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NHC Healthcare, McMinnville

928 Old Smithville Rd Po Box 528, McMinnville, TN 37110 · Warren County · (931) 473-8431

115 certified beds, about 108 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1969

Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 445076 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 13, 2023, inspectors cited 2 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

None of its 4 health citations since February 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 3.67 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.61 of those hours.

33.9% 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 4 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
2D
0E
2F
Potential for minimal harm
0A
0B
0C
December 13, 2023Standard inspection · 2 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 27, 2024
    Inspectors wroteBased on facility policy review, observations, and interviews, the kitchen failed to store refrigerated food in a safe manner to prevent cross-contamination and failed to ensure refrigerated foods were dated to ensure expired foods were discarded, which had the potential to affect 111 of 111 residents.
  2. 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) January 27, 2024
    Inspectors wroteBased on facility policy review, record review, observation, and interview the facility failed to revise the comprehensive care plan for 1 resident (Resident #99) related to an indwelling urinary catheter of 6 residents reviewed for indwelling urinary catheters.
February 5, 2020Standard inspection · 1 citation
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 28, 2020
    Inspectors wroteBased on review of the facility policy, observation, and interview, the facility failed to label, date, correctly store resident foods, and discard expired food items, potentially affecting 105 of 105 residents residing in the facility.
February 27, 2019Standard inspection · 1 citation
  1. 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) March 14, 2019
    Inspectors wroteBased on medical record review, review of the Resident Assessment Instrument (RAI) Version 3.0 Manual, review of the Minimum Data Set (MDS) and interview the facility failed to complete a timely quarterly assessment for 1 resident (#4) of 3 residents reviewed for MDS assessments of 32 sampled residents.

Fire safety inspections

15 fire safety citations on file: 8 on December 13, 2023, 3 on February 5, 2020, 4 on February 27, 2019.

Every fire safety citation15 citations
  1. E
    Establish staff and initial training requirements.
    E 37 · December 13, 2023 · Corrected (the home has a date of correction)
  2. E
    Conduct testing and exercise requirements.
    E 39 · December 13, 2023 · Corrected (the home has a date of correction)
  3. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 13, 2023 · Corrected (the home has a date of correction)
  4. D
    Provide large enough exits.
    K 231 · December 13, 2023 · Corrected (the home has a date of correction)
  5. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · December 13, 2023 · Corrected (the home has a date of correction)
  6. D
    Provide properly protected cooking facilities.
    K 324 · December 13, 2023 · Corrected (the home has a date of correction)
  7. D
    Have simulated fire drills held at unexpected times.
    K 712 · December 13, 2023 · Corrected (the home has a date of correction)
  8. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · December 13, 2023 · Corrected (the home has a date of correction)
  9. E
    Ensure proper usage of power strips and extension cords.
    K 920 · February 5, 2020 · Corrected (the home has a date of correction)
  10. D
    Provide properly protected cooking facilities.
    K 324 · February 5, 2020 · Corrected (the home has a date of correction)
  11. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 5, 2020 · Corrected (the home has a date of correction)
  12. D
    Conduct testing and exercise requirements.
    E 39 · February 27, 2019 · Corrected (the home has a date of correction)
  13. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · February 27, 2019 · Corrected (the home has a date of correction)
  14. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · February 27, 2019 · Corrected (the home has a date of correction)
  15. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · February 27, 2019 · 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)3.673.803.86
Registered nurses0.610.600.69
All nursing staff on weekends3.353.313.42
Nurse aides2.03
Licensed practical nurses1.04
Nursing staff turnover (share who left in a year)33.9%48.9%45.8%
Registered nurse turnover29.4%43.2%42.9%
Administrators who left2

CMS expects 4.29 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 3.80 on weekdays and 3.35 on weekends, 12% 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 3.84 in April to June 2025 to 3.67 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.670.613.803.35 0.0%0 of 90108
Oct to Dec 20253.850.613.973.55 0.0%0 of 92109
Jul to Sep 20253.770.533.933.38 0.0%0 of 92111
Apr to Jun 20253.840.633.973.49 0.0%0 of 91107
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.

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

JobMedianMiddle halfEmployed
Tennessee, all employers
CNAs (nursing assistants)$18.27$17.09 to $19.6627,040
LPNs and LVNs$28.31$23.64 to $30.1220,830
Registered nurses$39.18$36.28 to $45.7972,200
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

MeasureThis homeTennesseeUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
10.114.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.30.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.51.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.53.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
12.217.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.65.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
10.816.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
18.222.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.111.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.51.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.01.61.8

Owners and operators

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

NameRoleTypeShareSince
NHC/Delaware IncIndirect ownership interestOrganization07/01/2000
Ussery, RobertManaging control - governing bodyIndividual07/23/2025
Ussery, RobertCorporate officerIndividual07/23/2025
National Healthcare CorporationOperational/managerial controlOrganization07/01/2000
NHC-Op LPOperational/managerial controlOrganization07/01/2000
Dodson, VickiOperational/managerial controlIndividual06/01/2019
Henegar, BrittanyOperational/managerial controlIndividual07/14/2025
Kidd, BrianOperational/managerial controlIndividual01/01/2017
Kirby, HomerOperational/managerial controlIndividual03/19/2021
Nation, VivianOperational/managerial controlIndividual09/01/2008
Ussery, RobertOperational/managerial controlIndividual07/23/2025
Blackrock IncAdp of the SNFOrganization01/20/2010
National Health CorporationAdp of the SNFOrganization06/02/2025
Vanguard Group IncAdp of the SNFOrganization11/30/2006
Dodson, VickiAdp of the SNFIndividual06/01/2019
Henegar, BrittanyAdp of the SNFIndividual09/18/2025
Kidd, BrianAdp of the SNFIndividual01/01/2017
Kirby, HomerAdp of the SNFIndividual03/29/2025

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. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on December 13, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on December 13, 2023: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  3. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

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, McMinnville's Medicare star rating?
CMS rates NHC Healthcare, McMinnville 5 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did NHC Healthcare, McMinnville get at its last inspection?
2 health deficiencies at the standard inspection on December 13, 2023. The Tennessee average is 4.4.
Has NHC Healthcare, McMinnville been fined?
CMS lists no fines in the last three years.
Does NHC Healthcare, McMinnville 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, McMinnville?
CMS lists 18 owners and managers, and links the home to National Healthcare Corporation. Legal business name: NHC HEALTHCARE-MCMINNVILLE LLC.

Sources

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