Total health inspections
3
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.
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Assisted Living in USA
CMS overall rating
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.
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.
NHC HealthCare, Smithville
Assisted Living in USA
CMS overall rating
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.
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.
NHC HealthCare, Smithville
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
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
Privately-owned community
Operated by a business corporation.
Home revenue
$11.1M
Profit
$1.2M
Privately-owned community
Operated by a business 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.
55 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
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
How BBB ratings work
About this community
Facility TypeNursing Home
StatusLicensed
IssuanceJuly 1, 1992
License Number00000071
CMS Certification Number445116
NHC HealthCare, Smithville is administrated by Ryan Vaden.
Owner NameNHC Healthcare/Smithville, LLC
Staffing
Key information about the people who lead and staff this community.
ContactRyan Vaden
Rehabilitation Services
Respite Care
Short-Term Rehab
Nursing Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehabilitation
Homecare
Caris Hospice
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
Specific ProgramsSkilled Nursing, Long-Term Care, Short-Term Rehabilitation, HomeCare, Caris Hospice
Operating Hours24/7
Food DescriptionDietitian 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
Health Inspection History
Inspections
Total health citations
10
State average N/A
Citations per inspection
3.33
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
3 of 10 citations resulted from standard inspections; and 7 of 10 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
In line with State averageState average: N/A
Serious Health citations
1
1
In line with State averageState average: N/A
2 critical citations
1 serious citation
7 moderate citations
0 minor citations
Citations history (last 3 years)
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Feb 27, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Feb 27, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Feb 27, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Feb 27, 2025
Corrected
Abuse/Neglect critical citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Apr 11, 2024
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Apr 11, 2024
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Apr 11, 2024
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Apr 11, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Assisted Living around Usa The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
Filter by care type
NHC HealthCare, Smithville
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Smithville
120
No
A+
-
-
Job Haines Home
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Bloomfield
40
No
-
85
Studio / 1 Bed / Private / Semi-Private Rooms
Village Care Homes Assisted Living – Stephen F Austin
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Conroe
16
No
-
27
Private / Semi-Private Suite
Countryside Manor Assisted Living
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Conroe
12
No
-
8
-
Anton’s Assisted Living
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Boerne
10
No
-
-
-
Places of interest near NHC HealthCare, Smithville
0.0 miles from city center
825 Fisher Avenue, Smithville, TN 37166
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
125
Employees
122
Contractors
3
Staff to resident ratio
1.52:1
0% compared with State averageState average ratio: 0:0
Avg staff/day
44
Average shift
8 hours
0% compared with State averageState average: 0 hours
Total staff hours (quarter)
32,149
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
27
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
64
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0.1%
19 contractor hours this quarter
Medical Director: 2
Occupational Therapy Assistant: 1
Staff by category
| 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 |
64 Certified Nursing Assistant
% of Days
100%
27 Licensed Practical Nurse
% of Days
100%
11 Registered Nurse
% of Days
98%
3 Clinical Nurse Specialist
% of Days
75%
3 Nurse Aide in Training
% of Days
70%
1 Dental Services Staff
% of Days
76%
1 Mental Health Service Worker
% of Days
70%
1 Administrator
% of Days
65%
1 Respiratory Therapy Technician
% of Days
71%
1 Nurse Practitioner
% of Days
64%
1 Other Dietary Services Staff
% of Days
65%
1 Dietitian
% of Days
60%
1 Physical Therapy Assistant
% of Days
65%
1 Speech Language Pathologist
% of Days
71%
1 Therapeutic Recreation Specialist
% of Days
54%
1 Occupational Therapy Aide
% of Days
30%
3 Qualified Social Worker
% of Days
25%
1 Occupational Therapy Assistant
% of Days
3%
2 Medical Director
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
82 residents
Residents by payment source
Medicare
7 residents (8.5%)
Medicaid
66 residents (80.5%)
Private pay or other
9 residents (11%)
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
3.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
3.7
65% better than State averageState average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.3
42% better than State averageState average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
8.9%
Percent of long-stay residents whose need for help with daily activities has increased
8.9%
45% better than State averageState average: 16.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
4.5%
Percent of long-stay residents whose ability to move independently worsened
4.5%
79% better than State averageState average: 21.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.6%
In line with State averageState average: 20.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
13% better than State averageState average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
0.4%
Percent of long-stay high risk residents with pressure ulcers
0.4%
92% better than State averageState average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.1%
Percent of long-stay residents with a urinary tract infection
1.1%
49% better than State averageState average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.5%
Percent of long-stay residents who lose too much weight
1.5%
77% better than State averageState average: 6.3%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
6.6%
Percent of long-stay residents who have depressive symptoms
6.6%
40% better than State averageState average: 11.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
10.0%
Percent of long-stay residents who received an antipsychotic medication
10.0%
40% better than State averageState average: 16.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than State averageState average: 89.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than State averageState average: 94.5%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
26% better than State averageState average: 79.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than State averageState average: 1.7%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
25% better than State averageState average: 79.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
165% higher than State averageState average: $86K
Number of fines
1
43% fewer fines than State averageState average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
96% more payment denials than State averageState average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$229K
State average
$86K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 11, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 11, 2024
$229K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Apr 11, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
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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