The nursing home failed to protect residents from abuse and neglect by others. Cited April 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
Nursing home report
NHC HEALTHCARE, SMITHVILLE
SMITHVILLE, TN · Medicare-certified · 114 beds
In good standing
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
NHC Healthcare, Smithville is rated 3 out of 5 stars overall, with a 2-star health inspection rating, 3-star staffing rating, and 5-star quality measures rating. It has no fines in the last 24 months, but reported nurse staffing is 3.82 hours per resident per day, below the federal benchmark of 4.1, and recent inspection citations included abuse/neglect protection, accident hazards/supervision, and care planning.
Facility ratings
Health inspections
Staffing
3.8196 hrs/resident/day
Quality measures
Last inspection: February 27, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8196.
Staffing detail
- Registered nurses
- 0.61
- Licensed practical nurses
- 0.77
- Nurse aides
- 2.44
- Weekend nursing
- 3.37
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 38%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
11.1%11.3%No change
Residents with a fall causing major injury
1.4%1.4%No change
Residents with pressure ulcers (bedsores)
0.9%1.4%Worsening
Residents with a urinary tract infection
1.4%2.8%Worsening
Residents who lost too much weight
2.2%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4.3%8.7%Worsening
Residents whose ability to walk got worse
0%12.1%Worsening
Long-stay residents on antianxiety or sleep medication
19.6%19.6%No change
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
20.1%20.4%No change
Residents with depressive symptoms
7.4%1.5%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited April 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G
The nursing home failed to coordinate resident assessments with required screening and make needed service referrals. Cited February 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 644 — 42 CFR §483.20 — S/S: D
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited February 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $228,511 in total fines · 1 payment denial.
- 40 days
Medicare/Medicaid payment denial
Apr 11, 2024
- $228,511
Federal fine
Apr 11, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of NATIONAL HEALTHCARE CORPORATION · 69 homes · 3.9 stars avg
- Occupancy
- 84.1 residents on an average day (74% of 114 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 49 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.