Total Health inspections
3
Near State average
State average:
N/A
Last Health inspection on Feb 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
NHC HealthCare, Smithville
NHC HealthCare, Smithville
NHC HealthCare, Smithville is an Assisted Living Home in Tennessee
NHC HealthCare, Smithville is an Assisted Living Home in Tennessee
NHC HealthCare Smithville is a 120-bed post-acute center offering 24/7 skilled nursing care, short-term rehab, long-term care, and therapy services. The facility is dedicated to providing personalized care in a comfortable and supportive environment, helping patients achieve their health and wellness goals. With a focus on dignity, independence, and well-being, NHC is a trusted partner in long-term health management.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
114
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
73.8%
Residents per day (avg)
80
Occupancy rate
73.8%
Residents per day (avg)
80
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
44% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
6% of new residents, often for short stays.
Typical stay
3 - 4 years
Medicaid
49% of new residents, often for long-term daily care.
Typical stay
11 - 12 months
Finances and operations
Proprietary home
Corporation
Home revenue
$11.1M
Profit
$1.2M
Proprietary home
Corporation
Home revenue
$11,062,691.00
Profit
$1,151,111.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$9.9M
114-bed community
A larger shared setting that may offer more common spaces and organized community services.
33 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
License Status
LicensedFacility Type
Nursing Home
License Date
July 1, 1992
Additional licensing details
License number:
00000071
CMS Certification Number:
445116
Ownership & operating entity
NHC HealthCare, Smithville is administrated by Ryan Vaden.
Owner name:
NHC Healthcare/Smithville, LLC
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Specific Programs
Skilled Nursing, Long-Term Care, Short-Term Rehabilitation, HomeCare, Caris Hospice
Operating Hours
24/7
Dining & Nutrition
Food Description
Dietitian and chef-approved meals tailored to meet nutritional needs.
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.
Tennessee average: 9 complaint visits
Latest inspection
Date:November 20, 2019
1 enforcement action
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety or regulatory standards.
1
Compare Assisted Living around Usa
The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
NHC HealthCare, Smithville
+1%
-3%
+1%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
TN 37166
120
No
-
VADEN, RYAN
73.8%
$10,156,041.00
$4,534,257.00
44.6%
80.30
3.5085
1
10
3
+1%-3%+1%-
Job Haines Home
-21%
+63%
-41%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Home Care
HC
Hospice Care
SNF
Nursing Homes 24/7 care needed
Bloomfield
40
No
85
HAVERON, NOREEN
45.5%
$13,340,016.00
$10,214,151.00
76.6%
36.90
6.3081
-
4
-
-21%+63%-41%Studio / 1 Bed / Private / Semi-Private Rooms
Village Care Homes Assisted Living – Stephen F Austin
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Conroe
16
No
27
VILLAGE CHANGE LLC
-
-
-
-
-
-
-
-
-
-
-
Private / Semi-Private Suite
Countryside Manor Assisted Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Conroe
12
No
8
GOLDEN OAKS VILLAS, LLC
-
-
-
-
-
-
-
-
-
-
-
-
Anton’s Assisted Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Boerne
10
No
-
-
-
-
-
-
-
-
-
-
-
-
-
-
NHC HealthCare, Smithville
Type of care:
SNF
AL
Community:
TN 37166
Bed Count:
120
Pets Allowed:
No
Operator:
VADEN, RYAN
CCN:
445116
Occupancy:
73.8%
Home Revenue:
$10,156,041.00
Payroll Costs:
$4,534,257.00
Payroll %:
44.6%
Avg Residents/Day:
80.30
Overall Rating:
Adj Nurse Hours:
3.5085
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
10
Severe Citations:
3
RN share vs State Avg:
+1%
+1%
Staffing vs State Avg:
-3%
-3%
Occupancy vs State Avg:
+1%
+1%
Job Haines Home
Type of care:
AL
HC
HC
SNF
Community:
Bloomfield
Bed Count:
40
Pets Allowed:
No
Operator:
HAVERON, NOREEN
CCN:
315392
Occupancy:
45.5%
Home Revenue:
$13,340,016.00
Payroll Costs:
$10,214,151.00
Payroll %:
76.6%
Avg Residents/Day:
36.90
Overall Rating:
Adj Nurse Hours:
6.3081
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
-21%
-21%
Staffing vs State Avg:
+63%
+63%
Occupancy vs State Avg:
-41%
-41%
Bed Options:
Studio / 1 Bed / Private / Semi-Private Rooms
Places of interest near NHC HealthCare, Smithville
0.0 miles from city center
Smithville, TN 37166
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
125
Total Staff
122
Employees
3
Contractors
32,149
Total Hours (Quarter)
44
Avg Staff/Day
8
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 11 | 8.8 | No |
| Licensed Practical Nurse | 27 | 9.4 | No |
