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NHC Healthcare, Scott

2380 Buffalo Road, Lawrenceburg, TN 38464 · Lawrence County · (931) 762-9418

49 certified beds, about 53 residents a day · For profit - Corporation · Medicare and Medicaid since 1977

CMS high performing icon Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 445117 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 8, 2026, inspectors cited 0 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

None of its 4 health citations since May 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 3.98 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.81 of those hours.

60.3% 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
1E
1F
Potential for minimal harm
0A
0B
0C
April 8, 2026Standard inspection · 0 citations
October 13, 2023Complaint inspection · 1 citation
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 20, 2023
    Inspectors wroteBased on policy review, record review, facility document, and interview, the facility failed to submit a five-day investigative summary to the State related to an allegation of neglect for 1 (Resident #1) of 3 sampled residents reviewed for abuse/neglect.
March 16, 2022Standard inspection · 1 citation
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 5, 2022
    Inspectors wroteBased on Centers for Disease Control and Prevention (CDC) guidelines, policy review, Work Summary Report review, Screening Log review, observation, and interview, the facility failed to ensure practices to prevent the spread of infection were maintained to ensure all staff who enter the facility completed the screening process for the prevention and potential spread of COVID-19 when 26 of 174 staff members (Registered Nurse (RN) #1, Licensed Practical Nurse (LPN) #1, #2, #3, and #4, Respiratory Therapist (RT) #1, Social Worker #1, Maintenance #1, Receptionist #1 and #2, Physical Therapist Assistant (PTA) #1, #2, and #3, Occupational Therapist Assistant (OTA) #1 and #2, Physical Therapist (PT) #1, Certified Nursing Assistant (CNA) #1, #2, #3, #4, and #5, Temporary Nurse Assistant (TNA) #1 and #2, and Dietary Staff #1, #2, and #3) failed to complete the screening log prior to working 4 of [...]
May 1, 2019Standard inspection · 2 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) May 31, 2019
    Inspectors wroteBased on policy review, observation, and interview, the facility and failed to ensure meal trays were served under sanitary conditions when 3 of 7 (Certified Nursing Assistant (CNA) # 1, #2, and #3) staff members failed to perform proper hand hygiene during dining.
  2. 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) May 31, 2019
    Inspectors wroteBased on policy review, medical record review, observation, and interview the facility failed to store an ice scoop under sanitary conditions for 1 of 2 (200 Hall) ice storage areas and failed to ensure practices were followed to maintain infection control for 1 of 1 (Resident #25) sampled residents observed during perineal care.

Fire safety inspections

1 fire safety citation on file: 1 on April 8, 2026.

Every fire safety citation1 citation
  1. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · April 8, 2026 · 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)3.983.803.86
Registered nurses0.810.600.69
All nursing staff on weekends3.293.313.42
Nurse aides2.20
Licensed practical nurses0.97
Nursing staff turnover (share who left in a year)60.3%48.9%45.8%
Registered nurse turnover30.8%43.2%42.9%
Administrators who left0

CMS expects 4.23 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 4.26 on weekdays and 3.29 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 4.06 in April to June 2025 to 3.98 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.980.814.263.29 0.0%0 of 9053
Oct to Dec 20253.780.884.043.11 0.0%0 of 9256
Jul to Sep 20253.920.934.173.26 0.0%0 of 9255
Apr to Jun 20254.060.954.323.40 0.0%0 of 9152
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.

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
11.914.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.70.8
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
7.43.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.91.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
10.217.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.85.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
4.016.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
25.222.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.511.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.51.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.61.61.8

Owners and operators

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

NameRoleTypeShareSince
Bidwell, CharlesManaging control - governing bodyIndividual06/15/2021
Bidwell, CharlesCorporate officerIndividual06/15/2021
National Healthcare CorporationOperational/managerial controlOrganization07/01/2000
NHC-Op LPOperational/managerial controlOrganization07/01/2000
Bidwell, CharlesOperational/managerial controlIndividual06/15/2021
Dieringer, NicholasOperational/managerial controlIndividual12/04/2024
Dodson, VickiOperational/managerial controlIndividual06/01/2019
Jones, JasonOperational/managerial controlIndividual06/10/2013
Kidd, BrianOperational/managerial controlIndividual01/01/2017
Lopp, TishaOperational/managerial controlIndividual02/24/2014
Shelly, TimothyOperational/managerial controlIndividual07/12/2024
Ussery, RobertOperational/managerial controlIndividual01/01/2017
Blackrock IncAdp of the SNFOrganization01/20/2010
National Healthcare CorporationAdp of the SNFOrganization04/02/2025
Vanguard Group IncAdp of the SNFOrganization11/30/2006
Dieringer, NicholasAdp of the SNFIndividual04/02/2025
Dodson, VickiAdp of the SNFIndividual06/01/2019
Jones, JasonAdp of the SNFIndividual04/02/2025
Kidd, BrianAdp of the SNFIndividual01/01/2017

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.

  1. 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 March 16, 2022: "Provide and implement an infection prevention and control program."
  2. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on October 13, 2023: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on May 1, 2019: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.29 hours per resident per day, below the Tennessee average of 3.31.

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, Scott's Medicare star rating?
CMS rates NHC Healthcare, Scott 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did NHC Healthcare, Scott get at its last inspection?
0 health deficiencies at the standard inspection on April 8, 2026. The Tennessee average is 4.4.
Has NHC Healthcare, Scott been fined?
CMS lists no fines in the last three years.
Does NHC Healthcare, Scott 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, Scott?
CMS lists 19 owners and managers, and links the home to National Healthcare Corporation. Legal business name: NHC HEALTHCARE-SCOTT LLC.

Sources

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