NHC Healthcare, Oakwood
244 Oakwood Dr, Lewisburg, TN 37091 · Marshall County · (931) 359-3563
60 certified beds, about 55 residents a day · For profit - Corporation · Medicare and Medicaid since 1973
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445002 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 22, 2026, inspectors cited 3 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 12 health citations since March 2022 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 3.23 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.76 of those hours.
49.1% 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.
603/22
302/25
301/26
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 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
1E
3F
Potential for minimal harm
0A
0B
0C
January 22, 2026Standard inspection · 3 citations
- F Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on the facility's Work In/Out Report and interviews the facility failed to ensure there was Registered Nurse (RN) coverage for 8 consecutive hours a day, 7 days a week, for 2 of 30 days reviewed. The facility's census was 51.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to provide care and services to promote dignity for 1 of 1 (Resident #39) sampled residents reviewed for indwelling urinary catheter (plastic tube inserted into the bladder to drain urine).
- D Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Inspectors wroteBased on policy review, admission and financial agreement review, resident trust fund account review, medical record review, and interview, the facility failed to refund the resident's funds within 30 days of death or discharge for 3 of 3 (Resident #64, #65, and #66) sampled residents reviewed for personal funds.
February 14, 2025Standard inspection · 3 citations
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on facility policy, medical record review, observation and interview the facility failed to follow the facility accident policy related to an unobserved fall for 1 of 3 (Resident #31) reviewed for accidents.
- D Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on facility policy review, medical record review, and interviews, the facility failed to ensure that 1 of 24 sampled residents (Resident #31) received trauma-informed care in accordance with professional standards of practice and accounting for a resident's experiences and preferences to eliminate or mitigate triggers that may cause re-traumatization of the resident.
- 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 practices to prevent the potential spread of infection was maintained for 1 of 1 sampled resident (Resident #16) reviewed for enhanced barrier precautions.
March 9, 2022Standard inspection · 6 citations
- F Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Inspectors wroteBased on facility policy review, medical record review, documentation review, and interview, the facility failed to ensure there was no more than 14 hours between a substantial evening meal and breakfast the following day.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on facility policy review, observations, and interviews, the facility failed to ensure food was served in a sanitary manner for 46 of 47 residents served a meal tray from the kitchen.
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to complete a Care Conference after each completed resident assessment for 9 of 27 sampled residents (Residents #2, #3, #6, #16, #21, #23, #39, #41, and #42) reviewed. The facility also failed to revise a Care Plan for 1 of 27 sampled residents (Resident #23) reviewed.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to ensure 2 of 17 residents (Resident #9 and Resident #35) were treated in a dignified manner during the lunch meal on 3/7/2022.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to develop and implement a Baseline Care Plan within 48 hours of admission for 3 of 7 sampled residents (Residents #1, #97, and #146) reviewed.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to sanitize medical equipment after usage for 3 of 27 sampled residents (Resident #13, #26, and #97) observed.
Fire safety inspections
13 fire safety citations on file: 4 on January 22, 2026, 9 on February 14, 2025.
Every fire safety citation13 citations
- D Establish policies and procedures including evacuation.
- D Establish policies and procedures for sheltering.
- D Provide primary/alternate means for communication.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D Address subsistence needs for staff and patients.
- D Provide primary/alternate means for communication.
- D Establish staff and initial training requirements.
- D Conduct testing and exercise requirements.
- D Provide properly protected cooking facilities.
