NHC HealthCare, Smithville

CMS overall rating

825 Fisher Avenue, Smithville, TN 37166 View map

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NHC HealthCare, Smithville accepts Medicare, Medicaid, and private pay.

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NHC HealthCare, Smithville accepts Medicare, Medicaid, and private pay.

Overview of Nhc Healthcare, Smithville

NHC Healthcare, Smithville is a nursing home on Fisher Avenue in Smithville, Tennessee, with 114 beds. Ryan Vaden owns the facility, which has been operating for 55 years, making it a long-standing part of the community. It accepts Medicare, Medicaid, and private pay, so families have options to cover both short-term rehabilitation stays and longer-term nursing care. Residents stay an average of 110 days, which are mostly under post-acute rehabilitation and are receiving ongoing care.

Short-term rehabilitation and recovery are its clinical focus. Each resident receives daily nursing support averaging 3 hours and 31 minutes, which is the backbone of direct care. Through its partnership with Caris Hospice, it provides support to those nearing the end of life. At the same time, it offers respite care and home care services for families managing care at home. With 24-hour staffing, the home can accommodate residents’ needs around the clock.

The neighborhood is moderately walkable, with a Walk Score of 53. Some errands can be done on foot, but most trips require a short drive. The location is easy to access and navigate for families planning to visit.

Residents stay comfortable and engaged daily. Every room is equipped with high-speed wireless internet and cable television. Plus, there is an on-site beauty and barber shop for grooming, and daily activities and entertainment keep residents engaged.

Other available services include housekeeping and laundry, an outdoor area for relaxation, and a dining room. Meals are prepared by a dietitian and are chef-approved to meet nutritional needs. Families considering placement will find it beneficial, particularly those concerned about appetite and health.

Facility Direct Line (615) 597-4284

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 31m per day

vs avg

4 of 6 metrics below state avg

Standout metric Nurse Aide is +12% above state avg

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.	32m per day	▼ 13% 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.	51m per day	▼ 22% 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 19m per day	■ Avg 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	▼ 27% 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.	19m per day	▼ 22% State avg: 24m per day · National avg: 28m per day

Capacity and availability

110 days

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.

Walk Score: 53 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

BBB Rating: A+ (Not Accredited)

An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
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About this community

Occupancy

Occupancy rate

74%

Similar to the Tennessee average: 71.6%

Occupied beds

84 / 114

Average occupied beds in Tennessee homes 82 beds

Facility TypeNursing Home

StatusLicensed

IssuanceJuly 1, 1992

License Number00000071

CMS Certification Number445116

NHC HealthCare, Smithville is administered by Ryan Vaden.

Owner NameNhc Healthcare/Smithville, LLC

Staffing

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

ContactMr. Ryan Vaden, Administrator

Rehabilitation Services

Respite Care

Short-Term Rehab

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

Operating Hours24/7

Since 2022 · 4 years of data

Show Inspection Reports

Inspections since 2018

Total health inspections 3

State average N/A

Last Health inspection on Feb 2025

Total health citations

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 8 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

2 critical citations State average: N/A

1 serious citation State average: N/A

7 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 8 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

Total staff 120

Employees 115

Contractors 5

Staff to resident ratio 1.46 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 43

Average shift 8.3 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 32,908

Nursing staff breakdown

8.4 hours

9.4 hours

8 hours

Contractor staffing

Total hours from contractors 0% — all staff are direct employees this quarter

Staff by category


Certified Nursing Assistant	54	0	54	15,764	92	100%	8
Licensed Practical Nurse	20	0	20	6,456	92	100%	9.4
Nurse Aide in Training	10	0	10	2,622	92	100%	9.1
Registered Nurse	14	0	14	2,620	92	100%	8.4
Clinical Nurse Specialist	3	0	3	1,047	68	74%	7.7
Dental Services Staff	1	0	1	561	59	64%	9.5
Mental Health Service Worker	1	0	1	556	63	68%	8.8
Dietitian	1	0	1	480	62	67%	7.7
Administrator	1	0	1	472	59	64%	8
Physical Therapy Assistant	1	0	1	467	60	65%	7.8
Respiratory Therapy Technician	3	0	3	466	62	67%	7.4
Other Dietary Services Staff	1	0	1	438	56	61%	7.8
Nurse Practitioner	1	0	1	428	54	59%	7.9
Speech Language Pathologist	2	0	2	330	54	59%	6.1
Occupational Therapy Aide	1	0	1	150	26	28%	5.8
Qualified Social Worker	1	0	1	38	11	12%	3.4
Occupational Therapy Assistant	0	1	1	12	3	3%	4
Medical Director	0	4	4	3	3	3%	0.5

