Nhc Healthcare, Smithville
825 Fisher Ave Po Box 549 · Smithville, TN · 37166 · 6155974284
114 certified beds For profit - Corporation Chain: National Healthcare Corporation
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.78 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.53 | 0.55–0.75 |
| Weekend hours / resident-day | 3.32 | ≈ weekday level |
| Nursing turnover / year | 46% | median 45% |
| Fines (3-yr window) | 1 · $228,511 |
Inspection citations (10 in the current record)
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Potential for harm · D February 27, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected March 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 27, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 12, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · K April 11, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J April 11, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 2, 2024 · Quality of Life and Care
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Actual harm · G April 11, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 2, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 11, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 11, 2024 · found via complaint
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.
Corrected May 2, 2024 · Nursing and Physician Services
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Potential for harm · D April 11, 2024 · found via complaint
Observe each nurse aide's job performance and give regular training.
Corrected May 2, 2024 · Nursing and Physician Services
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Potential for harm · D April 11, 2024 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected May 2, 2024 · Administration
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Potential for harm · D October 31, 2018
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 30, 2018 · Quality of Life and Care
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 11, 2024 | Fine | $228,511 |
| April 11, 2024 | Payment Denial | 40 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445116 · certified since June 2, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.