What is NHC Healthcare, Hendersonville's Medicare star rating?

CMS rates NHC Healthcare, Hendersonville 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did NHC Healthcare, Hendersonville get at its last inspection?

0 health deficiencies at the standard inspection on March 18, 2026. The Tennessee average is 4.4.

Does NHC Healthcare, Hendersonville 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, Hendersonville?

CMS lists 20 owners and managers, and links the home to National Healthcare Corporation. Legal business name: NHC HEALTHCARE-HENDERSONVILLE LLC.

NHC Healthcare, Hendersonville: Inspections & Ratings

The record in brief

At its most recent standard inspection, on March 18, 2026, inspectors cited 0 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

Of 16 health citations since July 2019, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $16,153 in the last three years; the largest was $16,153, and the latest is dated November 4, 2025.

Nurses and nurse aides worked 3.54 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.51 of those hours.

42.6% 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.

607/19

806/22

211/25

003/26

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 16 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

14D

Potential for minimal harm

March 18, 2026Standard inspection · 0 citations

November 4, 2025Complaint inspection · 2 citations

J

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it

Inspectors wroteBased on policy review, review of medical records, review of fall investigation documents, hospital record review, and interviews, the facility failed to ensure 1 of 10 (Resident #1) residents were free from accident hazards when staff failed to follow the resident-specific care plan for transfers. On 6/25/2024, 1 staff member transferred Resident #1 without using a lift (a mechanical device to assist caregivers in transferring residents with limited mobility), which resulted in a fall, and right tibia fracture. On 12/12/2024, 2 staff members attempted a stand/pivot transfer, without using a Hoyer lift (a mechanical lift designed to lift, suspend, and transfer a patient using a sling that slides under the patient to provide full body support), which resulted in a fall and a right lower femur fracture, which required surgical intervention. [...]
E

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 25, 2025

Inspectors wroteBased on policy review, medical record review, observations, and interviews, the facility failed to revise resident care plans to include the resident-specific transfer method to prevent falls for 4 of 10 (Resident #3, #4, #5, and #6) residents reviewed for transfers.

June 8, 2022Standard inspection · 8 citations

D

Reasonably accommodate the needs and preferences of each resident.

F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 22, 2022

Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure call lights were within reach for 2 of 31 sampled residents (Resident #55 and #67).
D

The resident has the right to receive notices in a format and a language he or she understands.

F574 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 22, 2022

Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to provide a daily activity update in an understandable language which affected 1 of 1 (Resident #33) non English speaking residents sampled.
D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 22, 2022

Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to have quarterly care plan conference meetings with resident/resident representative for 4 of 31 sampled residents (Residents #33, #42, #58, and #75).
D

Provide care and assistance to perform activities of daily living for any resident who is unable.

F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 22, 2022

Inspectors wroteBased on facility policy review, medical record review, observation, and interview the facility failed to perform oral care for 1 of 31 sampled residents (Resident #68).
D

Provide safe and appropriate respiratory care for a resident when needed.

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 22, 2022

Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to administer oxygen (O2) per physician order for 1 of 21 sampled residents (Resident #75).
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) July 22, 2022

Inspectors wroteBased on facility policy review, medical record review, observation and interview, the facility failed to store medications properly for 1 of 31 sampled residents (Resident #1) and in room [ROOM NUMBER] and #312 ; the facility also failed to label Enteral feeding bag for 1 of 4 residents (Resident #42).
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 22, 2022

Inspectors wroteBased on facility policy review, medical record review, observation, and interview the facility failed to store a BIPAP/CPAP (Bi-level Positive Airway/Continuous Positive Airway which help stimulate normal breathing) tubing and facemask for 1 of 5 residents (Resident #135); failed to don gloves while performing a blood glucose finger stick; failed to place a glucometer on a clean surface; and failed to don PPE (personal protective equipment) while in a Droplet Isolation Room for 1 of 7 rooms (room [ROOM NUMBER]) observed.
D

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 22, 2022

Inspectors wroteBased on facility documentation, medical record review, observations, and interview, the facility failed to ensure a clean, sanitary environment for 1 of 4 sampled residents (Resident #27) who required enteral feedings.

July 11, 2019Standard inspection · 6 citations

D

Assure that each resident’s assessment is updated at least once every 3 months.

