{"schema_version":"1.0.0","facility":{"id":"cms-445116","ccn":"445116","name":"Nhc Healthcare, Smithville","source_name":"NHC HEALTHCARE, SMITHVILLE","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"TN","address":{"line1":"825 Fisher Ave Po Box 549","city":"Smithville","state":"TN","zip":"37166","county_name":"DeKalb County","county_fips":"47041","county_method":"point_in_polygon","ssa_county_code":"200","urban":false},"location":{"lat":35.9587,"lon":-85.825,"method":"cms_published_coordinates","footnote":"22"},"phone":"6155974284","certification":{"authority":"CMS","ccn":"445116","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1977-06-02","certified_beds":114,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/445116"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":114,"avg_residents_per_day":85.1},"ownership_type":"For profit - Corporation","ownership_class":"for_profit","legal_business_name":"NHC HEALTHCARE-SMITHVILLE LLC","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":3},"health_inspection":{"value":2},"quality_measures":{"value":5},"long_stay_qm":{"value":5},"short_stay_qm":{"value":5},"staffing":{"value":4},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.39189,"lpn_hprd":0.8243,"rn_hprd":0.72204,"licensed_hprd":1.54634,"total_nurse_hprd":3.93823,"weekend_total_nurse_hprd":3.34948,"weekend_rn_hprd":0.49178,"pt_hprd":0.05971,"nursing_turnover_pct":43.8,"rn_turnover_pct":41.7,"administrators_left":0,"case_mix_index":1.44448,"case_mix_index_ratio":1.02427,"case_mix_total_nurse_hprd":3.99553,"adjusted_total_nurse_hprd":3.81474,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-05-21","cycle1_deficiencies":0,"cycle1_score":0,"cycle2_date":"2025-02-27","cycle23_deficiencies":9,"cycle23_score":244,"total_weighted_score":61},"cms_penalty_counts":{"fines":1,"fine_total":228511,"payment_denials":1,"total":2},"chain":{"id":"cms-chain-364","cms_chain_id":"364","name":"NATIONAL HEALTHCARE CORPORATION"},"operator_id":"op-nhc-healthcare-smithville-llc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/445116","provenance":[{"source_id":"cms_provider_info","source_record_id":"445116","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445116&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"445116","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445116&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."},{"source_id":"cms_provider_info","source_record_id":"445116","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445116&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["county_fips"],"evidence_class":"INFERRED","status":"current","note":"County assigned by locating CMS coordinates in Census county boundaries (the CMS county name did not match the Census code list)."}],"inspection_summary":{"count":7,"health_count":4,"fire_count":3,"complaint_count":1,"latest_date":"2026-05-21","latest_standard_health":"2026-05-21","earliest_date":"2019-11-20","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":28,"health_count":9,"fire_count":19,"open_count":0,"actual_harm_count":1,"immediate_jeopardy_count":2,"serious_count":3,"complaint_count":7,"by_severity":{"potential":25,"immediate_jeopardy":2,"actual_harm":1},"by_scope_severity":{"F":1,"D":24,"K":1,"J":1,"G":1},"by_concept":{"environment_life_safety":18,"emergency_preparedness":1,"clinical_care":4,"resident_rights":2,"staffing":2,"administration":1},"type_ids":["cms-k0918","cms-k0363","cms-k0911","cms-e0032","cms-k0232","cms-k0271","cms-k0324","cms-k0353","cms-k0500","cms-k0511","cms-k0523","cms-k0741","cms-k0754","cms-k0761","cms-k0920","cms-k0923","cms-f0644","cms-f0842","cms-f0600","cms-f0689","cms-f0656","cms-f0609","cms-f0726","cms-f0730","cms-f0867","cms-k0131"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":2,"fines":1,"fine_total":228511,"payment_denials":1,"latest_date":"2024-04-11"},"ownership_summary":{"disclosures":21,"organizations":7,"individuals":13,"not_available":false}},"row":{"id":"cms-445116","ccn":"445116","name":"Nhc Healthcare, Smithville","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"TN","city":"Smithville","zip":"37166","county_fips":"47041","county_name":"DeKalb County","address":"825 Fisher Ave Po Box 549","beds":114,"residents":85.1,"ownership":"for_profit","operator_id":"op-nhc-healthcare-smithville-llc","operator_name":"Nhc Healthcare-Smithville LLC","chain_id":"cms-chain-364","chain_name":"National Healthcare Corporation","lat":35.9587,"lon":-85.825,"overall":3,"health_rating":2,"staffing_rating":4,"qm_rating":5,"nurse_hprd":3.94,"turnover":43.8,"inspections":7,"last_inspection":"2026-05-21","deficiencies":28,"serious":3,"ij":2,"open":0,"penalties":2,"fines_total":228511,"deficiency_type_ids":["cms-k0918","cms-k0363","cms-k0911","cms-e0032","cms-k0232","cms-k0271","cms-k0324","cms-k0353","cms-k0500","cms-k0511","cms-k0523","cms-k0741","cms-k0754","cms-k0761","cms-k0920","cms-k0923","cms-f0644","cms-f0842","cms-f0600","cms-f0689","cms-f0656","cms-f0609","cms-f0726","cms-f0730","cms-f0867","cms-k0131"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-nhc-healthcare-smithville-llc","name":"Nhc