Nhc Healthcare, Smithville
825 Fisher Ave Po Box 549, Smithville, TN 37166
Nhc Healthcare, Smithville is a nursing home in Smithville, Tennessee. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating3 of 5
- Last standard health inspectionMay 21, 2026 (5 months ago)
- Health citations since April 11, 20249 (Tennessee average 14)
- Fines in the past three years1, $228,511 in total
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Fire safety inspection on May 21, 2026
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on June 4, 2026.
CMS has cited this home for K0918 2 times since 2025.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on June 4, 2026.
CMS has cited this home for K0363 2 times since 2025.
Citation K0911. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Meet requirements for the installation and maintenance of electrical systems.
CMS lists it as corrected on June 4, 2026.
CMS update of May 28, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 1 of 5 to 2 of 5.
CMS abuse icon
CMS removed its abuse icon from this home.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
CMS update of March 26, 2025
Fine
CMS changed the fine from April 11, 2024 from $351,555 to $228,511.
Health inspection on February 27, 2025
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation F0644. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS lists it as corrected on March 3, 2025.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on March 12, 2025.
Fire safety inspection on February 27, 2025
15 citationsCMS lists this as a standard inspection.
Show the 15 citations
Citation E0032. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide primary/alternate means for communication.
CMS lists it as corrected on March 10, 2025.
Citation K0232. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
CMS lists it as corrected on March 17, 2025.
Citation K0271. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have exits that are accessible at all times.
CMS lists it as corrected on April 11, 2025.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on March 10, 2025.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on March 24, 2025.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on March 10, 2025.
Citation K0500. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Meet other general requirements that are deficient.
CMS lists it as corrected on March 24, 2025.
Citation K0511. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on March 17, 2025.
Citation K0523. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that HVAC heat units are suspended and out of the reach of patients and can be shut off if unit is working improperly.
CMS lists it as corrected on March 18, 2025.
Citation K0741. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
CMS lists it as corrected on March 10, 2025.
Citation K0754. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly sized and located linen or trash receptacles.
CMS lists it as corrected on March 10, 2025.
Citation K0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on April 11, 2025.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on February 25, 2025.
Citation K0920. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on March 17, 2025.
Citation K0923. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on March 10, 2025.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Fine
CMS changed the fine from April 11, 2024 from $347,580 to $351,555.
CMS update of August 29, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 1 of 5.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 1 of 5.
CMS abuse icon
CMS added its abuse icon to this home.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
May 10, 2024
Payment stoppedCMS stopped payment for new admissions from May 10, 2024, for 40 days.
CMS update of April 25, 2024
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
Health inspection on April 11, 2024
7 citationsCMS lists this as a complaint inspection.
Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
33 of 303 Tennessee homes (11%) got a citation at the immediate jeopardy level in 2024.
CMS fine of $228,511 on April 11, 2024.
Show the 7 citations
Citation F0600. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on June 19, 2024.
Citation F0689. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on May 2, 2024.
Citation F0656. Severity G: actual harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on May 2, 2024.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on April 30, 2024.
Citation F0726. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on May 2, 2024.
Citation F0730. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Observe each nurse aide's job performance and give regular training.
CMS lists it as corrected on May 2, 2024.
Citation F0867. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS lists it as corrected on May 2, 2024.
CMS update of January 31, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Fire safety inspection on November 20, 2019
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0131. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Meet requirements for sections of health care facilities separated by fire resistive construction.
CMS lists it as corrected on January 3, 2020.
CMS star ratings
- 3 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 4 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (615) 597-4284
- Last standard health inspection
- May 21, 2026 (5 months ago)
- Certified beds
- 114
- Residents per day, on average
- 85.1
- Ownership type
- For profit - Corporation
- Legal business name
- Nhc Healthcare-Smithville LLC
- Chain
- National Healthcare Corporation
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Tennessee average (9 vs 14).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- MORGAN STANLEY INSTITUTIONAL ADVISORS LLCIndirect ownership interest · not applicable · since 11/08/2024
- NHC/DELAWARE INCIndirect ownership interest · not applicable · since 07/01/2000
- NATIONAL HEALTHCARE CORPORATIONOperational/managerial control · not applicable · since 07/01/2000
- NHC-OP LPOperational/managerial control · not applicable · since 07/01/2000
- BIDWELL, GREGORYOperational/managerial control · not applicable · since 07/01/2000
Show 6 more
- DODSON, VICKIOperational/managerial control · not applicable · since 06/01/2019
- KIDD, BRIANOperational/managerial control · not applicable · since 01/01/2017
- PANTER, LORIOperational/managerial control · not applicable · since 05/18/2020
- SHERWOOD, WILLIAMOperational/managerial control · not applicable · since 01/01/2025
- USSERY, ROBERTOperational/managerial control · not applicable · since 07/01/2000
- VADEN, RYANOperational/managerial control · not applicable · since 10/11/2019
Questions
When was Nhc Healthcare, Smithville last inspected?
CMS lists May 21, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Nhc Healthcare, Smithville have?
CMS lists 9 health citations since April 11, 2024. CMS also calls these deficiencies.
Has Nhc Healthcare, Smithville been fined?
CMS lists 1 fine in the past three years, $228,511 in total.
What is the CMS star rating of Nhc Healthcare, Smithville?
Its CMS overall star rating is 3 of 5.
Is Nhc Healthcare, Smithville a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.