NURSING HOME PUBLIC RECORD
CMS lists this provider in Smithville, TN, with 114 certified beds, an overall rating of 3/5, and 28 citation rows in the current August 2026 release.
825 Fisher Ave Po Box 549 · Smithville, TN 37166 · De Kalb County
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
CMS supplies 3 survey-cycle rows for Nhc Healthcare, Smithville in this release; health and fire inspection dates remain separate.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-02-27 | 2 | 2025-02-27 | 15 |
| Cycle 2 | 2019-11-20 | 0 | 2019-11-20 | 1 |
| Cycle 3 | 2018-10-31 | 8 | 2018-10-31 | 2 |
CMS reports 28 citation rows, including 3 with G–L codes and 2 with J–L codes.
3 rows carry G–L scope/severity codes; 2 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
Provide primary/alternate means for communication.
Correction field: Deficient, Provider has date of correction · 2025-03-10Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2025-03-03Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2025-03-12Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Correction field: Deficient, Provider has date of correction · 2025-03-17Have exits that are accessible at all times.
Correction field: Deficient, Provider has date of correction · 2025-04-11Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-03-10Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-03-24Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2025-03-10Meet other general requirements that are deficient.
Correction field: Deficient, Provider has date of correction · 2025-03-24Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2025-03-17Ensure that HVAC heat units are suspended and out of the reach of patients and can be shut off if unit is working improperly.
Correction field: Deficient, Provider has date of correction · 2025-03-18Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Correction field: Deficient, Provider has date of correction · 2025-03-10Provide properly sized and located linen or trash receptacles.
Correction field: Deficient, Provider has date of correction · 2025-03-10To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2025-04-11Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-02-25Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2025-03-17Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2025-03-10Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2024-06-19 · complaintTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2024-04-30 · complaintDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2024-05-02 · complaintEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-05-02 · complaintEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Correction field: Deficient, Provider has date of correction · 2024-05-02 · complaintObserve each nurse aide's job performance and give regular training.
Correction field: Deficient, Provider has date of correction · 2024-05-02 · complaintSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Correction field: Deficient, Provider has date of correction · 2024-05-02 · complaintThe August 2026 file contains 2 penalty rows and $228,511 in listed fines for this provider record.
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-04-11 | Fine | $228,511 | 0 |
| 2024-04-11 | Payment Denial | $0 | 40 |
CMS matched 21 ownership disclosure rows to Nhc Healthcare, Smithville; names and roles are reported fields, not independently verified identities.
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
CMS reports 3.82 total nurse hours and 0.61 RN hours per resident day for this provider.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
No second published facility record in Smithville, TN met the local peer rule in this release.
No second facility in the same city met the directory rule.
Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.
