Nhc Healthcare, Smithville faces challenges in its CMS ratings, earning a D grade with a score of 46/100. The facility ranks in the 39th percentile among Tennessee nursing homes, suggesting significant room for improvement.
Staffing at Nhc Healthcare, Smithville is near the national average, with 3.83 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 10 deficiencies at Nhc Healthcare, Smithville, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.83 | 3.8 | Average |
| Registered Nurses (RN) | 0.51 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.83 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.49 | 2.4 | Average |
| Weekend Total Nursing | 3.43 | 3.8 | Average |
| Weekend RN Hours | 0.27 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0644 Severity DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Feb 26, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0842 Severity DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarFeb 26, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0600 Severity KProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Apr 10, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Apr 10, 2024 · Quality of Life and Care Deficiencies
- Tag 0656 Severity GDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Apr 10, 2024 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 0.6% | 4.5% | Better |
| Falls with major injury | 2.1% | 3.0% | Better |
| On antipsychotic medication | 10.6% | 14.5% | Better |
| Urinary tract infections | 1.0% | 2.5% | Better |
| ADL decline (daily activities) | 8.4% | 14.0% | Better |
| Excessive weight loss | 0.5% | 7.5% | Better |
| New/worsened incontinence | 21.6% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $228,511
How This Grade Was Calculated
This facility's grade of D is based on a score of 46 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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