NHC Healthcare, Smithville: Staffing, Turnover, and Inspection Record
NHC Healthcare, Smithville is a 114-bed for-profit nursing home in Smithville, Tennessee, part of National Healthcare Corporation. In the CMS August 2026 release it reported 2.44 nurse aide hours per resident per day, 15% above the Tennessee average of 2.12, and 42.2% nursing staff turnover (Tennessee average 48.9%).
NHC Healthcare, Smithville
825 Fisher Ave PO Box 549Smithville, TN 37166
De Kalb County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At NHC Healthcare, Smithville, nurse aides logged 2.44 hours per resident per day, 15% above the Tennessee average. With about 84 residents a day, that works out to roughly 206 aide hours a day, or about 26 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | Tennessee avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.44 | 2.12 | 2.32 |
| Licensed practical nurses | 0.77 | 1.09 | 0.86 |
| Registered nurses | 0.61 | 0.60 | 0.69 |
| All nursing staff | 3.82 | 3.80 | 3.86 |
| All nursing staff, weekends | 3.37 | 3.31 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
42.2% of nursing staff at NHC Healthcare, Smithville left over the year CMS measured, against a Tennessee average of 48.9% and a US average of 45.8%. Registered nurse turnover was 37.5%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Feb 27, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 2 health deficiencies (Tennessee average 4.7). CMS lists 1 fine totaling $228,511 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Apr 11, 2024 | Fine | $228,511 |
| Apr 11, 2024 | Payment Denial | 40 days from May 10, 2024 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. NHC Healthcare, Smithville holds 3 of 5 overall; the Tennessee average is 3.0.
About NHC Healthcare, Smithville
- Ownership: For profit - Corporation
- Chain: National Healthcare Corporation, 69 homes
- Legal name: NHC Healthcare-Smithville LLC
- Medicare and Medicaid certified since: Jun 2, 1977
- Councils: resident council
- Area: rural
Nursing homes near NHC Healthcare, Smithville
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Woodbury Health and Rehabilitation Center Woodbury | 16.4 | 82 | 1.96 | 3.35 | 40.5% | 3 | None |
| Willow Branch Health and Rehabilitation McMinnville | 18.0 | 140 | 1.79 | 3.30 | 48.6% | 2 | None |
| Life Care Center of Sparta Sparta | 19.0 | 100 | 2.14 | 3.77 | 38.6% | 5 | None |
| NHC Healthcare, McMinnville McMinnville | 19.2 | 115 | 2.03 | 3.67 | 33.9% | 5 | None |
| NHC Healthcare, Sparta Sparta | 20.6 | 96 | 2.05 | 3.69 | 36.7% | 3 | None |
| NHC Healthcare, Cookeville Cookeville | 21.9 | 104 | 2.49 | 4.09 | 40.0% | 5 | None |
| Smith County Health and Rehabilitation Carthage | 23.0 | 128 | 1.84 | 3.60 | 51.7% | 5 | None |
| Grandview Post Acute Cookeville | 23.8 | 120 | 2.70 | 4.42 | 54.4% | 1 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.