All states › Tennessee › Smithville › NHC Healthcare, Smithville
825 Fisher Ave Po Box 549 Smithville, TN 37166 · De Kalb County
CMS certification number 445116 · See this home on Medicare Care Compare
Is NHC Healthcare, Smithville a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for NHC Healthcare, Smithville as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Tennessee average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.94 hours per resident per day at NHC Healthcare, Smithville, above the Tennessee median of 3.66 (US median: 3.72). About 0.72 of those hours are from registered nurses. On weekends it falls to 3.35 hours, 15% below its all-week average. 43.8% of nursing staff left within a year (Tennessee median 48.7%).
About this nursing home
Paying for care at NHC Healthcare, Smithville: Medicare and Medicaid
NHC Healthcare, Smithville is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Tennessee's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on May 21, 2026 and found 0 deficiencies. In total, inspectors issued 9 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 9 citations at NHC Healthcare, Smithville across 2 inspection dates, 7 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 11, 2024 (complaint inspection). The most common areas cited were resident assessment and care planning (3) and freedom from abuse, neglect, and exploitation (2). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level K, April 11, 2024). 2 citations were under CMS's abuse, neglect and exploitation rules.
February 27, 2025 · 2 citations
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
April 11, 2024 · 7 citations, includes immediate jeopardy · includes complaint inspection
KProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
GDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DObserve each nurse aide's job performance and give regular training.
DSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Questions to ask on a tour of NHC Healthcare, Smithville
- Inspectors cited the home at the immediate-jeopardy level on April 11, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on April 11, 2024. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $228,511 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Apr 11, 2024 | Fine | $228,511 |
| Apr 11, 2024 | Payment Denial | 40 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 2/5 | 4/5 | 5/5 |
| August 2026 | 3/5 | 2/5 | 3/5 | 5/5 |
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Location
Hospitals near NHC Healthcare, Smithville
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.3 mi
Stones River Hospital and Dekalb Community Hosp SmithvilleEmergency roomMedian ER visit 1h 48m for patients treated and sent home
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16.4 mi
Stones River Hospital & Dekalb Community Hospital WoodburyEmergency roomMedian ER visit 1h 26m for patients treated and sent home
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18.4 mi
River Park Hospital McMinnvilleEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 57m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near NHC Healthcare, Smithville › All nursing homes in Smithville ›
Compare NHC Healthcare, Smithville with the 3 closest homes side by side ›
Other National Healthcare Corporation nursing homes in Tennessee
- NHC Place at Cool Springs · Franklin · 5 stars
- NHC Healthcare, Kingsport · Kingsport · 5 stars
- Nhc-Maury Regional Transitional Care Center · Columbia · 5 stars
- NHC Healthcare, Cookeville · Cookeville · 5 stars
- NHC Healthcare, Sequatchie · Dunlap · 5 stars
- NHC Place at the Trace · Nashville · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 72 National Healthcare Corporation nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.