NHC Healthcare, Sequatchie
360 Dell Trail Po Box 878, Dunlap, TN 37327 · Sequatchie County · (423) 949-4651
110 certified beds, about 89 residents a day · For profit - Corporation · Medicare and Medicaid since 1978
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445126 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 22, 2026, inspectors cited 2 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 7 health citations since October 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 4.14 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.42 of those hours.
46.6% 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.
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 7 health citations on file.
April 22, 2026Standard inspection · 2 citations
- E Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to resubmit a Pre-admission Screening and Resident Review (PASARR) timely after a new mental health diagnosis for 6 resident's (Resident #6, Resident #9, Resident #10, Resident #47, Resident #48, & Resident #63) of 12 residents reviewed for PASARR.
- D Ensure residents have reasonable access to and privacy in their use of communication methods.
Inspectors wroteBased on facility policy review and interviews, the facility failed to ensure mail was delivered on Saturdays to 9 residents (Resident #11, Resident #12, Resident #15, Resident #18, Resident #20, Resident #29, Resident #37, Resident #51, and Resident #56) of 9 residents reviewed for mail delivery.
February 8, 2023Standard inspection · 5 citations
- 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, observation, and interview the facility failed to maintain sanitary kitchen equipment with the potential to affect 90 residents in the facility.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on Centers for Disease Control and Prevention (CDC) guidance documentation, facility policy review, manufacturer instruction review, medical record review, observation, and interview the facility failed to ensure Personal Protective Equipment (PPE) was donned according to manufacturer's recommendations, failed to follow appropriate infection control practices for PPE for 4 Residents (#17, #22, #2, #16) of 15 residents observed for Transmission Based Precautions, and failed to sanitize hands after glove removal after provided care for 2 residents (#17 and #22) in 1 of 5 hallways.
- D Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Inspectors wroteBased on facility policy review, medical record review, review of the facility's Current Balance Report, Review of Trust Fund Statements, and interview, the facility failed to refund personal funds within 30 days of discharge for 6 residents (Residents #245, #244, #240, #241, #243, and #242) of 56 residents reviewed for resident funds.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to resubmit a Pre-admission Screening and Resident Review (PASARR) after a new mental health diagnosis for 2 residents (#75 and #64) of 10 residents reviewed for PASRR.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on facility policy review, SAFETY DATA SHEET review, medical record review, observation, and interview the facility failed to ensure an environment was free from accident hazards for 2 residents (#51 and #58) of 22 residents observed on the Memory Care Unit for accident hazards.
October 16, 2019Standard inspection · 0 citations
Fire safety inspections
2 fire safety citations on file: 1 on April 22, 2026, 1 on October 16, 2019.
Every fire safety citation2 citations
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Provide primary/alternate means for communication.
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) | 4.14 | 3.80 | 3.86 |
| Registered nurses | 0.42 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.45 | 3.31 | 3.42 |
| Nurse aides | 2.61 | ||
| Licensed practical nurses | 1.11 | ||
| Nursing staff turnover (share who left in a year) | 46.6% | 48.9% | 45.8% |
| Registered nurse turnover | 40.0% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.86 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 4.42 on weekdays and 3.45 on weekends, 22% 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 3.92 in April to June 2025 to 4.14 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 | 4.14 | 0.42 | 4.42 | 3.45 | 0.0% | 0 of 90 | 89 |
| Oct to Dec 2025 | 3.83 | 0.35 | 4.06 | 3.24 | 0.0% | 0 of 92 | 95 |
| Jul to Sep 2025 | 3.81 | 0.34 | 4.05 | 3.20 | 0.0% | 0 of 92 | 94 |
| Apr to Jun 2025 | 3.92 | 0.33 | 4.15 | 3.36 | 0.0% | 0 of 91 | 87 |
| 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 | 4.3 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.0 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 4.4 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.1 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.2 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.9 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 34.9 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.8 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.3 | 1.6 | 1.8 |
Owners and operators
Legal business name: NHC HEALTHCARE-SEQUATCHIE LLC. CMS links this home to National Healthcare Corporation, a group of 71 nursing homes averaging 4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| NHC/Delaware Inc | Indirect ownership interest | Organization | 07/01/2000 | |
| Bidwell, Gregory | Managing control - governing body | Individual | 07/01/2000 | |
| Bidwell, Gregory | Corporate officer | Individual | 07/01/2000 | |
| National Healthcare Corporation | Operational/managerial control | Organization | 07/01/2000 | |
| NHC-Op LP | Operational/managerial control | Organization | 07/01/2000 | |
| Bidwell, Gregory | Operational/managerial control | Individual | 07/01/2000 | |
| Dodson, Vicki | Operational/managerial control | Individual | 06/01/2019 | |
| Kidd, Brian | Operational/managerial control | Individual | 01/01/2017 | |
| Mears, Beverly | Operational/managerial control | Individual | 03/25/2005 | |
| Park, Jung | Operational/managerial control | Individual | 01/19/2011 | |
| Reynolds, Randy | Operational/managerial control | Individual | 04/01/2016 | |
| 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 | 06/02/2025 | |
| National Healthcare Corporation | Adp of the SNF | Organization | 03/24/2025 | |
| Vanguard Group Inc | Adp of the SNF | Organization | 11/30/2006 | |
| Dodson, Vicki | Adp of the SNF | Individual | 06/01/2019 | |
| Kidd, Brian | Adp of the SNF | Individual | 01/01/2017 | |
| Park, Jung | Adp of the SNF | Individual | 03/29/2025 | |
| Reynolds, Randy | Adp of the SNF | Individual | 03/29/2025 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on April 22, 2026: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- 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 April 22, 2026: "Ensure residents have reasonable access to and privacy in their use of communication methods."
- 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 February 8, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on February 8, 2023: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Soddy-Daisy Health Care Center Soddy-Daisy, 15.6 mi · 3 of 5 stars · 8 citations
- Ascension Living Alexian Village Tennessee Signal Mountain, 17.2 mi · 1 of 5 stars · 28 citations
- Life Care Center of Hixson Hixson, 17.8 mi · 1 of 5 stars · 8 citations
- Laurelbrook Nursing Home Dayton, 17.9 mi · 4 of 5 stars · 16 citations
- Life Care Center of Red Bank Chattanooga, 18.7 mi · 2 of 5 stars · 24 citations
- Bledsoe County Nursing Home Pikeville, 20.7 mi · 4 of 5 stars · 6 citations
- Siskin Subacute West Chattanooga, 23.2 mi · 5 of 5 stars · 16 citations
- NHC Healthcare, Chattanooga Chattanooga, 24.1 mi · 4 of 5 stars · 10 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, Sequatchie's Medicare star rating?
- CMS rates NHC Healthcare, Sequatchie 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did NHC Healthcare, Sequatchie get at its last inspection?
- 2 health deficiencies at the standard inspection on April 22, 2026. The Tennessee average is 4.4.
- Has NHC Healthcare, Sequatchie been fined?
- CMS lists no fines in the last three years.
- Does NHC Healthcare, Sequatchie 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, Sequatchie?
- CMS lists 20 owners and managers, and links the home to National Healthcare Corporation. Legal business name: NHC HEALTHCARE-SEQUATCHIE 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.