1653 Mooresville Highway, Lewisburg, TN 37091 · Marshall County · (931) 359-4506
100 certified beds, about 69 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1971
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445094 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on February 26, 2026, inspectors cited 3 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
Of 20 health citations since February 2019, 5 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $217,240 in the last three years; the largest was $217,240, and the latest is dated March 14, 2024.
Nurses and nurse aides worked 4.01 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.67 of those hours.
52.8% 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.
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.
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 20 health citations on file.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure nursing staff did not pre-pour and store medications in advance of medication administration for 10 (Residents #47, #1, #39, #15, #23, #8, #56, #67, #59 and #17) of 24 residents who received medications from the 200 Hall medication cart.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure a resident that was self-administering medications was assessed for the capability to self-administer medications for 1 (Resident #53) of 2 residents reviewed for medication administration.
Inspectors wroteBased on interview, record review, and review of the Resident Assessment Instrument (RAI) Manual guidelines, the facility failed to accurately complete the Minimum Data Set (MDS) assessments for 2 (Resident #7 and Resident #50) of 2 residents reviewed for MDS discrepancies.
Inspectors wroteBased on facility policy review, Review of the Resident Assessment Instrument (RAI) Version 3.0 Manual, medical record review, facility investigation review, facility document review, and interview, the facility failed to provide an environment that is free from accident hazards over which the facility has control and provide supervision for 1 of 3 (Resident #1) sampled residents reviewed for accidents. On 12/27/2023, Resident #1 had an unwitnessed fall from an elevated bed and sustained bilateral lower extremity compound fractures of the tibia and fibula and a comminuted fracture of the left patella. Resident #1 was transferred via air ambulance (helicopter) to a level 1 trauma center for emergent care. The emergency department record dated 12/28/2023 for Resident #1 revealed, .reported fall from bed with bilateral lower extremity deformity and reported 'near amputation' left leg . [...]
Inspectors wroteBased on facility policy review, medical record review, hospice notes, facility investigation review, and interview, the facility failed to protect the residents' right to be free from neglect for 2 of 6 (Resident #6 and Resident #8) sampled residents reviewed for abuse. The facility failed to address a change in condition for Resident #6, a severely cognitively impaired ambulatory resident, who exhibited escalating behaviors, a changes in mobility, and increased symptoms of pain beginning on 2/1/2024. On 2/4/2024, 4 days after Resident #6's increase in behaviors, mobility changes and increased pain symptoms, the night shift nurse documented edema and a bruise to the anterior right inner right thigh and notified Hospice. Hospice assessed Resident #6 on 2/5/2024, and an X-ray was ordered on 2/5/2024 at 2:00 PM. The facility did not address the results until 2/6/2024. [...]
Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to develop and implement a comprehensive person-centered care plan for falls and resident to resident abuse for 4 of 10 (Resident #1, Resident #6, Resident #8, and Resident #9) sampled residents reviewed for care plans. The facility failed to develop and implement a comprehensive person-centered care plan for Resident #1, a cognitively impaired resident with poor safety awareness, and at high risk for falls, that appropriately addressed Resident #1's unsafe behaviors related to the use of her bed remote to raise her bed to an unsafe height when unsupervised. [...]
Inspectors wroteBased on facility policy review, review of the Mobile Radiology #1's agreement, medical record review, hospice notes, facility investigation review, employee file review and interview, the facility failed to provide competent and proficient nursing staff to assure residents' safety and obtain or maintain the highest practicable physical wellbeing which resulted in actual harm for 2 of 10 sampled residents (Resident #1 and Resident #6) reviewed. Nursing staff failed to recognize increased fall risks and develop and implement care plan interventions which resulted in actual harm when Resident #1 had an unwitnessed fall on 12/27/2023 from an elevated bed and sustained bilateral lower extremity compound fractures of the tibia and fibula and a comminuted fracture of the left patella. [...]
