Nhc Healthcare, Smithville
Smithville, TN · Medicare and Medicaid-certified nursing home (CCN 445116) · 114 certified beds
Health inspection: 2 · Quality measures: 5 · Staffing: 3
Federal fines: 1 totaling $228,511 · 1 payment denial
Phone: (615) 597-4284 · Verify on Medicare Care Compare ↗
NHC HealthCare, Smithville has a CMS overall star rating of 3 out of 5, which is at the Tennessee state average of 3.0. Its health inspection rating is 2 out of 5, and its staffing rating is 3 out of 5.
NHC HealthCare, Smithville reports total nurse staffing of 3.82 hours per resident per day, including 0.61 RN hours per resident per day, with a staffing star rating of 3 out of 5. Nursing staff turnover is reported at 42.2%.
Yes, NHC HealthCare, Smithville has 1 federal fine on record totaling $228,511.00, along with 1 payment denial. There is no abuse icon or Special Focus Facility status indicated in the available CMS data.
About this facility
NHC HealthCare, Smithville is a Medicare and Medicaid certified nursing home located in Smithville, De Kalb County, Tennessee. The facility is organized as a for-profit corporation and has been certified since June 1977. It maintains 114 certified beds with an average of 84.1 residents.
According to CMS Care Compare, the facility carries an overall star rating of 3 out of 5, which is at the Tennessee state average of 3.0. Its component ratings are mixed: a health inspection rating of 2 out of 5, a quality measures rating of 5 out of 5, and a staffing rating of 3 out of 5.
Total nurse staffing is reported at 3.82 hours per resident per day, including 0.61 RN hours per resident per day. Nursing staff turnover is reported at 42.2%.
On penalties, CMS records show 1 federal fine totaling $228,511.00, along with 1 payment denial on record for this facility. No abuse icon is indicated in this data, and no Special Focus Facility status is listed for this facility.
NHC HealthCare, Smithville is part of the National Healthcare Corporation chain, which includes 69 facilities nationally with an average chain rating of 4.0 out of 5. Ownership has not changed in the past 12 months, so current ratings reflect the current operator.
Source: CMS Medicare Care Compare.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
The facility has an overall rating of 3 out of 5, which is at the Tennessee state average of 3.0.
Does this facility accept Medicare, Medicaid, or both?
This facility accepts both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 3.82 hours per resident per day, including 0.61 RN hours per resident per day, with a staffing rating of 3 out of 5 and turnover of 42.2%.
Does this facility have federal fines or penalties on record?
Yes, CMS records show 1 fine totaling $228,511.00 and 1 payment denial.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
The available data does not indicate an abuse icon or Special Focus Facility status for this facility.
How large is this facility and how many residents live there?
The facility has 114 certified beds and an average daily population of 84.1 residents.
Who owns this facility — and is it part of a chain?
It is a for-profit corporation and part of the National Healthcare Corporation chain, which includes 69 facilities nationally with an average rating of 4.0 out of 5.
How long has this facility been Medicare/Medicaid certified?
The facility has been certified since June 2, 1977.
What do the four different CMS star ratings mean?
CMS rates facilities on overall quality, health inspections, staffing, and quality measures; this facility scores 3, 2, 3, and 5 respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
This specific detail is not included in the available data; please contact the facility at 6155974284 or verify on Medicare Care Compare.
What should I look for when touring this facility?
This information is not available in the given data; contact the facility at 6155974284 to arrange a visit and review details.
How do I verify this facility's current record on Medicare Care Compare?
You can review the facility's full current record at https://www.medicare.gov/care-compare/details/nursing-home/445116?state=TN.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.