NHC HealthCare, Sequatchie
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

NHC HealthCare, Sequatchie

CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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NHC HealthCare, Sequatchie accepts Medicare, Medicaid, and private pay.

Overview of Nhc Healthcare, Sequatchie

NHC Healthcare, Sequatchie is a skilled nursing home in Dunlap, Tennessee. Randy Reynolds owns the facility, which has been serving the community for 48 years. With 47 beds, its current occupancy is 66%. The facility accepts Medicare, Medicaid, and private pay, offering families several payment options for short-term rehabilitation and longer-term nursing care.

As a post-acute rehabilitation facility, it offers short-term rehab, respite care, and 24-hour staffing. Total nurse staffing averages approximately 3 hours and 45 minutes per resident per day. Registered nurses, licensed practical nurses, and nursing aides are all part of the team. This staffing level makes it suitable for residents recovering from surgery, an illness, or a hospital stay. Residents stay an average of 89 days, with most in short-term recovery and ongoing skilled nursing support.

Residents are cared for by a range of on-site amenities and services. A dietitian and chef prepare meals to meet individual nutritional needs. There’s a beauty and barber shop for personal care, high-speed wireless internet and cable television in all rooms, and housekeeping and laundry services.

The facility also has a dining room and an outdoor relaxation area, including daily activities and entertainment programming. Plus, it offers home care and hospice services for residents who need broader support beyond nursing care.

The location in Dunlap scored 40 for walkability. Some nearby services may be reached on foot, but most trips still require transportation. This location is best for families who a medical facility over a busy city setting.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to state averages

Total nursing care / resident Info Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 45m per day
Rank #45 / 192Nurse hours — State benchmarkedThis home is ranked 45th out of 192 homes in Tennessee. Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 192 Tennessee facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg

4 of 6 metrics below state avg

Standout metric Nurse Aide is +12% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 21m per day ▼ 43% State avg: 37m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 1h 4m per day ■ Avg State avg: 1h 5m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 2h 24m per day ▲ 12% State avg: 2h 9m per day · National avg: 2h 20m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 3h 14m per day ▼ 3% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 4m per day ▼ 12% State avg: 5m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 17m per day ▼ 27% State avg: 24m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
89 days
Bed community size
47-bed community Rank #368 / 426Bed count — State benchmarkedThis home is ranked 368th out of 426 homes in Tennessee. Shows this facility's certified or reported bed count compared to other Tennessee facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
48 years in operation Rank #14 / 385Years in operation — State benchmarkedThis home is ranked 14th out of 385 homes in Tennessee. Shows how long this facility has been in operation compared to other Tennessee facilities. Longer operating histories may benefit residents, families, and staff.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 40 / 100 Rank #230 / 553Walk Score — State benchmarkedThis home is ranked 230th out of 553 homes in Tennessee. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Tennessee facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Occupancy

Occupancy rate
66%
Rank #135 / 319Occupancy rate — State benchmarkedThis home is ranked 135th out of 319 homes in Tennessee. Shows this facility's occupancy rate versus the Tennessee average, with its Statewide rank out of 319. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the Tennessee average: 71.6%
Occupied beds
31 / 47
Average occupied beds in Tennessee homes 82 beds

License Details

Facility TypeNursing Home
StatusLicensed
IssuanceJuly 1, 1992
License Number00000225
CMS Certification Number445126

Ownership & Operating Entity

NHC HealthCare, Sequatchie is administered by Randy Scott Reynolds.

Owner NameNhc Healthcare/Sequatchie, LLC

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactMr. Randy Reynolds, Administrator

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

1 service
24-Hour Staffing

Additional Services

3 services
Short-Term Rehabilitation
Homecare
Hospice

Amenities & Lifestyle

High-Speed Wireless Internet
Cable Tv In Every Room
Housekeeping And Laundry Services
On-Site Beauty And Barber Shop
Daily Activities And Entertainment
Dining Room
Outdoor Area For Relaxation
Operating Hours24/7

Contact NHC HealthCare, Sequatchie

Inspection History

In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.

Inspection oversight

  • Latest inspection: February 7, 2023

Health Inspection History

Inspections since 2023
Total health inspections 1

State average N/A


Last Health inspection on Feb 2023

Total health citations
5 Rank #18 / 196Health citations — State benchmarkedThis home is ranked 18th out of 196 homes in Tennessee. Shows this facility's total health deficiency citations benchmarked to the Tennessee State average, with a ranking across all 196 TN facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
5 Rank #122 / 196Citations per inspection — State benchmarkedThis home is ranked 122nd out of 196 homes in Tennessee. Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 196 facilities with citation data. Lower is better.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 5 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

5 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 3 years)
Infection Control moderate citation Feb 08, 2023
Corrected

Nutrition moderate citation Feb 08, 2023
Corrected

Quality of Care moderate citation Feb 08, 2023
Corrected

Care Planning moderate citation Feb 08, 2023
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 164
Employees 162
Contractors 2
Staff to resident ratio 1.82 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 58
Average shift 7.5 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 39,892

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 11 RN Staff are full-time employees. No contractors work on this role. 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 25 LPN Staff are full-time employees. No contractors work on this role. 25
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 90 CNA Staff are full-time employees. No contractors work on this role. 90
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.1 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors 0% — all staff are direct employees this quarter