54 Certified Nursing Assistant

% of Days 100%

20 Licensed Practical Nurse

% of Days 100%

10 Nurse Aide in Training

% of Days 100%

14 Registered Nurse

% of Days 100%

3 Clinical Nurse Specialist

% of Days 74%

1 Dental Services Staff

% of Days 64%

1 Mental Health Service Worker

% of Days 68%

1 Dietitian

% of Days 67%

1 Administrator

% of Days 64%

1 Physical Therapy Assistant

% of Days 65%

3 Respiratory Therapy Technician

% of Days 67%

1 Other Dietary Services Staff

% of Days 61%

1 Nurse Practitioner

% of Days 59%

2 Speech Language Pathologist

% of Days 59%

1 Occupational Therapy Aide

% of Days 28%

1 Qualified Social Worker

% of Days 12%

1 Occupational Therapy Assistant

% of Days 3%

4 Medical Director

% of Days 3%

View All Staffing Data

Total fines amount $229K

165% higher than State average

State average: $86K

Number of fines 1

43% fewer fines than State average

State average: 1.7

Payment Denials 1

96% more payment denials than State average

State average: 0.5

Fines amount comparison

This facility $229K

State average $86K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Apr 11, 2024

$229K

Payment Denial Apr 11, 2024

40 days

Last updated: Jan 2026

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

Significantly above average State avg: 3.7

Need for Help with Daily Activities Increased 8.9%

45% better than State average

State average: 16.0%

Walking Ability Worsened 4.5%

79% better than State average

State average: 21.7%

Low Risk Residents with Bowel/Bladder Incontinence 20.6%

In line with State average

State average: 20.7%

Falls with Major Injury 3.2%

13% better than State average

State average: 3.7%

High Risk Residents with Pressure Ulcers 0.4%

92% better than State average

State average: 5.4%

Urinary Tract Infection 1.1%

49% better than State average

State average: 2.1%

Lost Too Much Weight 1.5%

77% better than State average

State average: 6.3%

Depressive Symptoms 6.6%

40% better than State average

State average: 11.0%

Antipsychotic Use 10.0%

40% better than State average

State average: 16.5%

Pneumococcal Vaccine 100.0%

11% better than State average

State average: 89.9%

Influenza Vaccine 100.0%

6% better than State average

State average: 94.5%

Short-stay resident measures

Significantly above average State avg: 3.4

Pneumococcal Vaccine 100.0%

26% better than State average

State average: 79.7%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 1.7%

Influenza Vaccine 100.0%

25% better than State average

State average: 79.8%

Re-hospitalized after SNF stay 12.9%

42% better than State average

State average: 22.2%

Emergency department visits 11.9%

6% worse than State average

State average: 11.2%

Falls with major injury 2.2%

182% worse than State average

State average: 0.8%

Ability to care for self at discharge 53.3%

In line with State average

State average: 53.7%

Successful return to home or community 61.3%

21% better than State average

State average: 50.6%

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

Total residents 82

Medicare

8.5% of residents

Medicaid

80.5% of residents

Private pay or other

11% 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.

Financial Trends

Historical financial and operational data for NHC HealthCare, Smithville from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 77.7% ↑ 6.7pp vs 2022