Inspectors wroteBased on job description review and interview, Administration failed to administer the facility in a manner that enabled the facility to use its resources effectively and efficiently to attain the highest practicable wellbeing of the residents. Administration failed to provide oversight to ensure nursing staff provided an environment that is free from accident hazards over which the facility has control, implement care plan interventions for known unsafe behaviors, and provide supervision for 1 of 3 (Resident #1) sampled residents reviewed for falls. On 12/27/2023 Resident #1 had an unwitnessed fall from an elevated bed and sustained bilateral lower extremity compound fractures of the tibia and fibula and a comminuted fracture of the left patella. Resident #1 was transferred via air ambulance (helicopter) to a level 1 trauma center for emergent care. [...]
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to report a resident-to-resident altercation which involved physical abuse within 2 hours and failed to report the results of an investigation to the State Survey Agency and Adult Protective Services within 5 working days of the incident for 2 of 6 (Resident #6 and Resident #8) sampled residents reviewed for abuse.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to thoroughly investigate a resident-to-resident altercation which involved physical abuse for 2 of 6 (Resident #6 and Resident #8) of sampled residents reviewed for abuse.
Inspectors wroteBased on review of the Resident Assessment Instrument (RAI) Version 3.0 Manual, medical record review, and interview, the facility failed to complete a comprehensive resident admission assessment within 14 calendar days after admission for 1 of 13 residents (Resident #1) sampled residents reviewed.
Inspectors wroteBased on facility policy review, Quality Assurance and Performance Improvement (QAPI) meeting documentation review, medical record review, and interview, the QAPI committee failed to ensure an effective QAPI program that identified opportunities for improvement. The QAPI Committee failed to provide oversight to ensure an environment that is free from accident hazards over which the facility has control, recognize fall risk and implement interventions, and provide supervision for 1 resident (Resident #1). The QAPI Committee failed to ensure competent nursing staff provided care consistent with professional standards of practice to prevent abuse/neglect for 1 resident (Resident #6) when nursing staff failed to appropriately assess Resident #6's change in condition and physical abuse for 2 residents (Resident #6 and Resident #8) involved in a physical altercation. [...]
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure practices to prevent the potential spread of infection were followed in 2 of 3 isolation rooms (Resident #55 and #73's rooms), failed to maintain infection control practices for respiratory therapy masks and oxygen tubing for 6 of 10 sampled residents (Resident #74, #31, #39, #28, #61, and #33) receiving respiratory services, failed to ensure linens were removed properly from a resident's room (Resident #77), failed to ensure an indwelling catheter bag and tubing were kept off of the floor for 1 of 2 sampled residents (Resident #77) reviewed with an indwelling urinary catheter, and 2 of 4 Certified Nursing Assistants (CNA #1 and #3) failed to perform hand hygiene and proper catheter care for 1 of 2 sampled residents (Resident #55) reviewed during indwelling catheter care.
Inspectors wroteBased on observation and interview, the facility failed to provide a comfortable and homelike environment when staff and family members were knocking loudly on the kitchen door on 2 of 6 days (1/28/2020 and 1/29/2020) of the survey.
Inspectors wroteBased on medical record review and interview, the facility failed to initiate a significant change Minimum Data Set (MDS) assessment within 14 days after hospice services were ordered for 1 of 29 sampled residents (Resident #28) reviewed.
Inspectors wroteBased on medical record review and interview, the facility failed to ensure an assessment was accurate related to dialysis and hospice for 2 of 29 sampled residents (Resident #28 and #55) reviewed.
Inspectors wroteBased on medical record review and interview, the facility failed to ensure a comprehensive plan of care was developed for a diagnosis of Dysphagia for 1 of 29 sampled residents (Resident #65) reviewed.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure residents' rooms were free from accident hazards when equipment was stored unsafely and a cord was hanging freely from the ceiling in 2 of 59 rooms (Resident #18's room and Resident #31's room).
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure that an indwelling urinary catheter was secured for 1 of 2 sampled residents (Resident #77) reviewed.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to maintain complete and accurate weights for 1 of 12 sampled residents (Resident #18) reviewed.
