Woodbury · 37190
Woodbury Health and Rehabilitation Center
119 West High Street
Woodbury, TN 37190
Nhc Healthcare, Smithville
⌖ Smithville, TN · De Kalb County
No photos yet
Medicare overall rating 3 of 5 stars
Certified beds114
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)
About Nhc Healthcare, Smithville
Nhc Healthcare, Smithville is a 114-bed for-profit nursing home in Smithville, TN. Medicare rates it 3 out of 5 stars overall (average); the average in Tennessee is 3.0. At its last full inspection (May 2026), inspectors found 0 problems, fewer than the Tennessee average of 4.4. Nurses and aides spend about 3 hr 49 min a day with each resident, about the same as the Tennessee average of 3 hr 48 min. About 42% of its nursing staff left in the past year. Medicare fined it $228,511 in the last three years. Its quality ratings are similar for short-term rehab (5 of 5) and long-term care (5 of 5).
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameNhc Healthcare, Smithville
LocationDe Kalb County, Tennessee
Phone(615) 597-4284
Address825 Fisher Ave Po Box 549, Smithville, TN 37166 · De Kalb County
CMS provider number445116
Ownership typeFor-profit (corporation)
Operating companyNational Healthcare Corporation · 71 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJune 2, 1977 (49 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
1 strength and 1 thing to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.
Strengths
- Health citations at last inspection0 (May 2026)Tennessee average: 4.4. Most citations are minor and corrected within weeks.Strength
About average
- Nurse staffing per resident3 hr 49 min a dayTennessee average: 3 hr 48 minAbout average
- Registered nurse time per resident36 min a dayTennessee average: 36 minAbout average
- Nursing staff turnover42% a yearTennessee average: 49%About average
Things to ask about
This home hasn’t responded to these yet. Represent this home? Respond →
- Fines and penalties1 fine totaling $228,511; 1 Medicare payment denialFederal penalties from the last three years, most recently in Apr 2024 (about 2 years ago). The national average is $30,972 per home.Ask about this
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Tennessee average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital17.2%State average: 22.6%Better than average
- Needed an emergency room visit17.3%State average: 11.2%Worse than average
- Newly given antipsychotic drugs1.7%State average: 1.7%About average
Physical therapist time: about 4 minutes per resident a day. That is less than the state average of 5 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury1.4%State average: 3.4%Better than average
- Pressure sores (bedsores)0.9%State average: 5.0%Better than average
- Given antipsychotic drugs10.8%State average: 16.8%Better than average
Source: Medicare (CMS) quality measures, compared with the Tennessee average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In Tennessee, Medicaid pays for 63% of resident days at a typical home.
- 66% Medicaid
- 5% Medicare
- 28% Private pay, insurance and other
Beds in use, on average70%Tennessee typical: 73%
Cost of care per resident day$322Tennessee typical: $352
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 3 stars now, down from 5 stars in January 2019. It has ranged from 1 to 5 stars and changed 3 times.
Overall rating3★
Health inspections2★
Staffing3★
Quality of care5★
Nurse hours per resident per day3.8
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 5 | 4 | 4 | 5 | 3.9 |
| Jan 2020 | 5 | 5 | 3 | 5 | 4.1 |
| Jan 2021 | 5 | 5 | 3 | 5 | 4.1 |
| Jan 2022 | 5 | 5 | 4 | 4 | 3.3 |
| Jan 2023 | 5 | 5 | 4 | 3 | 3.8 |
| Jan 2024 | 5 | 5 | 4 | 4 | 3.7 |
| Feb 2025 | 2 | 1 | 4 | 5 | 3.8 |
| Feb 2026 | 3 | 2 | 3 | 5 | 3.8 |
| Sep 2026 | 3 | 2 | 3 | 5 | 3.8 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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