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C
Below Standard

NHC HEALTHCARE, COOKEVILLE

815 SOUTH WALNUT AVENUE · COOKEVILLE, TN 38501

9315285516 · For profit - Corporation

104 beds98.4 residents154 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

NHC HEALTHCARE, COOKEVILLE receives an overall staffing grade of C (Below Standard). With 4.0883 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4486 HPRD, below the recommended 0.75. It is 0.19 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 17.54% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (1)

⚠️RN staffing (0.4486 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
4.0883hrs/resident/day▲ 0.19
CMS benchmark: 3.48
RN HPRD
0.4486hrs/resident/day▼ 0.23
Recommended: 0.75
Weekend Drop-off
17.54%
4.3015 weekday → 3.5472 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.4523hrs/resident/day
Direct care aides
LPN HPRD
1.1874hrs/resident/day
Licensed practical nurses
Consistency
0.4043std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Putnam County Average+0.34 HPRD
3.74
04.09 HPRD
vs. Tennessee State Average+0.22 HPRD
3.87
04.09 HPRD
vs. National Average+0.19 HPRD
3.90
04.09 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
NHC HEALTHCARE, COOKEVILLE ★
COOKEVILLE · This facility
—
C
4.08830.4486★★★★★
AHC BETHESDA
COOKEVILLE
2.1 mi
C
3.86120.5204★★☆☆☆
SIGNATURE HEALTHCARE OF PUTNAM COUNTY
COOKEVILLE
4.2 mi
C
3.54540.4496★★☆☆☆
STANDING STONE CARE AND REHAB
MONTEREY
13.4 mi
B
3.48440.7135★★★★☆
LIFE CARE CENTER OF SPARTA
SPARTA
13.6 mi
D
3.55920.3729★★★★☆
NHC HEALTHCARE, SPARTA
SPARTA
15.6 mi
B
3.61140.7335★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
6
Total Deficiencies
$0
Fines Assessed
Feb 12, 2025Health
3 deficiencies cited
▼
Feb 5, 2020Health
1 deficiency cited
▼
Feb 6, 2019Health
2 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.