72/100
Above average
Nhc Healthcare, Smithville
825 Fisher Ave Po Box 549, Smithville, TN 37166
- Certified beds
- 114
- Occupancy
- 74%
- Ownership
- For-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
$228,511 in federal fines
CMS has fined this facility across 1 penalty action(s).
Our read on Nhc Healthcare, Smithville
Nhc Healthcare, Smithville runs 114 certified beds under corporate for-profit ownership, and its staffing sits just under the national average at 3.82 nurse hours per resident day. That gap looks small, but weekends run about 12% thinner than weekdays, which matters when a resident needs help on a Sunday. Staff turnover is 42.2%, a bit better than the 45.8% national figure, not a crisis, but roughly two in five employees still leave each year. The inspection record is where the real weight sits: 10 deficiencies, three at harm or jeopardy level, two tied to abuse, and one fine of $228,511. The most recent inspection was February 2025. Quality measures score well, but quality scores and hands-on care aren't the same thing.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
15/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →3.52 total nurse hours per resident per day (national median 3.77)
- →0.61 RN hours per resident per day
- →Weekend staffing drops 12% against weekdays
Staff stability
12/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →42% of nursing staff left in the last year
Resident outcomes
15/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →5 of 5 stars on the CMS quality-measure rating
Enforcement history
0/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$228,511 in federal fines across 1 action(s)
- →-0 for 1 denial(s) of Medicare payment for new admissions
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: May 21, 2026 (5 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of NATIONAL HEALTHCARE CORPORATION, which operates 71 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about Nhc Healthcare, Smithville
What is the ElderGrade for Nhc Healthcare, Smithville? +
Nhc Healthcare, Smithville holds an ElderGrade of B (72 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Nhc Healthcare, Smithville? +
Residents receive an average of 3.82 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Nhc Healthcare, Smithville been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Nhc Healthcare, Smithville accept Medicaid? +
Yes, Nhc Healthcare, Smithville is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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