NHC Healthcare, Milan
8017 Dogwood Lane, Milan, TN 38358 · Gibson County · (731) 686-8373
117 certified beds, about 97 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1986
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445069 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 27, 2025, inspectors cited 7 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 13 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 3.85 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.81 of those hours.
62.2% 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.
208/19
306/21
112/24
708/25
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 13 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
3E
0F
Potential for minimal harm
0A
0B
0C
August 27, 2025Standard inspection · 7 citations
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on policy review, job description review, medical record review, observation, and interview, the facility failed to ensure the environment was free from accident hazards when hot water temperatures ranging from 120 degrees Fahrenheit (F) to 138 degrees F were found in 23 of 92 (Resident #2, #11, #13, #23, #27, #28, #33, #46, #58, #63, #65, #66, #71, #76, #77, #82, #84, #87, #88, #90, #95, #105 and #106) Residents' bathrooms. Eleven Residents who were physically and/or cognitively impaired (Residents #11, #27, #28, #33, #46, #63, #65, #66, #71, #77, and #95) resided in a room with elevated hot water temperatures and nine of the cognitively impaired residents were able to access the hot water in their rooms.
- D Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Inspectors wroteBased on policy review, resident trust account review, medical record review, and interview, the facility failed to refund the residents' funds within 30 days of death or discharge for 2 of 52 sampled residents (Resident #109 and #110) reviewed for trust fund account statements.
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on policy review, record review, observation, and interview, the facility failed to provide care and services for residents with a percutaneous enteral gastrostomy (PEG) tube (a tube inserted through the skin and into the stomach to administer medications and supplements) when staff failed to administer the ordered enteral feeding and failed to check the residual volume for 2 of 2 residents (Resident #4 and #97) reviewed for tube feedings.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on record review, observation, and interview, the facility failed to maintain emergency supplies at bedside for 2 of 2 (Resident #4 and #97) sampled residents reviewed for tracheostomy care.
- D Post nurse staffing information every day.
Inspectors wroteBased on observations and interviews, the facility failed to ensure posted Daily Staffing information was accurate for dates 8/26/2025 and 8/27/2025.
- 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.
Inspectors wroteBased on the Refrigerator Temperature Log review, observation, and interview the facility failed to ensure medications were properly stored when 1of 3 (South Wing) medication refrigerator temperature logs had no documentation for 13 out of 26 days.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure proper infection control practices were followed when 1 of 1 staff members (Registered Nurse (RN) B) failed to wear personal protective equipment (PPE) and failed to perform hand hygiene during medication administration for 1 of 5 (Resident #11) sampled residents.
December 18, 2024Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on policy review, job description review, record review, observations, and interview, the facility failed to ensure each resident's environment was safe when 1 of 64 resident rooms on the 100 Hall was a vacant and being renovated. The unlocked and unattended 100 Hall room contained hazardous chemicals and materials including paint, an uncovered bucket with a mixture of paint and water liquid used to clean paint rollers, caulking, nails, screws, and sheetrock mud, and was accessible by residents.
June 30, 2021Standard inspection · 3 citations
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on review of the Partner Handbook and Social Work Services Manual, observation, and interview, the facility failed to maintain or enhance resident dignity and respect when 4 of 18 staff members (Certified Nursing Assistant (CNA) #1, #5, #6, and #7) failed to knock before entering a resident's room and did not use courtesy titles to address residents.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on review of the Centers for Disease Control (CDC) and Prevention guidance, policy review, observation, and interview, the facility failed to food was served under sanitary conditions when 6 of 18 staff members (Certified Nursing Assistant (CNA) #1, #2, #3, #5, #6, and #7) failed to don appropriate personal protective equipment (PPE) when entering a contact isolation room, failed to perform hand hygiene after touching potentially contaminated objects before serving residents meals, used their bare hands to handle a resident's food, failed to perform hand hygiene before and after glove use, failed to perform hand hygiene between serving residents, and used long acrylic nails to open a carton of milk.
- 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.
Inspectors wroteBased on medical record review, observation, and interview, the facility failed to ensure a resident's indwelling urinary catheter bag did not touch the floor for 1 of 2 sampled residents (Resident #13) reviewed with indwelling urinary catheters.
August 1, 2019Standard inspection · 2 citations
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to thoroughly investigate an allegation of abuse for 1 of 2 (Resident #84) abuse incidents reviewed.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on policy review, Infection Control Manual review, medical record review, observation, and interview, the facility failed to maintain infection control practices for 1 of 2 (Resident #60) sampled residents reviewed for urinary catheters and failed to provide effective dialysis communication for 1 of 2 (Resident #340) sampled residents reviewed for isolation.
Fire safety inspections
12 fire safety citations on file: 5 on June 30, 2021, 2 on August 1, 2019, 5 on September 27, 2018.