Healthcare-Smithville LLC","legal_name":"NHC HEALTHCARE-SMITHVILLE LLC","facility_count":1,"states":["TN"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-364","name":"National Healthcare Corporation","cms_chain_id":"364","facility_count":72,"states":["AL","GA","KY","MO","NC","SC","TN","VA"],"cms_reported":{"facility_count":72,"avg_overall_rating":4.1,"avg_health_inspection_rating":3.5,"avg_staffing_rating":3.5,"avg_qm_rating":4.5}},"ownership":[{"owner_id":"org-morgan-stanley-institutional-advisors-llc","owner_type":"organization","owner_name":"Morgan Stanley Institutional Advisors LLC","role":"indirect_owner","role_raw":"INDIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2024-11-08"},{"owner_id":"org-nhc-delaware-inc","owner_type":"organization","owner_name":"Nhc/Delaware Inc","role":"indirect_owner","role_raw":"INDIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2000-07-01"},{"owner_type":"individual","owner_name":"Gregory Bidwell","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2000-07-01","owner_name_raw":"BIDWELL, GREGORY"},{"owner_id":"org-national-healthcare-corp","owner_type":"organization","owner_name":"National Healthcare Corporation","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2000-07-01"},{"owner_id":"org-nhc-op-lp","owner_type":"organization","owner_name":"Nhc-Op LP","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2000-07-01"},{"owner_type":"individual","owner_name":"Gregory Bidwell","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2000-07-01","owner_name_raw":"BIDWELL, GREGORY"},{"owner_type":"individual","owner_name":"Vicki Dodson","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2019-06-01","owner_name_raw":"DODSON, VICKI"},{"owner_type":"individual","owner_name":"Brian Kidd","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2017-01-01","owner_name_raw":"KIDD, BRIAN"},{"owner_type":"individual","owner_name":"Lori Panter","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2020-05-18","owner_name_raw":"PANTER, LORI"},{"owner_type":"individual","owner_name":"William Sherwood","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-01","owner_name_raw":"SHERWOOD, WILLIAM"},{"owner_type":"individual","owner_name":"Robert Ussery","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2000-07-01","owner_name_raw":"USSERY, ROBERT"},{"owner_type":"individual","owner_name":"Ryan Vaden","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2019-10-11","owner_name_raw":"VADEN, RYAN"},{"owner_type":"individual","owner_name":"Gregory Bidwell","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2000-07-01","owner_name_raw":"BIDWELL, GREGORY"},{"owner_id":"org-blackrock-inc","owner_type":"organization","owner_name":"Blackrock Inc","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2010-01-20"},{"owner_id":"org-national-health-corp","owner_type":"organization","owner_name":"National Health Corporation","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-06-02"},{"owner_id":"org-national-healthcare-corp","owner_type":"organization","owner_name":"National Healthcare Corporation","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-03-24"},{"owner_id":"org-vanguard-group-inc","owner_type":"organization","owner_name":"Vanguard Group Inc","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2006-11-30"},{"owner_type":"individual","owner_name":"Vicki Dodson","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2019-06-01","owner_name_raw":"DODSON, VICKI"},{"owner_type":"individual","owner_name":"Brian Kidd","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2017-01-01","owner_name_raw":"KIDD, BRIAN"},{"owner_type":"individual","owner_name":"William Sherwood","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-03-30","owner_name_raw":"SHERWOOD, WILLIAM"},{"owner_type":"individual","owner_name":"Ryan Vaden","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-03-30","owner_name_raw":"VADEN, RYAN"}],"inspections":[{"id":"cms-445116-20260521-fire","ccn":"445116","date":"2026-05-21","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0363","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-04","std":1,"tv":"New"},{"t":"cms-k0911","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-04","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2026-06-04","std":1,"tv":"New"}]},{"id":"cms-445116-20260521-health","ccn":"445116","date":"2026-05-21","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-445116-20250227-fire","ccn":"445116","date":"2025-02-27","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":15,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0032","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-10","std":1,"tv":"New"},{"t":"cms-k0232","