NHC Healthcare, Smithville
825 Fisher Ave Po Box 549, Smithville, TN 37166 · De Kalb County · 114 certified beds · avg 84 residents/day · certified since Jun 2, 1977
Part of chain: NATIONAL HEALTHCARE CORPORATION (69 facilities, chain avg rating 4.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · Apr 11, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Jun 19, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Apr 11, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: May 2, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Apr 11, 2024 · F-0656 · triggered by a complaint
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 2, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (10)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 27, 2025 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Feb 27, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Apr 11, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Apr 11, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Apr 11, 2024 | ▲ G · Actual harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Apr 11, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Apr 11, 2024 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Apr 11, 2024 | D · Potential for harm, one-off | The facility did not observe each nurse aide's job performance or provide regular training as required. · from a complaint |
| Apr 11, 2024 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint |
| Oct 31, 2018 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 1 | 0 | D |
| 2024 | 7 | 3 | K ▲ |
| 2025 | 2 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $228,511, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Apr 11, 2024 | Fine | $228,511 |
| Apr 11, 2024 | Payment Denial | 40 days from May 10, 2024 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Tennessee avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.52 | 3.62 | 3.95 | top 46% in Tennessee; bottom 38% in the U.S. |
| Registered Nurse hours | 0.56 | 0.57 | 0.69 | top 41% in Tennessee; bottom 46% in the U.S. |
| Weekend total nurse staffing | 3.11 | 3.15 | 3.50 | top 44% in Tennessee; bottom 37% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.38 | 0.39 | 0.48 | top 42% in Tennessee; bottom 48% in the U.S. |
| Total nursing staff turnover (%) | 42.2 | 48.9 | 45.8 | top 30% in Tennessee; top 42% in the U.S. |
| RN turnover (%) | 37.5 | 43.2 | 42.9 | top 40% in Tennessee; top 42% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.82, RN 0.61, weekend 3.37. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 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 | Corporate Officer | NOT APPLICABLE | 07/01/2000 |
| Bidwell, Gregory | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2000 |
| Blackrock INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/20/2010 |
| Dodson, Vicki | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2019 |
| Dodson, Vicki | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2019 |
| Kidd, Brian | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2017 |
| Kidd, Brian | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2017 |
| National Health Corporation | Organization | ADP of the SNF | NOT APPLICABLE | 06/02/2025 |
| National Healthcare Corporation | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2000 |
| National Healthcare Corporation | Organization | ADP of the SNF | NOT APPLICABLE | 03/24/2025 |
| 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 |
| Sherwood, William | Individual | ADP of the SNF | NOT APPLICABLE | 03/30/2025 |
| Ussery, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2000 |
| Vaden, Ryan | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/11/2019 |
| Vaden, Ryan | Individual | ADP of the SNF | NOT APPLICABLE | 03/30/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "How often do you evaluate your nurse aides and what ongoing training do they receive?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Woodbury Health and Rehabilitation Center | 16.4 mi | Woodbury, TN | ★★★☆☆ | 3/5 | |
| Willow Branch Health and Rehabilitation | 18.0 mi | McMinnville, TN | ★★☆☆☆ | 3/5 | |
| Life Care Center of Sparta | 19.0 mi | Sparta, TN | ★★★★★ | 5/5 | |
| NHC Healthcare, McMinnville | 19.2 mi | McMinnville, TN | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 445116.