11 fire safety citations on file: 4 on February 26, 2026, 4 on February 1, 2020, 3 on February 27, 2019.
| Date | Penalty | Amount or length |
|---|---|---|
| March 14, 2024 | Fine | $217,240 |
| March 14, 2024 | Payment Denial | 36 days from March 20, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 4.01 | 3.80 | 3.86 |
| Registered nurses | 0.67 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.55 | 3.31 | 3.42 |
| Nurse aides | 2.41 | ||
| Licensed practical nurses | 0.92 | ||
| Nursing staff turnover (share who left in a year) | 52.8% | 48.9% | 45.8% |
| Registered nurse turnover | 50.0% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.98 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 4.20 on weekdays and 3.55 on weekends, 15% 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 3.51 in April to June 2025 to 4.01 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 | 4.01 | 0.67 | 4.20 | 3.55 | 0.0% | 0 of 90 | 69 |
| Oct to Dec 2025 | 3.64 | 0.79 | 3.74 | 3.38 | 0.0% | 0 of 92 | 64 |
| Jul to Sep 2025 | 3.95 | 0.82 | 4.13 | 3.48 | 0.0% | 0 of 92 | 60 |
| Apr to Jun 2025 | 3.51 | 0.77 | 3.66 | 3.12 | 0.0% | 0 of 91 | 64 |
| 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
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. If you work here, your report helps start one.
| 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.
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 | 18.7 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.5 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.5 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 8.4 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.7 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.9 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.0 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.2 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.1 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.0 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.6 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for NHC Healthcare, Lewisburg's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (54.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
54.8% 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. 67 eligible stays.
11.1% 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. 88 eligible stays.
5.7% 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. 45 eligible stays.
92.9% 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. 28 residents counted.
5.6% 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. 36 residents counted.
0.0% 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. 36 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 19 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.
Legal business name: NHC HEALTHCARE-LEWISBURG LLC. CMS links this home to National Healthcare Corporation, a group of 71 nursing homes averaging 4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Morgan Stanley Institutional Advisors LLC | Indirect ownership interest | Organization | 11/08/2024 | |
| NHC/Delaware Inc | Indirect ownership interest | Organization | 07/01/2000 | |
| Bidwell, Charles | Managing control - governing body | Individual | 06/15/2021 | |
| Bidwell, Charles | Corporate officer | Individual | 06/15/2021 | |
| National Healthcare Corporation | Operational/managerial control | Organization | 07/01/2000 | |
| NHC-Op LP | Operational/managerial control | Organization | 07/01/2000 | |
| Bidwell, Charles | Operational/managerial control | Individual | 06/15/2021 | |
| Dodson, Vicki | Operational/managerial control | Individual | 06/01/2019 | |
| Jefferson, Kelley | Operational/managerial control | Individual | 01/01/2020 | |
| Jewell, Maggie | Operational/managerial control | Individual | 10/28/2024 | |
| Kidd, Brian | Operational/managerial control | Individual | 01/01/2017 | |
| Scott, Derrick | Operational/managerial control | Individual | 02/01/2014 | |
| Shelly, Timothy | Operational/managerial control | Individual | 07/12/2024 | |
| Ussery, Robert | Operational/managerial control | Individual | 01/01/2009 | |
| Blackrock Inc | Adp of the SNF | Organization | 01/20/2010 | |
| National Health Corporation | Adp of the SNF | Organization | 04/01/2025 | |
| National Healthcare Corporation | Adp of the SNF | Organization | 04/01/2025 | |
| Vanguard Group Inc | Adp of the SNF | Organization | 11/30/2006 | |
| Dodson, Vicki | Adp of the SNF | Individual | 06/01/2019 | |
| Jefferson, Kelley | Adp of the SNF | Individual | 01/01/2020 | |
| Kidd, Brian | Adp of the SNF | Individual | 01/01/2017 | |
| Scott, Derrick | Adp of the SNF | Individual | 04/01/2025 |
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.
Chosen from this home's own inspection record.
These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.