CCN 445116 · De Kalb County, Tennessee
Nhc Healthcare, Smithville
825 Fisher Ave Po Box 549, Smithville, TN 37166
Nhc Healthcare, Smithville is a 114-bed for-profit nursing home in Smithville, Tennessee, first certified for Medicare or Medicaid in 1977. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 84.1 residents a day, about 74% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 114
- Average residents per day
- 84.1 (73.8% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Nhc Healthcare-Smithville LLC
- Certified since
- Jun 2, 1977
- Chain or affiliated group
- National Healthcare Corporation (71 facilities, chain average 4.0 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Tennessee median | US median |
|---|---|---|---|
| Overall rating | 3 of 5 | State spread: 58 at 1, 53 at 2, 65 at 3, 68 at 4, 56 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 3.82 | 3.64 | 3.68 |
| RN hours per resident per day | 0.61 | 0.54 | 0.58 |
| Weekend nurse hours per resident per day | 3.37 | ||
| Nursing staff turnover | 42.2% | 50.0% | 44.9% |
| Occupancy (residents / beds) | 73.8% | 77.7% | 85.7% |
| Fines reported by CMS | 1 totaling $228,511 | ||
| Health deficiencies, latest standard survey | 0 (May 21, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Nhc Healthcare, Smithville meets that part today: 3 stars overall, 2 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| National Healthcare CorporationOrganization | Operational / Managerial Control | n/a | 07/01/2000 |
| Nhc-Op LPOrganization | Operational / Managerial Control | n/a | 07/01/2000 |
| Bidwell, GregoryIndividual | Operational / Managerial Control | n/a | 07/01/2000 |
| Dodson, VickiIndividual | Operational / Managerial Control | n/a | 06/01/2019 |
| Kidd, BrianIndividual | Operational / Managerial Control | n/a | 01/01/2017 |
| Panter, LoriIndividual | Operational / Managerial Control | n/a | 05/18/2020 |
| Sherwood, WilliamIndividual | Operational / Managerial Control | n/a | 01/01/2025 |
| Ussery, RobertIndividual | Operational / Managerial Control | n/a | 07/01/2000 |
| Vaden, RyanIndividual | Operational / Managerial Control | n/a | 10/11/2019 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
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