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NHC Healthcare, Dickson

812 Charlotte St., Dickson, TN 37055 · Dickson County · (615) 446-8046

191 certified beds, about 179 residents a day · For profit - Corporation · Medicare and Medicaid since 1967

Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 445004 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 22, 2026, inspectors cited 2 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

None of its 6 health citations since August 2019 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.95 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.62 of those hours.

38.8% of nursing staff left within the year CMS measured (Tennessee average 48.9%).

CMS links it to National Healthcare Corporation, an affiliated group of 71 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 6 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
0E
1F
Potential for minimal harm
0A
0B
0C
April 22, 2026Standard inspection · 2 citations
  1. D
    Honor the resident's right to manage his or her financial affairs.
    F567 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 8, 2026
    Inspectors wroteBased on the American Council on Aging Website review, medical record review, and interview, the facility failed in their responsibility in maintaining assets under $2,000 for the 2026 Tennessee Medicaid allowance for 10 of 111 (Resident #11, #16, #38, #86, #92, #101, #110, #119, #128, and #177) sampled residents.
  2. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 8, 2026
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to properly store medications when medications were left unattended and unlabeled at bedside for 1 of 175 (Resident #41) residents and when medications were left unsecured and unlabeled in 1 of 10 (2B Medication Cart) medication carts.
January 21, 2022Standard inspection · 3 citations
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 1, 2022
    Inspectors wroteBased on Centers for Disease Control and Prevention (CDC) guidelines, policy review, Staff Screening Tool review, Daily Schedule Report review, Timecard Detail review, observation, and interview, the facility failed to ensure practices to prevent the spread of infection were maintained when 2 of 40 staff members (Certified Nursing Assistant (CNA) #15 and #18) failed to don (to put on) Personal Protective Equipment (PPE) when entering a droplet precaution room and failed to properly dispose of a mask, and the facility failed to follow Centers for Disease Control (CDC) Infection Control guidelines to ensure all staff who enter the facility completed the screening process for the prevention and potential spread of COVID 19 when 17 of 269 staff members (Licensed Practical Nurse (LPN) #1, CNA #28, Dietary Staff #1, #2, #3, #4, #5, #6, #7, and #8, Health Information Management (HIM) Staff #1 [...]
  2. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 1, 2022
    Inspectors wroteBased on policy review, observation, and interview, the facility failed to maintain or enhance resident dignity and respect when 4 of 39 staff members (Certified Nursing Assistant (CNA) #18, #20, #22, and #24) failed to use courtesy titles to address 4 of 166 sampled residents (Resident #109, #159, #372, #373) reviewed during dining observations.
  3. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 1, 2022
    Inspectors wroteBased on the Geriatric Medication Handbook, policy review, medical record review, observation, and interview, the facility failed to ensure residents were free from a significant medication error when 1 of 2 nurses (Licensed Practical Nurse (LPN) #1) failed to provide a substantial snack or meal within 15 minutes of insulin administration for 1 of 5 sampled residents (Resident #137) observed during medication pass. The failure to provide a substantial snack or meal within 15 minutes of insulin administration resulted in a significant medication error.
August 1, 2019Standard inspection · 1 citation
  1. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 15, 2019
    Inspectors wroteBased on medical record review, observation, and interview, the facility failed to provide timely assessments and treatments for pressure ulcers for 1 of 4 (Resident #87) sampled residents reviewed for pressure ulcers.

Fire safety inspections

2 fire safety citations on file: 2 on April 22, 2026.

Every fire safety citation2 citations
  1. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · April 22, 2026 · Corrected (the home has a date of correction)
  2. D
    Have restrictions on the use of portable space heaters.
    K 781 · April 22, 2026 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTennesseeUnited States
All nursing staff (RN, LPN and aides)3.953.803.86
Registered nurses0.620.600.69
All nursing staff on weekends3.433.313.42
Nurse aides2.41
Licensed practical nurses0.92
Nursing staff turnover (share who left in a year)38.8%48.9%45.8%
Registered nurse turnover16.0%43.2%42.9%
Administrators who left0

CMS expects 3.75 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.16 on weekdays and 3.43 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.86 in April to June 2025 to 3.95 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.950.624.163.43 0.0%0 of 90179
Oct to Dec 20253.840.634.023.36 0.0%0 of 92182
Jul to Sep 20253.820.654.033.30 0.0%0 of 92179
Apr to Jun 20253.860.634.093.31 0.0%0 of 91181
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Tennessee, Jan to Mar 20263.750.563.953.274.0%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTennesseeUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
10.314.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.10.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.71.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.83.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.41.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
12.117.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.55.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
14.416.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
12.022.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
5.611.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.71.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.81.61.8

Owners and operators

Legal business name: NHC HEALTHCARE-DICKSON LLC. CMS links this home to National Healthcare Corporation, a group of 71 nursing homes averaging 4 stars overall.

NameRoleTypeShareSince
Morgan Stanley Institutional Advisors LLCIndirect ownership interestOrganization11/08/2024
NHC/Delaware IncIndirect ownership interestOrganization07/01/2000
Bidwell, CharlesManaging control - governing bodyIndividual06/15/2021
Bidwell, CharlesCorporate officerIndividual06/15/2021
National Healthcare CorporationOperational/managerial controlOrganization07/01/2000
NHC-Op LPOperational/managerial controlOrganization07/01/2000
Bidwell, CharlesOperational/managerial controlIndividual06/15/2021
Dodson, VickiOperational/managerial controlIndividual06/01/2019
Kidd, BrianOperational/managerial controlIndividual01/01/2017
Moen, JessicaOperational/managerial controlIndividual06/10/2013
Shah, VirenOperational/managerial controlIndividual05/31/2022
Shelly, TimothyOperational/managerial controlIndividual07/12/2024
Tummins, MistyOperational/managerial controlIndividual08/19/2024
Ussery, RobertOperational/managerial controlIndividual01/01/2009
Blackrock IncAdp of the SNFOrganization01/20/2010
National Health CorporationAdp of the SNFOrganization04/01/2025
National Healthcare CorporationAdp of the SNFOrganization04/01/2025
Vanguard Group IncAdp of the SNFOrganization11/30/2006
Dodson, VickiAdp of the SNFIndividual06/01/2019
Kidd, BrianAdp of the SNFIndividual01/01/2017
Shah, VirenAdp of the SNFIndividual04/01/2025
Tummins, MistyAdp of the SNFIndividual04/02/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on April 22, 2026: "Honor the resident's right to manage his or her financial affairs."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on April 22, 2026: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on January 21, 2022: "Provide and implement an infection prevention and control program."
  4. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on August 1, 2019: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."

Other nursing homes nearby

Tennessee contacts for a concern about a nursing home

These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.

Common questions

What is NHC Healthcare, Dickson's Medicare star rating?
CMS rates NHC Healthcare, Dickson 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did NHC Healthcare, Dickson get at its last inspection?
2 health deficiencies at the standard inspection on April 22, 2026. The Tennessee average is 4.4.
Has NHC Healthcare, Dickson been fined?
CMS lists no fines in the last three years.
Does NHC Healthcare, Dickson accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns NHC Healthcare, Dickson?
CMS lists 22 owners and managers, and links the home to National Healthcare Corporation. Legal business name: NHC HEALTHCARE-DICKSON LLC.

Sources

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