Nursing homeActive
Nhc Healthcare, Smithville
825 Fisher Ave Po Box 549, Smithville, TN 371666155974284114 certified beds · 84 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2018
Deficiencies
10
● 0● 7● 3
Penalties · 3 yrs
$228,511
1 fine · 1 action
Last survey
2025-02-27
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 2
Staffing 3
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Tennessee Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-02-27 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2024-04-11 | Complaint | 043 | CMS-2567 (Care Compare) | — |
| 2019-11-20 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2018-10-31 | Standard | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Tennessee Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-03Record 445116-20250227-F644
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-12Record 445116-20250227-F842
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity KHarm
Abuse & neglect
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-06-19Record 445116-20240411-F600
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity GHarm
Care planningRecords
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-05-02Record 445116-20240411-F656
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-05-02Record 445116-20240411-F689
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-30Record 445116-20240411-F609
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-02Record 445116-20240411-F726
F730Observe each nurse aide's job performance and give regular training.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-02Record 445116-20240411-F730
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-02Record 445116-20240411-F867
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-11-30Record 445116-20181031-F684
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-04-11 | Civil money penalty | $228,511 | CMS · Penalties |
| 2024-04-11 | Denial of payment for new admissions Payment denial for 40 days, from 2024-05-10 | — | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.61
Facility
Tennessee
National
Tennessee 0.60 · National 0.69
Total nurse hours per resident day3.82
Facility
Tennessee
National
Tennessee 3.80 · National 3.86
Weekend total nurse hours3.37
Facility
Tennessee
National
Tennessee 3.31 · National 3.42
Total nursing staff turnover42%
Facility
Tennessee
National
Tennessee 49% · National 46%
Registered nurse turnover38%
Facility
Tennessee
National
Tennessee 43% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Tennessee | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 0.9% | 5.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.4% | 3.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 10.8% | 16.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.0% | 1.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 6.4% | 14.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 0.5% | 6.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 20.2% | 31.7% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Bidwell, Gregory Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dodson, Vicki Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kidd, Brian Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| National Healthcare Corporation Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Nhc-Op LP Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Panter, Lori Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sherwood, William Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ussery, Robert Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Vaden, Ryan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bidwell, Gregory Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Bidwell, Gregory Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Blackrock Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dodson, Vicki Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kidd, Brian Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Morgan Stanley Institutional Advisors LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| National Health Corporation Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| National Healthcare Corporation Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Nhc/Delaware Inc Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Sherwood, William Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Vaden, Ryan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Vanguard Group Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
National Healthcare Corporation — 69 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Tennessee.
No county cost figures on file for De Kalb.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Willow Branch Health And Rehabilitation Mcminnville | 18.0 mi | 2025-04-30 | 050 |
| Woodbury Health And Rehabilitation Center Woodbury | 16.4 mi | 2026-04-22 | 031 |
| Nhc Healthcare, Mcminnville Mcminnville | 19.2 mi | 2023-12-13 | 020 |
| Life Care Center Of Sparta Sparta | 19.0 mi | 2025-05-14 | 030 |
| Smith County Health And Rehabilitation Carthage | 23.0 mi | 2025-09-17 | 020 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |