NHC Healthcare, Somerville
308 Lake Drive, Somerville, TN 38068 · Fayette County · (901) 465-9861
72 certified beds, about 69 residents a day · For profit - Corporation · Medicare and Medicaid since 1977
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445119 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 19, 2026, inspectors cited 2 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
Of 5 health citations since May 2019, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $13,520 in the last three years; the largest was $13,520, and the latest is dated February 19, 2026.
Nurses and nurse aides worked 3.96 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.74 of those hours.
37.5% 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 5 health citations on file.
February 19, 2026Standard inspection · 2 citations
- G Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on American Nurses Association article review, policy review, Director of Nursing (DON) job description review, Licensed Practical Nurse (LPN) job description review, medical record review, Emergency Medical Services (EMS) record review, hospital record review, observation, and interview, the facility failed to provide pain management consistent with professional standards of practice for 1 of 2 (Resident #2) residents reviewed for pain management. Resident #2, a moderately cognitively impaired resident who required assistance of staff with activities of daily living (ADLs), sustained an unwitnessed fall that resulted in bilateral (right and left) femur (the thigh bone between the hip and knee) fractures on 11/1/2025 between 6:30 PM and 6:59 PM. [...]
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure food was stored, prepared, and served under sanitary conditions when expired and undated food items were observed in the kitchen. The facility had a census of 71 and 69 of the residents were served from the kitchen.
December 9, 2021Standard inspection · 0 citations
May 15, 2019Standard inspection · 3 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 Lippincott Manual of Nursing Practice, 10th Edition, policy review, observation, and interview, the facility failed to ensure food was stored, prepared, and served under sanitary conditions as evidenced by undated, unlabeled, and unsealed food items, expired food items, carbon build up on a pan, improper cleaning of a food thermometer, dented cans, and improper thawing of frozen food, and when 2 of 19 (Certified Nursing Assistant (CNA) #1 and #2) staff members failed to perform hand hygiene during dining. The facility had a census of 70 residents with 68 of those residents receiving a tray from the kitchen.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on policy review, Manufacturer Guidelines, medical record review, observation, and interview, 2 of 4 (Licensed Practical Nurse (LPN) #1 and #2) nurses failed to follow the facility policy for the destruction of a medication and failed to follow facility policy for the application of a transdermal patch during medication administration.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on the Lippincott Manual of Nursing Practice, 10th Edition, policy review, medical record review, observation, and interview, the facility failed to ensure 2 of 4 (Licensed Practical Nurse (LPN) #3 and #4) nurses followed practices to prevent the potential spread of infection when nebulizing equipment was not properly stored and overfill of a liquid medication was poured back into the dispensing bottle during medication administration.
Fire safety inspections
3 fire safety citations on file: 3 on February 19, 2026.
Every fire safety citation3 citations
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Have properly located and lighted "Exit" signs.
- D Have properly installed electrical wiring and gas equipment.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 19, 2026 | Fine | $13,520 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.96 | 3.80 | 3.86 |
| Registered nurses | 0.74 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.32 | 3.31 | 3.42 |
| Nurse aides | 2.22 | ||
| Licensed practical nurses | 0.99 | ||
| Nursing staff turnover (share who left in a year) | 37.5% | 48.9% | 45.8% |
| Registered nurse turnover | 20.0% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.66 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 4.21 on weekdays and 3.32 on weekends, 21% 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 3.80 in April to June 2025 to 3.96 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 | 3.96 | 0.74 | 4.21 | 3.32 | 0.0% | 0 of 90 | 69 |
| Oct to Dec 2025 | 4.03 | 0.68 | 4.30 | 3.37 | 0.0% | 0 of 92 | 69 |
| Jul to Sep 2025 | 4.02 | 0.69 | 4.27 | 3.40 | 0.0% | 0 of 92 | 69 |
| Apr to Jun 2025 | 3.80 | 0.59 | 4.04 | 3.21 | 0.0% | 0 of 91 | 71 |
| 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 | 16.3 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.3 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.4 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.5 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.9 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.7 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 23.7 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 10.2 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.3 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.6 | 1.8 |
Owners and operators
Legal business name: NHC HEALTHCARE-SOMERVILLE 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, 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 | |
| Dodson, Vicki | Operational/managerial control | Individual | 06/01/2019 | |
| Hunt, Janet | Operational/managerial control | Individual | 06/07/2021 | |
| Kidd, Brian | Operational/managerial control | Individual | 01/01/2017 | |
| Seaton, David | Operational/managerial control | Individual | 05/13/2015 | |
| Shelly, Timothy | Operational/managerial control | Individual | 07/12/2024 | |
| Ussery, Robert | Operational/managerial control | Individual | 01/01/2017 | |
| Woods, Deanna | Operational/managerial control | Individual | 03/19/2018 | |
| Blackrock Inc | Adp of the SNF | Organization | 01/20/2010 | |
| National Healthcare Corporation | Adp of the SNF | Organization | 07/16/2025 | |
| Vanguard Group Inc | Adp of the SNF | Organization | 11/30/2006 | |
| Dodson, Vicki | Adp of the SNF | Individual | 06/01/2019 | |
| Hunt, Janet | Adp of the SNF | Individual | 04/03/2025 | |
| Kidd, Brian | Adp of the SNF | Individual | 01/01/2017 | |
| Seaton, David | Adp of the SNF | Individual | 04/03/2025 |
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.
- 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 February 19, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on February 19, 2026: "Provide safe, appropriate pain management for a resident who requires such services."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on May 15, 2019: "Ensure services provided by the nursing facility meet professional standards of quality."
- 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 May 15, 2019: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Gallaway Health and Rehab Gallaway, 15.6 mi · 1 of 5 stars · 21 citations
- Pine Meadows Health Care Bolivar, 20.3 mi · 5 of 5 stars · 6 citations
- Bolivar Health & Rehabilitation LLC Bolivar, 20.3 mi · 5 of 5 stars · 8 citations
- Collierville Nursing and Rehabilitation, LLC Collierville, 22.2 mi · 2 of 5 stars · 25 citations
- The Suites at Jordan River Collierville, 22.2 mi · 3 of 5 stars · 8 citations
- Cordova Wellness and Rehabilitation Center Cordova, 23.5 mi · 3 of 5 stars · 12 citations
- Memphis Jewish Home Cordova, 23.5 mi · 4 of 5 stars · 14 citations
- Applingwood Post Acute Cordova, 23.5 mi · 2 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, Somerville's Medicare star rating?
- CMS rates NHC Healthcare, Somerville 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did NHC Healthcare, Somerville get at its last inspection?
- 2 health deficiencies at the standard inspection on February 19, 2026. The Tennessee average is 4.4.
- Has NHC Healthcare, Somerville been fined?
- Yes. CMS lists 1 fine totaling $13,520 in the last three years.
- Does NHC Healthcare, Somerville 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, Somerville?
- CMS lists 20 owners and managers, and links the home to National Healthcare Corporation. Legal business name: NHC HEALTHCARE-SOMERVILLE 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.