NHC HEALTHCARE, SMITHVILLE

825 FISHER AVE PO BOX 549, SMITHVILLE, TN 37166 · CCN 445116 · 114 certified beds · Data as of 2026-07-01

CMS overall3 of 5CMS inspections2 of 5CMS staffing3 of 5CMS quality5 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

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Serious inspection findings

2024-04-11 — IMMEDIATE JEOPARDY (tag F0600, severity K)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2024-04-11 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-04-11 — ACTUAL HARM (tag F0656, severity G)

Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Staffing, from payroll records

Nursing hours / resident / day

3.45

state median 3.29

Weekend staffing gap

−11%

fewer nursing hours on weekends · state median −8%

RN hours / resident / day

0.43

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

42%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

2 enforcement action(s), totaling $228,511 in fines.

Date	Type	Amount
2024-04-11	Fine	$228,511
2024-04-11	Payment Denial	payment denial

Ownership

Ownership type: For profit - Corporation. Part of the NATIONAL HEALTHCARE CORPORATION chain.

Other facilities under the same ownership, with their CMS overall ratings:

NHC HEALTHCARE, ANNISTON (ANNISTON, AL) — CMS overall2 of 5
NHC HEALTHCARE, MOULTON (MOULTON, AL) — CMS overall5 of 5
NHC HEALTHCARE ROSSVILLE (ROSSVILLE, GA) — CMS overall2 of 5
NHC HEALTHCARE FT OGLETHORPE (FORT OGLETHORPE, GA) — CMS overall5 of 5
NHC Healthcare, Glasgow (Glasgow, KY) — CMS overall2 of 5
NHC HEALTHCARE, WEST PLAINS (WEST PLAINS, MO) — CMS overall5 of 5
SPRINGFIELD REHABILITATION & HEALTH CARE CENTER (SPRINGFIELD, MO) — CMS overall3 of 5
NHC HEALTHCARE, DESLOGE (DESLOGE, MO) — CMS overall4 of 5

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 7 · Immediate jeopardy: 2

Survey date	Tag	Category	Severity	Corrected
2025-02-27	F0644	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-02-27	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-04-11	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	K	not recorded
2024-04-11	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-04-11	F0656	Resident Assessment and Care Planning Deficiencies	G	not recorded
2024-04-11	F0689	Quality of Life and Care Deficiencies	J	not recorded
2024-04-11	F0726	Nursing and Physician Services Deficiencies	D	not recorded
2024-04-11	F0730	Nursing and Physician Services Deficiencies	D	not recorded
2024-04-11	F0867	Administration Deficiencies	D	not recorded
2018-10-31	F0684	Quality of Life and Care Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “NHC HEALTHCARE, SMITHVILLE, SMITHVILLE” at medicare.gov/care-compare.