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-17","std":1,"tv":"New"},{"t":"cms-k0271","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-11","std":1,"tv":"New"},{"t":"cms-k0324","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-10","std":1,"tv":"New"},{"t":"cms-k0353","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-24","std":1,"tv":"New"},{"t":"cms-k0363","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-10","std":1,"tv":"New"},{"t":"cms-k0500","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-24","std":1,"tv":"New"},{"t":"cms-k0511","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-17","std":1,"tv":"New"},{"t":"cms-k0523","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-18","std":1,"tv":"New"},{"t":"cms-k0741","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-10","std":1,"tv":"New"},{"t":"cms-k0754","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-10","std":1,"tv":"New"},{"t":"cms-k0761","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-11","std":1,"tv":"New"},{"t":"cms-k0918","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-25","std":1,"tv":"New"},{"t":"cms-k0920","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-17","std":1,"tv":"New"},{"t":"cms-k0923","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-10","std":1,"tv":"New"}]},{"id":"cms-445116-20250227-health","ccn":"445116","date":"2025-02-27","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0644","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-03","std":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-12","std":1}]},{"id":"cms-445116-20240411-health","ccn":"445116","date":"2024-04-11","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":7,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0600","ss":"K","sl":4,"cs":"corrected","cd":"2024-06-19","cmp":1},{"t":"cms-f0689","ss":"J","sl":4,"cs":"corrected","cd":"2024-05-02","cmp":1},{"t":"cms-f0656","ss":"G","sl":3,"cs":"corrected","cd":"2024-05-02","cmp":1},{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2024-04-30","cmp":1},{"t":"cms-f0726","ss":"D","sl":2,"cs":"corrected","cd":"2024-05-02","cmp":1},{"t":"cms-f0730","ss":"D","sl":2,"cs":"corrected","cd":"2024-05-02","cmp":1},{"t":"cms-f0867","ss":"D","sl":2,"cs":"corrected","cd":"2024-05-02","cmp":1}]},{"id":"cms-445116-20191120-fire","ccn":"445116","date":"2019-11-20","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0131","ss":"D","sl":2,"cs":"corrected","cd":"2020-01-03","std":1,"tv":"New"}]},{"id":"cms-445116-20191120-health","ccn":"445116","date":"2019-11-20","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]}],"deficiency_types":{"cms-k0918":{"code":"K-0918","title":"Have generator or other power source capable of supplying service within 10 seconds.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0363":{"code":"K-0363","title":"Install corridor and hallway doors that block smoke.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0911":{"code":"K-0911","title":"Meet requirements for the installation and maintenance of electrical systems.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-e0032":{"code":"E-0032","title":"Provide primary/alternate means for communication.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0232":{"code":"K-0232","title":"Have corridors or aisles that are unobstructed and are at least 8 feet in width.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0271":{"code":"K-0271","title":"Have exits that are accessible at all times.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0500":{"code":"K-0500","title":"Meet other general requirements that are deficient.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0511":{"code":"K-0511","title":"Have properly installed electrical wiring and gas equipment.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0523":{"code":"K-0523","title":"Ensure that HVAC heat units are suspended and out of the reach of patients and can be shut off if unit is working improperly.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0741":{"code":"K-0741","title":"Have posted \"No-smoking\" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0754":{"code":"K-0754","title":"Provide properly sized and located linen or trash receptacles.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0761":{"code":"K-0761","title":"To conduct inspection, testing and maintenance of fire doors by qualified individuals.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0920":{"code":"K-0920","title":"Ensure proper usage of power strips and extension cords.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0923":{"code":"K-0923","title":"Have proper medical gas storage and administration areas.