares
Compared with state and national averages. The numbers may cover different periods.
- Overall CMS rating: 3 stars
- Health inspection rating: 2 stars
- Staffing rating: 3 stars
- Registered nurse time per resident: 0.61 hours/day
- Total nurse time per resident: 3.82 hours/day
See the dates used for these averages
Medicare file dates: this home Aug 1, 2026; Tennessee averages Unavailable; U.S. averages Oct 1, 2026.
Other concerns in the records
These points may be worth asking about. They do not establish what happened to a particular resident. See our Terms of Use.
- Health inspection rating is 2 stars or lower
- CMS has fined this home in the recent reporting period
How serious were the problems?
Inspectors rate each problem by how much harm it caused or could cause. We group the CMS letter codes into plain language.
- Immediate danger to residents2 citations
- Caused actual harm1 citation
- Could have caused harm7 citations
Why inspectors showed up
Routine checks happen on a schedule. Complaint visits happen when someone reports a concern.
- Complaints
- 0
- Routine
- 10
- Fire safety
- 0
- Other
- 0
Who owns it
Names CMS lists as owners or managers · reported as For profit - Corporation.
- We do not have individual owner names for this home.
Other homes in this group: All National Healthcare Corporation nursing homes
Inspection history
Open a date to read what inspectors found. The harm labels explain how serious the problem was at the time.
February 27, 20252 findings
- Resident Assessment and Care Planning problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0644 · code D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Resident Assessment and Care Planning problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0842 · code D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
April 11, 20247 findings
- Freedom from Abuse, Neglect, and Exploitation problemsImmediate danger to residents · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0600 · code K
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Quality of Life and Care problemsImmediate danger to residents · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0689 · code J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Resident Assessment and Care Planning problemsCaused actual harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0656 · code G
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Freedom from Abuse, Neglect, and Exploitation problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0609 · code D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Nursing and Physician Services problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0726 · code 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.
- Nursing and Physician Services problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0730 · code D
Observe each nurse aide's job performance and give regular training.
- Administration problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0867 · code D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
October 31, 20181 finding
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0684 · code D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Fines & penalties
These fines appear in Medicare’s records. A listed amount does not tell us whether it has been paid.
- Fine · Apr 11, 2024$228,511
- Payment Denial · Apr 11, 2024Unavailable
Other homes in this chain
National Healthcare Corporation · other locations in Tennessee
- Nhc Healthcare, Franklin · Franklin2 of 5 · 9 problems
- Nhc Healthcare, Springfield · Springfield2 of 5 · 14 problems
- Nhc Healthcare, Tullahoma · Tullahoma3 of 5 · 13 problems
- Adamsplace, Llc · Murfreesboro3 of 5 · 9 problems
- Nhc Healthcare, Pulaski · Pulaski3 of 5 · 7 problems
- The Health Center at Richland Place · Nashville3 of 5 · 19 problems
- Nhc Healthcare, Knoxville · Knoxville3 of 5 · 11 problems
- The Meadows · Nashville3 of 5 · 16 problems
Related topics
Questions about Nhc Healthcare, Smithville
What is Nhc Healthcare, Smithville's Medicare star rating?
Has Nhc Healthcare, Smithville been fined?
Does Nhc Healthcare, Smithville have a Medicare abuse warning?
How does Nhc Healthcare, Smithville compare with other nursing homes in Tennessee?
- Not a law firm. We share CMS inspection data and connect interested families with a free case review.
- What happens next. A case-review specialist may follow up using the contact details you provide.
- Your choice. No obligation to hire anyone. Read the contact consent and Privacy Notice before submitting your request.
Free · no obligation
Request a free case review
Answer a few questions. If you send a request, a case-review specialist may contact you. We are not a law firm.
Who will receive my information?
Nursing Home Reporter and its intake services receive your answers. We may share them with case-review or law-firm referral partners. Sending a request does not guarantee a lawyer or create an attorney-client relationship. Read our Privacy Notice.
What happened?
Tap the closest match to continue. You can add details later.