F638 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2019

Inspectors wroteBased on medical record review and interview the facility failed to complete a Quarterly Minimum Data Set (MDS) for 1 (#1) of 38 residents reviewed.
D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2019

Inspectors wroteBased on facility policy review, medical record review observation and interview, the facility failed to revise/update care plans for 2 (#55 and #237) of 38 residents reviewed.
D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2019

Inspectors wroteBased on facility policy review, medical record review and interview, the facility failed to obtain physician orders timely for placement of an indwelling catheter for 1 (#55) of 38 residents reviewed.
D

Provide safe and appropriate respiratory care for a resident when needed.

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2019

Inspectors wroteBased on facility policy review, medical record review, observation and interview, the facility failed to label and date oxygen and nebulizer (a drug delivery device used to administer medication in the form of a mist inhaled into the lungs) tubing and humidified canisters for 1 (#71) of 20 residents reviewed receiving respiratory treatments.
D

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

F711 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2019

Inspectors wroteBased on facility policy review, medical record review and interview, the facility failed to ensure the attending physician visit included an evaluation of the resident's total program of care including medications, treatments and a decision about continued appropriateness for current medical regimen for 1 (#237) of 12 residents reviewed.
D

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

F712 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 20, 2019

Inspectors wroteBased on Medical record review, facility policy review and interview the facility failed to ensure timely physician visits were performed for 1 (#237) of 12 residents reviewed.

Fire safety inspections

4 fire safety citations on file: 2 on March 18, 2026, 2 on July 11, 2019.

Every fire safety citation4 citations

D
Have corridors or aisles that are unobstructed and are at least 8 feet in width.

K 232 · March 18, 2026 · Corrected (the home has a date of correction)
D
Install emergency lighting that can last at least 1 1/2 hours.

K 291 · March 18, 2026 · Corrected (the home has a date of correction)
F
Ensure proper usage of power strips and extension cords.

K 920 · July 11, 2019 · Corrected (the home has a date of correction)
E
Have corridors or aisles that are unobstructed and are at least 8 feet in width.

K 232 · July 11, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

Date	Penalty	Amount or length
November 4, 2025	Fine	$16,153

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

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

Measure	This home	Tennessee	United States
All nursing staff (RN, LPN and aides)	3.54	3.80	3.86
Registered nurses	0.51	0.60	0.69
All nursing staff on weekends	3.21	3.31	3.42
Nurse aides	1.77
Licensed practical nurses	1.25
Nursing staff turnover (share who left in a year)	42.6%	48.9%	45.8%
Registered nurse turnover	50.0%	43.2%	42.9%
Administrators who left	0

CMS expects 3.76 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 3.67 on weekdays and 3.21 on weekends, 13% 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 3.69 in April to June 2025 to 3.54 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	3.54	0.51	3.67	3.21	0.0%	0 of 90	105
Oct to Dec 2025	3.72	0.55	3.81	3.48	0.0%	0 of 92	97
Jul to Sep 2025	3.66	0.59	3.77	3.37	0.0%	0 of 92	100
Apr to Jun 2025	3.69	0.60	3.78	3.46	0.0%	0 of 91	102
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Tennessee, Jan to Mar 2026	3.75	0.56	3.95	3.27	4.0%	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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Tennessee

Job	Median	Middle half	Employed
Tennessee, all employers
CNAs (nursing assistants)	$18.27	$17.09 to $19.66	27,040
LPNs and LVNs	$28.31	$23.64 to $30.12	20,830
Registered nurses	$39.18	$36.28 to $45.79	72,200
United States, nursing care facilities
CNAs (nursing assistants)	$20.67	$17.91 to $22.55	534,270
LPNs and LVNs	$33.86	$30.05 to $37.40	188,210
Registered nurses	$41.11	$37.85 to $47.68	142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

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

Measure	This home	Tennessee	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	19.5	14.0	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.5	0.7	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	2.4	1.8	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	4.0	3.4	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	3.1	1.7	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	13.8	17.2	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	7.5	5.0	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	21.0	16.9	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	22.5	22.6	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	3.8	11.2	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.6	1.7	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.4	1.6	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for NHC Healthcare, Hendersonville's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (58.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

58.0% this home

No different from the national rate

US median of homes 51.5% · Tennessee: 62 better, 16 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 153 eligible stays.

