Home›Tennessee›De Kalb County›NHC HEALTHCARE, SMITHVILLE
C
Below Standard

NHC HEALTHCARE, SMITHVILLE

825 FISHER AVE · SMITHVILLE, TN 37166

6155974284 · For profit - Corporation

114 beds84.5 residents123 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, SMITHVILLE receives an overall staffing grade of C (Below Standard). With 3.8302 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.51 HPRD, below the recommended 0.75. It is 0.07 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 13.83% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.51 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
3.8302hrs/resident/day▼ 0.07
CMS benchmark: 3.48
RN HPRD
0.51hrs/resident/day▼ 0.17
Recommended: 0.75
Weekend Drop-off
13.83%
3.986 weekday → 3.4346 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.2702hrs/resident/day
Direct care aides
LPN HPRD
0.8331hrs/resident/day
Licensed practical nurses
Consistency
0.3958std 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. De Kalb County Average+0.00 HPRD
3.83
03.83 HPRD
vs. Tennessee State Average-0.04 HPRD
3.87
03.83 HPRD
vs. National Average-0.07 HPRD
3.90
03.83 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, SMITHVILLE ★
SMITHVILLE · This facility
—
C
3.83020.51★★★☆☆
NHC HEALTHCARE, MCMINNVILLE
MCMINNVILLE
17.2 mi
C
3.7750.5283★★★★★
WILLOW BRANCH HEALTH AND REHABILITATION
MCMINNVILLE
17.3 mi
D
3.32190.3831★★★☆☆
LIFE CARE CENTER OF SPARTA
SPARTA
18.7 mi
D
3.55920.3729★★★★☆
NHC HEALTHCARE, SPARTA
SPARTA
20.2 mi
B
3.61140.7335★★★☆☆
NHC HEALTHCARE, COOKEVILLE
COOKEVILLE
22.1 mi
C
4.08830.4486★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
10
Total Deficiencies
$228,511
Fines Assessed
Feb 27, 2025Health
2 deficiencies cited
▼
Apr 11, 2024Health
7 deficiencies cited· Includes actual harm
▼
Oct 31, 2018Health
1 deficiency cited
▼

Penalty History

Apr 11, 2024Fine
$228,511
Apr 11, 2024Payment Denial
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.