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant9009020,95692100%7.1
Licensed Practical Nurse250259,18192100%8.8
Registered Nurse110111,8799199%7.9
Speech Language Pathologist5051,1046672%6.2
Physical Therapy Aide7079937379%6.6
Mental Health Service Worker2029197076%7.5
Physical Therapy Assistant3037746571%6.8
Clinical Nurse Specialist2027386672%7.6
Respiratory Therapy Technician7076416571%7.8
Other Dietary Services Staff3036276166%7.6
Administrator1014766065%7.9
Nurse Practitioner1014725964%8
Qualified Social Worker2023915762%6.9
Dietitian1013534448%8
Occupational Therapy Aide1011984953%4
RN Director of Nursing1011772932%6.1
Occupational Therapy Assistant0111333%4.3
Medical Director011133%0.3
90 Certified Nursing Assistant
% of Days 100%
25 Licensed Practical Nurse
% of Days 100%
11 Registered Nurse
% of Days 99%
5 Speech Language Pathologist
% of Days 72%
7 Physical Therapy Aide
% of Days 79%
2 Mental Health Service Worker
% of Days 76%
3 Physical Therapy Assistant
% of Days 71%
2 Clinical Nurse Specialist
% of Days 72%
7 Respiratory Therapy Technician
% of Days 71%
3 Other Dietary Services Staff
% of Days 66%
1 Administrator
% of Days 65%
1 Nurse Practitioner
% of Days 64%
2 Qualified Social Worker
% of Days 62%
1 Dietitian
% of Days 48%
1 Occupational Therapy Aide
% of Days 53%
1 RN Director of Nursing
% of Days 32%
1 Occupational Therapy Assistant
% of Days 3%
1 Medical Director
% of Days 3%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 3.1
70% better than State average

State average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 7.3
63% better than State average

State average: 19.5

Long-stay resident measures
Significantly above average State avg: 3.7 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 3.8%
76% better than State average

State average: 16.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 3.6%
84% better than State average

State average: 21.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 14.5%
30% better than State average

State average: 20.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.4%
20% worse than State average

State average: 3.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.2%
42% better than State average

State average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than State average

State average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 0.7%
88% better than State average

State average: 6.3%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than State average

State average: 11.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 10.8%
35% better than State average

State average: 16.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
11% better than State average

State average: 89.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.5%
In line with State average

State average: 94.5%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.52
In line with State average

State average: 1.58

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.44
8% better than State average

State average: 1.57

Short-stay resident measures
Above average State avg: 3.4 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.0%
23% better than State average

State average: 79.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 3.1%
80% worse than State average

State average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 97.7%
22% better than State average

State average: 79.8%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 36.1%
63% worse than State average

State average: 22.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 17.7%
58% worse than State average

State average: 11.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.0%
27% worse than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 80.4%
50% better than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 66.1%
31% better than State average

State average: 50.6%

Breakdown by payment type

Medicare

26% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

59% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

15% of new residents, often for long-term daily care.

Typical stay 9 - 10 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 90
Medicare
6
6.7% of residents
Medicaid
43
47.8% of residents
Private pay or other
41
45.6% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$10.6M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$400.7K
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$10.6M Rank #100 / 196Revenue — State benchmarkedThis home is ranked 100th out of 196 homes in Tennessee. Shows this facility's annual revenue compared to the Tennessee average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$400.7K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$507.6K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #87 / 196Payroll — State benchmarkedThis home is ranked 87th out of 196 homes in Tennessee. Shows total annual staff payroll benchmarked to the Tennessee average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$6.1M 57.7% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #73 / 196Payroll % — State benchmarkedThis home is ranked 73rd out of 196 homes in Tennessee. Shows payroll as a percentage of revenue versus the Tennessee average. Well-run Tennessee facilities typically land around 50–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$4.1M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$10.2M

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (59% of admissions), and a typical private pay stay runs around 2 - 3 months.

Admissions
364 total

Coverage residents most often arrive under.

Medicare 26%
Private pay 59%
Medicaid 15%
Discharges
364 total

Coverage residents most often leave under.

Medicare 22%
Private pay 62%
Medicaid 16%

Places of interest near NHC HealthCare, Sequatchie

Address 0.0 miles from city center Info Estimated distance in miles from Dunlap's city center to NHC HealthCare, Sequatchie's address, calculated via Google Maps.

Calculate Travel Distance to NHC HealthCare, Sequatchie

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Address

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The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.

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Frequently Asked Questions about NHC HealthCare, Sequatchie

Is NHC HealthCare, Sequatchie in a walkable area?

NHC HealthCare, Sequatchie has a walk score of 40. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of NHC HealthCare, Sequatchie?

According to TN state health department records, NHC HealthCare, Sequatchie's license number is 00000225.

What is the occupancy rate at NHC HealthCare, Sequatchie?

NHC HealthCare, Sequatchie's occupancy is 66%.

Does NHC HealthCare, Sequatchie operate as a for-profit or non-profit?

NHC HealthCare, Sequatchie is registered as a for-profit in TN.

Who is the administrator of NHC HealthCare, Sequatchie?

Randy Scott Reynolds is the administrator of NHC HealthCare, Sequatchie.

How many beds does NHC HealthCare, Sequatchie have?

NHC HealthCare, Sequatchie has 47 beds.

Are there photos of NHC HealthCare, Sequatchie?

Yes — there are 4 photos of NHC HealthCare, Sequatchie in the photo gallery on this page.

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