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0644":{"code":"F-0644","title":"Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0842":{"code":"F-0842","title":"Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0600":{"code":"F-0600","title":"Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0689":{"code":"F-0689","title":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0656":{"code":"F-0656","title":"Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0609":{"code":"F-0609","title":"Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0726":{"code":"F-0726","title":"Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0730":{"code":"F-0730","title":"Observe each nurse aide's job performance and give regular training.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0867":{"code":"F-0867","title":"Set up an ongoing quality assessment and assurance group to review quality deficiencies  and develop corrective plans of action.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-k0131":{"code":"K-0131","title":"Meet requirements for sections of health care facilities separated by fire resistive construction.","category":"Construction Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"}},"penalties":[{"id":"cms-445116-pen-d20240411","type":"payment_denial","type_label":"Denial of payment for new admissions","date":"2024-04-11","denial_start":"2024-05-10","denial_days":40,"evidence_class":"VERIFIED","source_record_id":"445116|Payment Denial|2024-05-10"},{"id":"cms-445116-pen-f33560","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-04-11","amount":228511,"fine_id":"33560","evidence_class":"VERIFIED","source_record_id":"445116|Fine|33560"}],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445116&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445116&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445116&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445116&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445116&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445116&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"TN","overall_rating":3.1,"health_inspection_rating":3,"qm_rating":3.7,"staffing_rating":2.5,"avg_residents_per_day":83.4,"cycle1_health_deficiencies":4.3,"cycle1_fire_deficiencies":3.6,"nurse_aide_hprd":2.14,"lpn_hprd":1.08,"rn_hprd":0.5969,"licensed_hprd":1.68,"total_nurse_hprd":3.81924,"weekend_total_nurse_hprd":3.32104,"weekend_rn_hprd":0.39,"pt_hprd":0.08,"nursing_turnover_pct":48.6,"rn_turnover_pct":43.2,"administrators_left":0.6,"case_mix_index":1.48006,"fines":0.5,"fine_amount":20665,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"TN","name":"Tennessee"},"county":{"fips":"47041","name":"DeKalb County"},"zip":"37166","city":"Smithville"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-445002","ccn":"445002","name":"Nhc Healthcare, Oakwood","address":"244 Oakwood Dr","city":"Lewisburg","state":"TN","zip":"37091","beds":60,"overall":4,"inspections":6,"last_inspection":"2026-01-22","deficiencies":25,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-445004","ccn":"445004","name":"Nhc Healthcare, Dickson","address":"812 Charlotte St","city":"Dickson","state":"TN","zip":"37055","beds":191,"overall":5,"inspections":6,"last_inspection":"2026-04-22","deficiencies":8,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-445013","ccn":"445013","name":"Nhc Healthcare, Chattanooga","address":"2700 Parkwood Ave","city":"Chattanooga","state":"TN","zip":"37404","beds":200,"overall":4,"inspections":7,"last_inspection":"2024-10-16","deficiencies":15,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-445024","ccn":"445024","name":"Nhc Healthcare, Johnson City","address":"3209 Bristol Hwy","city":"Johnson City","state":"TN","zip":"37601","beds":167,"overall":5,"inspections":6,"last_inspection":"2026-01-07","deficiencies":7,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-445030","ccn":"445030","name":"Nhc-Maury Regional Transitional Care Center","address":"5010 Trotwood Ave","city":"Columbia","state":"TN","zip":"38401","beds":112,"overall":5,"inspections":6,"last_inspection":"2023-09-15","deficiencies":10,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility"]},{"id":"cms-445069","ccn":"445069","name":"Nhc Healthcare, Milan","address":"8017 Dogwood Lane","city":"Milan","state":"TN","zip":"38358","beds":117,"overall":4,"inspections":7,"last_inspection":"2025-08-27","deficiencies":25,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-445076","ccn":"445076","name":"Nhc Healthcare, Mcminnville","address":"928 Old Smithville Rd Po Box 528","city":"Mcminnville","state":"TN","zip":"37110","beds":115,"overall":5,"inspections":6,"last_inspection":"2023-12-13","deficiencies":19,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-445088","ccn":"445088","name":"Nhc Healthcare, Springfield","address":"608 8th Ave East","city":"Springfield","state":"TN","zip":"37172","beds":107,"overall":3,"inspections":7,"last_inspection":"2025-12-03","deficiencies":33,"serious":2,"ij":1,"open":0,"fines_total":79346,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":71,"same_site_review":[],"nearby":[]}}