Potentially preventable readmissions

10.9% this home

No different from the national rate

US median of homes 10.7% · Tennessee: 1 better, 7 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 142 eligible stays.

Infections that led to a hospital stay

7.3% this home

No different from the national rate

US median of homes 7.1% · Tennessee: 2 better, 1 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 83 eligible stays.

Self-care and mobility at discharge

74.5% this home

Median of homes: Tennessee58.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 51 residents counted.

Falls with major injury

1.0% this home

Median of homes: Tennessee0.8% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 97 residents counted.

New or worsened pressure ulcers

1.3% this home

Median of homes: Tennessee1.6% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 97 residents counted.

Medication list given at discharge

96.7% this home

Median of homes: Tennessee98.7% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 61 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

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

Name	Role	Type	Since
Morgan Stanley Institutional Advisors LLC	Indirect ownership interest	Organization	11/08/2024
NHC/Delaware Inc	Indirect ownership interest	Organization	07/01/2000
Vincent, Brandon	Managing control - governing body	Individual	08/19/2024
Vincent, Brandon	Corporate officer	Individual	08/19/2024
National Healthcare Corporation	Operational/managerial control	Organization	07/01/2000
NHC-Op LP	Operational/managerial control	Organization	07/01/2000
Dodson, Vicki	Operational/managerial control	Individual	06/01/2019
Kidd, Brian	Operational/managerial control	Individual	05/31/2023
Montgomery, David	Operational/managerial control	Individual	12/18/2018
Newman, Bernadette	Operational/managerial control	Individual	06/10/2016
Shelly, Timothy	Operational/managerial control	Individual	07/12/2024
Ussery, Robert	Operational/managerial control	Individual	01/01/2009
Vincent, Brandon	Operational/managerial control	Individual	08/19/2024
Blackrock Inc	Adp of the SNF	Organization	01/20/2010
National Health Corporation	Adp of the SNF	Organization	06/11/2025
National Healthcare Corporation	Adp of the SNF	Organization	03/22/2025
Vanguard Group Inc	Adp of the SNF	Organization	11/30/2006
Dodson, Vicki	Adp of the SNF	Individual	06/01/2019
Kidd, Brian	Adp of the SNF	Individual	05/31/2023
Montgomery, David	Adp of the SNF	Individual	06/16/2025

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.

How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on November 4, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on November 4, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
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 June 8, 2022: "Reasonably accommodate the needs and preferences of each resident."
How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on July 11, 2019: "Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.21 hours per resident per day, below the Tennessee average of 3.31.

Other nursing homes nearby

Life Care Center of Old Hickory Village
Old Hickory, 4.8 mi · 3 of 5 stars · 17 citations
Alta Heights Post Acute
Goodlettsville, 5.5 mi · 4 of 5 stars · 19 citations
NHC Place Sumner
Gallatin, 6.4 mi · 5 of 5 stars · 7 citations
Creekside Center for Rehabilitation and Healing
Madison, 6.5 mi · 4 of 5 stars · 8 citations
The McKendree Post Acute & Rehabilitation
Hermitage, 8 mi · 1 of 5 stars · 37 citations
Cedar Creek Post Acute
Mount Juliet, 9.8 mi · 1 of 5 stars · 32 citations
Heartland
Nashville, 9.9 mi · 5 of 5 stars · 23 citations
Stoneridge Health Care, LLC
Goodlettsville, 10 mi · 2 of 5 stars · 15 citations

Tennessee contacts for a concern about a nursing home

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

Inspections and complaints: Tennessee Health Facilities Commission, Division of Licensure and Regulation, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Tennessee Long-Term Care Ombudsman, Department of Disability and Aging, 877-236-0013. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.

Common questions

What is NHC Healthcare, Hendersonville's Medicare star rating?: CMS rates NHC Healthcare, Hendersonville 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did NHC Healthcare, Hendersonville get at its last inspection?: 0 health deficiencies at the standard inspection on March 18, 2026. The Tennessee average is 4.4.
Has NHC Healthcare, Hendersonville been fined?: Yes. CMS lists 1 fine totaling $16,153 in the last three years.
Does NHC Healthcare, Hendersonville 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, Hendersonville?: CMS lists 20 owners and managers, and links the home to National Healthcare Corporation. Legal business name: NHC HEALTHCARE-HENDERSONVILLE LLC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.