Nhc Healthcare, Smithville
825 Fisher Ave Po Box 549, Smithville, TN, 37166
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: National Healthcare Corporation
- Certified beds
- 114 · avg 83 residents/day
- Total nursing staff turnover
- 45.7% — near the Tennessee averageTennessee avg: 48.7% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 25% — lower than most Tennessee nursing homesTennessee avg: 43.0% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Tennessee averageTennessee avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $228,511 total
- Payment denials
- 1 denial
Medicare certification
- CMS Certification Number
- 445116
- Certified beds
- 114 beds · avg 83 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Nhc Healthcare-Smithville Llc
- Chain affiliation
- National Healthcare Corporation
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the National Healthcare Corporation chain — 68 facilities across 8 states. Chain-wide average overall rating 4.0 / 5.
Parent entity
Morgan Stanley
Disclosed owners (18 on record)
- National Health Corporation
Adp of The Snf · since 2025
- Ryan Vaden
Adp of The Snf · since 2025
- William Hanford Sherwood
Adp of The Snf · since 2025
- National Healthcare Corporation
Adp of The Snf · since 2025
- Morgan StanleyParent
5% or Greater Indirect Ownership Interest · 5% · since 2024
- Morgan Stanley Institutional Advisors Llc
Indirect Ownership Interest · 5% · since 2024
+ 12 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 10)
- D0842·Feb 27, 2025
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D0644·Feb 27, 2025
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D0867·Apr 11, 2024Complaint
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- D0730·Apr 11, 2024Complaint
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
- D0726·Apr 11, 2024Complaint
Nursing and Physician Services Deficiencies
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.
- J0689·Apr 11, 2024Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- G0656·Apr 11, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0609·Apr 11, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Federal penalties
By year
- 20241 fine · $229K · 1 payment denial
Most recent events
- Apr 11, 2024Payment denial · 40 days · starting May 10, 2024
- Apr 11, 2024Fine · $229K
Fire-safety citations
18 Life-Safety-Code citations on file. Most recent: Feb 27, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Nhc Healthcare, Smithvilleinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.