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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.
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 is a 47-bed skilled nursing facility in Dunlap, Tennessee, providing skilled nursing, long-term care, rehabilitation services, memory care, and respite care, privately owned and operated by Randy Reynolds. The community has been operating for 48 years and accepts Medicare, Medicaid, and private pay.
The facility holds a 4-star overall CMS rating. All four sub-domains — Health Inspection, Staffing, Quality Measures, and overall — score above the Tennessee average, with Quality Measures running 34% above the state mean and Health Inspection 30.7% above. Nursing hours average 3 hours and 45 minutes per resident per day compared to a Tennessee average of 3 hours and 40 minutes, placing the facility 39th out of 172 Tennessee SNFs on adjusted staffing. No civil money penalties or payment denials were reported in the past three years.
The facility offers 24-hour staffing, an on-site beauty and barber shop, a dining room, an outdoor relaxation area, and daily activities programming. Rehabilitation services are available for post-acute recovery, and a memory care program is available for residents with dementia. The facility’s occupancy rate is 66% — 31 of 47 beds — modestly below Tennessee’s 71.6% average, suggesting current availability.
Nhc Healthcare, Sequatchie fits residents seeking skilled nursing or post-acute rehabilitation in a small, long-established community in Sequatchie County, with memory care capacity for those in earlier or mid-stage dementia.
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.
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.
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.
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.
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.
This home is ranked 39th out of 172 homes in Tennessee for nurse hours. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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
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
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
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
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
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 |
Lower than the Tennessee average: 71.6%NHC HealthCare, Sequatchie is administrated by Randy Scott Reynolds.
Key information about the people who lead and staff this community.
In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.
Tennessee average 3.5
Last Health inspection on Feb 2023
Tennessee average 15.4
Tennessee average 4.39
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 5 citations resulted from standard inspections.
100% better than Tennessee averageTennessee average: 1.1
100% better than Tennessee averageTennessee average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with Tennessee average
10% worse than Tennessee average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 11 RN Staff are full-time employees. No contractors work on this role.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursAssists with medical care and medications.
All 25 LPN Staff are full-time employees. No contractors work on this role.
25
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursHelps with daily care and mobility.
All 90 CNA Staff are full-time employees. No contractors work on this role.
90
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 90 | 0 | 90 | 20,956 | 92 | 100% | 7.1 |
| Licensed Practical Nurse | 25 | 0 | 25 | 9,181 | 92 | 100% | 8.8 |
| Registered Nurse | 11 | 0 | 11 | 1,879 | 91 | 99% | 7.9 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,104 | 66 | 72% | 6.2 |
| Physical Therapy Aide | 7 | 0 | 7 | 993 | 73 | 79% | 6.6 |
| Mental Health Service Worker | 2 | 0 | 2 | 919 | 70 | 76% | 7.5 |
| Physical Therapy Assistant | 3 | 0 | 3 | 774 | 65 | 71% | 6.8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 738 | 66 | 72% | 7.6 |
| Respiratory Therapy Technician | 7 | 0 | 7 | 641 | 65 | 71% | 7.8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 627 | 61 | 66% | 7.6 |
| Administrator | 1 | 0 | 1 | 476 | 60 | 65% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 391 | 57 | 62% | 6.9 |
| Dietitian | 1 | 0 | 1 | 353 | 44 | 48% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 198 | 49 | 53% | 4 |
| RN Director of Nursing | 1 | 0 | 1 | 177 | 29 | 32% | 6.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 13 | 3 | 3% | 4.3 |
| Medical Director | 0 | 1 | 1 | 1 | 3 | 3% | 0.3 |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 Tennessee averageTennessee average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
7.3
63% better than Tennessee averageTennessee average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
3.8%
76% better than Tennessee averageTennessee average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
3.6%
84% better than Tennessee averageTennessee average: 21.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.5%
30% better than Tennessee averageTennessee average: 20.7%
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
20% worse than Tennessee averageTennessee average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
3.2%
42% better than Tennessee averageTennessee average: 5.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Tennessee averageTennessee average: 2.1%
Percent of long-stay residents who lose too much weight
0.7%
88% better than Tennessee averageTennessee average: 6.3%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Tennessee averageTennessee average: 11.0%
Percent of long-stay residents who received an antipsychotic medication
10.8%
35% better than Tennessee averageTennessee average: 16.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than Tennessee averageTennessee average: 89.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.5%
In line with Tennessee averageTennessee average: 94.5%
Number of hospitalizations per 1,000 long-stay resident days.
1.52
In line with Tennessee averageTennessee average: 1.58
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.44
8% better than Tennessee averageTennessee average: 1.57
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.0%
23% better than Tennessee averageTennessee average: 79.7%
Percent of short-stay residents who newly received an antipsychotic medication
3.1%
80% worse than Tennessee averageTennessee average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.7%
22% better than Tennessee averageTennessee average: 79.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
36.1%
63% worse than Tennessee averageTennessee average: 22.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
17.7%
58% worse than Tennessee averageTennessee average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
1.0%
27% worse than Tennessee averageTennessee average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
80.4%
50% better than Tennessee averageTennessee average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
66.1%
31% better than Tennessee averageTennessee average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
26% of new residents, usually for short-term rehab.
59% of new residents, often for short stays.
15% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
90Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for NHC HealthCare, Sequatchie based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #78 / 176Payroll — State benchmarkedThis home is ranked 78th out of 176 homes in Tennessee for payroll. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
0.0 miles from city center
Estimated distance in miles from Dunlap's city center to NHC HealthCare, Sequatchie's address, calculated via Google Maps.
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NHC HealthCare, Sequatchie is located in Dunlap, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
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.
According to TN state health department records, NHC HealthCare, Sequatchie's license number is 00000225.
NHC HealthCare, Sequatchie's occupancy is 66%.
Randy Scott Reynolds is the administrator of NHC HealthCare, Sequatchie.
NHC HealthCare, Sequatchie has 47 beds.
Yes — there are 4 photos of NHC HealthCare, Sequatchie in the photo gallery on this page.
NHC HealthCare, Sequatchie is located at 360 Dell Trail.
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