Net Patient Income $244.5K ↑ ~$1.0M vs 2022

Payroll Costs $5.4M ↑ ~$192.7K vs 2022

Operating Margin 2.5% ↑ 11.2pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	89.3%	85.2%	82.2%	83.2%	89.3%	83.1%	90.1%	90.1%	90.7%	86.9%	75.1%	71.0%	77.7%
Beds	120	120	120	120	114	117	114	114	114	114	114	120	114
Net Income	-$650,943	-$513,194	-$361,551	-$427,496	-$444,874	-$397,025	-$173,604	$89,785	$276,766	$550,697	$329,500	-$359,598	$1,151,111
Gross Revenue	$8,681,401	$9,105,638	$10,781,739	$11,323,030	$12,062,457	$11,395,207	$11,049,367	$10,830,626	$11,149,730	$10,778,156	$9,421,821	$9,865,387	$10,156,041
Operating Expenses	$8,002,532	$7,829,181	$8,368,987	$8,375,747	$8,973,723	$8,928,484	$9,156,877	$9,106,802	$9,424,311	$10,836,581	$9,215,154	$9,786,103	$9,472,083
Net Patient Income	-$664,898	-$525,771	-$382,713	-$457,475	-$481,269	-$413,992	-$206,019	$69,791	$248,749	-$1,098,509	-$752,802	-$780,839	$244,461
Net Patient Revenue	$7,337,634	$7,303,410	$7,986,274	$7,918,272	$8,492,454	$8,514,492	$8,950,858	$9,176,593	$9,673,060	$9,738,072	$8,462,352	$9,005,264	$9,716,544
Payroll Costs	$3,828,628	$3,634,637	$3,675,171	$3,750,878	$3,922,454	$4,015,778	$4,225,261	$4,410,122	$4,598,427	$4,970,322	$4,925,053	$5,190,509	$5,383,254
Operating Margin %	-9.1%	-7.2%	-4.8%	-5.8%	-5.7%	-4.9%	-2.3%	0.8%	2.6%	-11.3%	-8.9%	-8.7%	2.5%
Medicare %	7.5%	8.7%	13.3%	10.7%	12.2%	10.3%	8.6%	8.2%	6.6%	9.0%	6.2%	7.1%	6.2%
Medicaid %	63.0%	65.3%	56.8%	60.6%	62.9%	60.2%	61.6%	68.4%	68.9%	69.3%	71.3%	67.0%	64.3%
Private %	18.2%	18.8%	27.4%	26.9%	23.3%	26.8%	26.6%	23.4%	24.5%	21.7%	22.5%	25.9%	29.5%
Net Patient Revenue/Day	$188	$195	$222	$217	$228	$239	$239	$245	$256	$269	$271	$290	$301
Cost/Day	$205	$209	$232	$230	$241	$251	$244	$243	$250	$299	$295	$315	$293
Avg Length of Stay	45.2 days	36.7 days	40.7 days	63.3 days	85.1 days	88.3 days	99.0 days	129.4 days	93.1 days	83.1 days	138.9 days	91.2 days	110.0 days

Finances and operations

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

Net patient revenue

$9.7M

Net patient income

$244.5K

For-profit Corporation

Net patient revenue

$9.7M

Net patient income

$244.5K

Other income

$906.7K

Payroll costs

$5.4M 55.4% of net patient revenue

Other operating costs

$4.1M

Total costs

$9.5M

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under Medicaid (49% of admissions), and a typical Medicaid stay runs around 11 - 12 months.

Coverage residents most often arrive under.

Medicare 44%

Private pay 6%

Medicaid 49%

Coverage residents most often leave under.

Medicare 17%

Private pay 53%

Medicaid 31%

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

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


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Nursing Home Explorer

What neighborhood is NHC HealthCare, Smithville in?

NHC HealthCare, Smithville is in the Middle Tennessee neighborhood of Smithville.

Is NHC HealthCare, Smithville in a walkable area?

NHC HealthCare, Smithville has a walk score of 53. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of NHC HealthCare, Smithville?

According to TN state health department records, NHC HealthCare, Smithville's license number is 00000071.

What is the occupancy rate at NHC HealthCare, Smithville?

NHC HealthCare, Smithville's occupancy is 74%.

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

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

Who is the administrator of NHC HealthCare, Smithville?

Ryan Vaden is the administrator of NHC HealthCare, Smithville.

How many beds does NHC HealthCare, Smithville have?

NHC HealthCare, Smithville has 114 beds.

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NHC HealthCare, Smithville

Overview of Nhc Healthcare, Smithville

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Staffing

Leadership

Therapy & Rehabilitation

Staffing & Medical

Additional Services

Amenities & Lifestyle

Contact NHC HealthCare, Smithville

Inspection History

Health Inspection History

Inspections since 2018

Breakdown of citation severity (last 8 years)

Citations history (last 8 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

54 Certified Nursing Assistant

20 Licensed Practical Nurse

10 Nurse Aide in Training

14 Registered Nurse

3 Clinical Nurse Specialist

1 Dental Services Staff

1 Mental Health Service Worker

1 Dietitian

1 Administrator

1 Physical Therapy Assistant

3 Respiratory Therapy Technician

1 Other Dietary Services Staff

1 Nurse Practitioner

2 Speech Language Pathologist

1 Occupational Therapy Aide

1 Qualified Social Worker

1 Occupational Therapy Assistant

4 Medical Director

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

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