Every fire safety citation12 citations
- D Develop and maintain an Emergency Preparedness Program (EP).
- D Develop Emergency Preparedness policies and procedures.
- D Have simulated fire drills held at unexpected times.
- D Have restrictions on the use of portable space heaters.
- D Ensure proper usage of power strips and extension cords.
- E Install an approved automatic sprinkler system.
- B Ensure proper usage of power strips and extension cords.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Install corridor and hallway doors that block smoke.
- D Have proper medical gas storage and administration areas.
- C Establish policies and procedures for sheltering.
- C Ensure proper usage of power strips and extension cords.
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.
| Measure | This home | Tennessee | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.85 | 3.80 | 3.86 |
| Registered nurses | 0.81 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.16 | 3.31 | 3.42 |
| Nurse aides | 2.29 | ||
| Licensed practical nurses | 0.75 | ||
| Nursing staff turnover (share who left in a year) | 62.2% | 48.9% | 45.8% |
| Registered nurse turnover | 41.7% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.12 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 4.13 on weekdays and 3.16 on weekends, 23% 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 3.29 in April to June 2025 to 3.85 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 | 3.85 | 0.81 | 4.13 | 3.16 | 0.0% | 0 of 90 | 97 |
| Oct to Dec 2025 | 3.69 | 0.90 | 3.83 | 3.35 | 0.0% | 0 of 92 | 98 |
| Jul to Sep 2025 | 3.83 | 0.93 | 4.05 | 3.27 | 0.0% | 0 of 92 | 96 |
| Apr to Jun 2025 | 3.29 | 0.85 | 3.48 | 2.82 | 0.0% | 0 of 91 | 103 |
| 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.
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 | 9.7 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.8 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.1 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.7 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.9 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.4 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.8 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 16.1 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.6 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.6 | 1.8 |
Owners and operators
Legal business name: NHC HEALTHCARE-MILAN LLC. CMS links this home to National Healthcare Corporation, a group of 71 nursing homes averaging 4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| 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 | |
| Carroll, Loren | Operational/managerial control | Individual | 01/01/2020 | |
| Dodson, Vicki | Operational/managerial control | Individual | 06/01/2019 | |
| Graves, Rebecca | Operational/managerial control | Individual | 05/05/1992 | |
| Kidd, Brian | Operational/managerial control | Individual | 01/01/2017 | |
| McHale, Patrick | Operational/managerial control | Individual | 01/04/2016 | |
| Shelly, Timothy | Operational/managerial control | Individual | 07/12/2024 | |
| Ussery, Robert | Operational/managerial control | Individual | 01/01/2017 | |
| 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 | |
| Carroll, Loren | Adp of the SNF | Individual | 04/01/2025 | |
| Dodson, Vicki | Adp of the SNF | Individual | 06/01/2019 | |
| Kidd, Brian | Adp of the SNF | Individual | 01/01/2017 | |
| McHale, Patrick | Adp of the SNF | Individual | 04/02/2025 |
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.
- 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 August 27, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- 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 August 27, 2025: "Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on August 27, 2025: "Provide and implement an infection prevention and control program."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on August 27, 2025: "Post nurse staffing information every day."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.16 hours per resident per day, below the Tennessee average of 3.31.
Other nursing homes nearby
- Christian Care Center of Medina Medina, 9.6 mi · 1 of 5 stars · 28 citations
- Avondale Health and Rehabilitation Center, LLC Humboldt, 9.7 mi · 2 of 5 stars · 19 citations
- W D Bill Manning Tennessee State Veterans Home Humboldt, 9.8 mi · 5 of 5 stars · 8 citations
- Trenton Health and Rehabilitation Center, LLC Trenton, 10.9 mi · 5 of 5 stars · 8 citations
- Maplewood Health Care Center Jackson, 15.6 mi · 1 of 5 stars · 26 citations
- Northbrooke Post Acute Jackson, 15.7 mi · 1 of 5 stars · 32 citations
- West Tennessee Post Acute Jackson, 18.6 mi · 4 of 5 stars · 12 citations
- Dyer Nursing and Rehabilitation Center Dyer, 18.7 mi · 4 of 5 stars · 9 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, Milan's Medicare star rating?
- CMS rates NHC Healthcare, Milan 4 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did NHC Healthcare, Milan get at its last inspection?
- 7 health deficiencies at the standard inspection on August 27, 2025. The Tennessee average is 4.4.
- Has NHC Healthcare, Milan been fined?
- CMS lists no fines in the last three years.
- Does NHC Healthcare, Milan 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, Milan?
- CMS lists 20 owners and managers, and links the home to National Healthcare Corporation. Legal business name: NHC HEALTHCARE-MILAN 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.