- D Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D 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) | 3.23 | 3.80 | 3.86 |
| Registered nurses | 0.76 | 0.60 | 0.69 |
| All nursing staff on weekends | 2.90 | 3.31 | 3.42 |
| Nurse aides | 1.68 | ||
| Licensed practical nurses | 0.79 | ||
| Nursing staff turnover (share who left in a year) | 49.1% | 48.9% | 45.8% |
| Registered nurse turnover | 33.3% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.48 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 3.36 on weekdays and 2.90 on weekends, 14% 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 3.26 in April to June 2025 to 3.23 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 | 3.23 | 0.76 | 3.36 | 2.90 | 0.0% | 0 of 90 | 55 |
| Oct to Dec 2025 | 3.41 | 0.72 | 3.57 | 2.99 | 0.0% | 0 of 92 | 54 |
| Jul to Sep 2025 | 3.45 | 0.64 | 3.60 | 3.05 | 0.0% | 0 of 92 | 53 |
| Apr to Jun 2025 | 3.26 | 0.68 | 3.43 | 2.85 | 0.0% | 0 of 91 | 56 |
| 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 | 17.1 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.9 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.0 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.0 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.0 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.4 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.8 | 11.2 | 12.0 |
Owners and operators
Legal business name: NHC HEALTHCARE-OAKWOOD, LLC. CMS links this home to National Healthcare Corporation, a group of 71 nursing homes averaging 4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Dodson, Vicki | Corporate officer | Individual | 06/01/2019 | |
| Shelly, Timothy | Corporate officer | Individual | 07/12/2024 | |
| Ussery, Robert | Corporate officer | Individual | 01/01/2017 | |
| NHC-Op LP | Operational/managerial control | Organization | 07/01/2000 | |
| Bidwell, Charles | Operational/managerial control | Individual | 06/15/2021 | |
| Brown, Tracy | Operational/managerial control | Individual | 02/01/1993 | |
| Dodson, Vicki | Operational/managerial control | Individual | 06/01/2019 | |
| Jefferson, Kelley | Operational/managerial control | Individual | 01/01/2023 | |
| Keller, Allison | Operational/managerial control | Individual | 02/29/2024 | |
| Kidd, Brian | Operational/managerial control | Individual | 01/01/2017 | |
| Shelly, Timothy | Operational/managerial control | Individual | 07/12/2024 | |
| Ussery, Robert | Operational/managerial control | Individual | 01/01/2017 | |
| Morgan Stanley | Adp of the SNF | Organization | 11/08/2024 | |
| Morgan Stanley Institutional Advisors LLC | Adp of the SNF | Organization | 11/08/2024 | |
| NHC-Op LP | Adp of the SNF | Organization | 07/01/2000 | |
| 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 | 09/25/2025 | |
| Keller, Allison | Adp of the SNF | Individual | 09/25/2025 | |
| Kidd, Brian | Adp of the SNF | Individual | 01/01/2017 |
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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on January 22, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on February 14, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- 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 February 14, 2025: "Provide and implement an infection prevention and control program."
- 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 March 9, 2022: "Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.90 hours per resident per day, below the Tennessee average of 3.31.
Other nursing homes nearby
- NHC Healthcare, Lewisburg Lewisburg, 0.5 mi · 3 of 5 stars · 20 citations
- Magnolia Healthcare and Rehabilitation Center Columbia, 18.1 mi · 2 of 5 stars · 18 citations
- Life Care Center of Columbia Columbia, 18.4 mi · 4 of 5 stars · 6 citations
- NHC Healthcare, Columbia Columbia, 18.4 mi · 4 of 5 stars · 6 citations
- NHC-Maury Regional Transitional Care Center Columbia, 18.9 mi · 5 of 5 stars · 7 citations
- The Waters of Shelbyville, LLC Shelbyville, 19.2 mi · 4 of 5 stars · 9 citations
- The Reserve at Spring Hill Spring Hill, 20.4 mi · 5 of 5 stars · 9 citations
- Meadowbrook Healthcare and Rehabilitation Center Pulaski, 21 mi · 4 of 5 stars · 6 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, Oakwood's Medicare star rating?
- CMS rates NHC Healthcare, Oakwood 4 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did NHC Healthcare, Oakwood get at its last inspection?
- 3 health deficiencies at the standard inspection on January 22, 2026. The Tennessee average is 4.4.
- Has NHC Healthcare, Oakwood been fined?
- CMS lists no fines in the last three years.
- Does NHC Healthcare, Oakwood 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, Oakwood?
- CMS lists 20 owners and managers, and links the home to National Healthcare Corporation. Legal business name: NHC HEALTHCARE-OAKWOOD, 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.