NHC Healthcare, Smithville

How to file a complaint about care →

1 fine totaling $228,511, plus 1 Medicare payment denial period.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

What these staffing numbers mean →

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.82 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

Showing 20 of 21 parties CMS has on file for this facility; 1 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain National Healthcare Corporation — 69 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

• NHC Healthcare, Somerville — Somerville, TN · overall 5/5
• NHC Healthcare, Sparta — Sparta, TN · overall 3/5
• NHC Healthcare, Springfield — Springfield, TN · overall 2/5abuse
• NHC Healthcare, Tullahoma — Tullahoma, TN · overall 3/5
• NHC Place at Cool Springs — Franklin, TN · overall 4/5
• NHC Place at the Trace — Nashville, TN · overall 5/5
• NHC Place Sumner — Gallatin, TN · overall 5/5
• Nhc-Maury Regional Transitional Care Center — Columbia, TN · overall 5/5

Listed by state, then facility name — not a ranking. Showing 8 of the 68 others, continuing from this facility's own place in that list.

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

• "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
• "Can I see the plan of correction for the findings in your most recent state inspection?"
• "CMS reports 42% total nursing staff turnover here — who on the care team has been with you longest?"
• "The ownership record on file lists 21 owning or managing parties — who makes the decisions about staffing levels?"
• "Can I visit again unannounced, at a mealtime or on a weekend?"

Compare this facility with the 3 closest →

All facilities in Smithville →