Nursing home
Nhc Healthcare, Smithville (Skilled Nursing)
825 Fisher Ave, Smithville, TN 37166 · Map
For profit - Corporation · Part of National Healthcare Corporation (65 facilities) · 114 certified beds
Nhc Healthcare, Smithville (Skilled Nursing) is a Medicare-certified nursing home in Smithville, Tennessee. CMS rates it 3 out of 5 stars overall (3/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.83 hours per resident per day, below the Tennessee average of 3.85. Its most recent inspection on Feb 27, 2025 cited 2 deficiencies.
- 1 fine totaling $228,511In CMS records: 2 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Nhc Healthcare, Smithville (Skilled Nursing) compares
This facility vs. the Tennessee and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Tennessee avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.83 | 3.85 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.51 | 0.61 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.49 | 2.15 | 2.34 | above avg |
| Nursing staff turnover | 47.6% | 48.7% | 46.4% | below avg |
| Deficiencies cited, last inspection | 2.0 | 5.9 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the February 27, 2025 inspection was corrected by March 12, 2025
Penalties in CMS records: 1 fine totaling $228,511, 2 total penalties, 1 Medicare payment denial.
What inspectors found at Nhc Healthcare, Smithville (Skilled Nursing)
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Feb 27, 2025 · Full report (PDF) - Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Feb 27, 2025 · Full report (PDF) - Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Apr 11, 2024 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Apr 11, 2024 · Full report (PDF) - Actual harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Apr 11, 2024 · Full report (PDF)
Show all 10 deficiencies
- Potential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Apr 11, 2024 · Full report (PDF) - Potential for harm
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · Apr 11, 2024 · Full report (PDF) - Potential for harm
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.
Nursing and Physician Services Deficiencies · Apr 11, 2024 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Apr 11, 2024 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Oct 31, 2018
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 825 Fisher Ave
Smithville, TN 37166 - CMS certification #
- 445116
- Ownership
- For profit - Corporation
- Certified beds
- 114
- Avg residents/day
- 84.5
- Provider type
- Medicare and Medicaid
- First certified
- 1977-06-02
- Chain
- National Healthcare Corporation (65 facilities)
- Setting
- Rural
Part of National Healthcare Corporation
National Healthcare Corporation operates 65 nursing facilities across the United States. View all National Healthcare Corporation facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Nhc Healthcare, Smithville (Skilled Nursing) using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Dekalb Community Hospital, Smithville. 0.9 miles away, straight line.
- Nearest Medicare nursing home
- Woodbury Health and Rehabilitation Center, Woodbury. 16.3 miles away, straight line.
- Nearest home health agency office
- Suncrest Home Health, Smithville. 0.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 17.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 37166 as small town (small town low commuting).
- Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 37166.
- Nearest geriatric medicine practice
- Pardeep Sharma, MD, Cookeville. 23.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively low, wildfire very low, tornado relatively high, heat wave relatively low, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Nhc Healthcare, Smithville (Skilled Nursing) a good nursing home?
CMS gives Nhc Healthcare, Smithville (Skilled Nursing) an overall rating of 3 out of 5 stars, including 3/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Nhc Healthcare, Smithville (Skilled Nursing) staffed?
Nhc Healthcare, Smithville (Skilled Nursing) reports 3.83 total nurse hours per resident per day, compared with the Tennessee average of 3.85.
Has Nhc Healthcare, Smithville (Skilled Nursing) had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does Nhc Healthcare, Smithville (Skilled Nursing) have?
Nhc Healthcare, Smithville (Skilled Nursing) is certified for 114 beds.