| Certified Nursing Assistant | 64 | 7.9 | No |
Staff by Category
Administration ⓘ
3 staff
7.3hs shift avg
Nursing Staff ⓘ
105 staff
8.3hs shift avg
Physicians & Practitioners ⓘ
4 staff
7.9hs shift avg
Therapy Services ⓘ
5 staff
6.4hs shift avg
Activities & Recreation ⓘ
1 staff
5.4hs shift avg
Social Services ⓘ
3 staff
1.8hs shift avg
Dietary Services ⓘ
2 staff
7.8hs shift avg
Other Services ⓘ
2 staff
8.5hs shift avg
Contractor Analysis
0.1%
of total hours from contractors
19 contractor hours this quarter
Occupational Therapy Assistant: 1
Medical Director: 2
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 64 | 0 | 64 | 17,495 | 91 | 100% | 7.9 |
| Licensed Practical Nurse | 27 | 0 | 27 | 6,181 | 91 | 100% | 9.4 |
| Registered Nurse | 11 | 0 | 11 | 2,141 | 89 | 98% | 8.8 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 991 | 68 | 75% | 7.9 |
| Nurse Aide in Training | 3 | 0 | 3 | 673 | 64 | 70% | 7.5 |
| Dental Services Staff | 1 | 0 | 1 | 591 | 69 | 76% | 8.6 |
| Mental Health Service Worker | 1 | 0 | 1 | 534 | 64 | 70% | 8.3 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 469 | 65 | 71% | 7.2 |
| Nurse Practitioner | 1 | 0 | 1 | 462 | 58 | 64% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 457 | 59 | 65% | 7.7 |
| Dietitian | 1 | 0 | 1 | 435 | 55 | 60% | 7.9 |
| Physical Therapy Assistant | 1 | 0 | 1 | 413 | 59 | 65% | 7 |
| Speech Language Pathologist | 1 | 0 | 1 | 346 | 65 | 71% | 5.3 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 264 | 49 | 54% | 5.4 |
| Occupational Therapy Aide | 1 | 0 | 1 | 166 | 27 | 30% | 6.1 |
| Qualified Social Worker | 3 | 0 | 3 | 42 | 23 | 25% | 1.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 16 | 3 | 3% | 5.2 |
| Medical Director | 0 | 2 | 2 | 3 | 3 | 3% | 0.5 |
Health Inspection History
Total Health citations
10
Near State average
State average:
N/A
3.33 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
3 citations
Complaint investigations
7 citations
Breakdown of citations
Critical Health citations
2
Near State average
State average:
N/A
Serious Health citations
1
Near State average
State average:
N/A
Moderate Health citations
7
Minor Health citations
0
Citations history (last 3 years)
Care Planning moderate citation
Feb 27, 2025
Corrected
Care Planning moderate citation
Feb 27, 2025
Corrected
Abuse/Neglect critical citation
Apr 11, 2024
Corrected
Abuse/Neglect moderate citation
Apr 11, 2024
Corrected
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Corporation
Part of: National Healthcare Corporation
Resident Census by Payment Source
82
Total Residents
Medicare
7
(8.5%)
ⓘ
Medicaid
66
(80.5%)
ⓘ
Private Pay/Other
9
(11%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Nurse Aide Training
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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
3.7
65% better than State average
State average:
10.5
Functional decline score
11.3
42% better than State average
State average:
19.5
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
8.9%
45% below State average.
Walking Ability Worsened
4.5%
79% below State average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
20.6%
1% below State average.
Safety & clinical stability
Falls with Major Injury
3.2%
13% below State average.
High Risk Residents with Pressure Ulcers
0.4%
92% below State average.
Urinary Tract Infection
1.1%
49% below State average.
Emotional & behavioral wellbeing
Depressive Symptoms
6.6%
40% below State average.
Antipsychotic Use
10.0%
40% below State average.
Preventive care
Pneumococcal Vaccine
100.0%
11% above State average.
Influenza Vaccine
100.0%
6% above State average.
Nutrition & physical health
Lost Too Much Weight
1.5%
77% below State average.Short-stay resident measures
Pneumococcal Vaccine
100.0%
26% better than State average
Antipsychotic medication increase
0.0%
100% better than State average
Influenza Vaccine
100.0%
25% better than State average 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 (Data as of Jan 2026)
Total fines amount
$229K
This home paid 165% more in fines than the state average.
State average:
$86K
Number of Fines
1
This home received 43% fewer fines than the state average.
State average:
1.7
Payment Denials
1
This home had 96% more payment denials than the state average.
State average:
0.5
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Apr 11, 2024
$229K
Payment Denial
Apr 11, 2024
40 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for NHC HealthCare, Smithville based on CMS SNF Cost Reports.
Occupancy Rate
73.8%
↑ 2.8pp vs 2022
Net Income
$1,151,111
↑ ~$1.5M vs 2022
Total Payroll
$5,393,346
↑ ~$203K vs 2022
Profit Margin
11.3%
↑ 15.0pp vs 2022
Loading trend charts...
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