NHC Healthcare, Sparta
34 Gracey St., Sparta, TN 38583 · White County · (931) 836-2211
96 certified beds, about 92 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1979
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445130 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 24, 2026, inspectors cited 1 health deficiency (the Tennessee average is 4.4, the national average 9.2).
Of 7 health citations since February 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.69 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.66 of those hours.
36.7% 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.
June 24, 2026Standard inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on facility policy review, manufacturer's guidelines review, medical record review, facility investigation review, and interviews, the facility failed to provide adequate assistance and supervision to prevent falls for 1 of 3 (Resident #87) residents reviewed for accident hazards. Resident #87, who was dependent on staff for bed mobility, fell from her bed on 5/24/2026 when her bed malfunctioned and was in the highest position. Resident #87 sustained a right wrist fracture and 3 sutures to her right forehead which resulted in actual HARM to the resident.
June 11, 2025Standard inspection, Complaint 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 review of the facility policy, review of the United Stated Department of Agricultures' website, observation and interview the facility failed to maintain a sanitary kitchen, failed to ensure kitchen equipment was maintained in a sanitary condition, and failed to ensure food was served at the appropriate temperature during the pre-plating temperature check. Review of the facility policy titled, Cleaning Equipment, revised 11/2017, revealed .Equipment must be cleaned and/or sanitized after every use and according to manufacturers' recommendations .The physical facilities shall be cleaned as often as necessary to keep them clean. [...]
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to document if residents had an advanced directive and residents advance directive decisions in the medical record for 5 residents (Residents #5, #33, #57, #67, and #76) of 24 residents reviewed for advanced directives.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on facility policy review, medical record review, review of facility documents, and interview, the facility failed to protect the resident's right to be free from physical abuse by a resident for 1 resident (Resident #200) of 24 residents reviewed for abuse.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to date and properly store a nebulizer with mask (a drug delivery device used to administer medication in the form of a mist inhaled into the lungs) for 1 resident (Resident #63) of 8 sampled residents reviewed.
- D Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on observations, interviews, facility documentation review, and review of the facility's policy, the facility failed to maintain an effective pest control system to ensure the kitchen's environment was free of pests. This failure had the potential to affect all residents of the facility. Review of the facility's policy titled, Safety and Sanitation Best Practice Guidelines, revised 11/2017 revealed, .The Center will implement preventive measures which focus on denying pests access to the building, eliminating sources of food and shelter, and by working with a pest control operator .1. The presence of insects, rodents, and other pests shall be controlled to eliminate their presence on the premises by routinely inspecting incoming shipments of food and supplies. 2. Premises should be routinely inspected for evidence of pests and finding reported to appropriate personnel .5. [...]
February 29, 2024Standard inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interviews, record review, and facility policy review, the facility failed to document, report, and monitor a newly identified skin alteration for 1 (Resident #70) of 2 residents reviewed for pressure ulcers.
Fire safety inspections
16 fire safety citations on file: 7 on June 24, 2026, 7 on June 11, 2025, 2 on February 29, 2024.
Every fire safety citation16 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Conduct testing and exercise requirements.
- D Provide properly protected cooking facilities.
- D Have properly installed electrical wiring and gas equipment.
- D Install properly constructed and protected linen or trash chutes.
- D Establish policies and procedures including evacuation.
- D List the names and contact information of those in the facility.
- D Conduct testing and exercise requirements.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Install corridor and hallway doors that block smoke.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Have exits that are accessible at all times.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
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) | 3.69 | 3.80 | 3.86 |
| Registered nurses | 0.66 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.31 | 3.31 | 3.42 |
| Nurse aides | 2.05 | ||
| Licensed practical nurses | 0.98 | ||
| Nursing staff turnover (share who left in a year) | 36.7% | 48.9% | 45.8% |
| Registered nurse turnover | 18.8% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.79 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 3.85 on weekdays and 3.31 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 3.86 in April to June 2025 to 3.69 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 | 3.69 | 0.66 | 3.85 | 3.31 | 0.0% | 0 of 90 | 92 |
| Oct to Dec 2025 | 3.73 | 0.70 | 3.93 | 3.22 | 0.0% | 0 of 92 | 94 |
| Jul to Sep 2025 | 3.61 | 0.73 | 3.77 | 3.20 | 0.0% | 0 of 92 | 93 |
| Apr to Jun 2025 | 3.86 | 0.74 | 4.06 | 3.38 | 0.0% | 0 of 91 | 93 |
| 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 | 11.2 | 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 | 1.9 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.5 | 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 | 13.0 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.0 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 17.3 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.1 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.7 | 11.2 | 12.0 |
Owners and operators
Legal business name: NHC HEALTHCARE-SPARTA LLC. CMS links this home to National Healthcare Corporation, a group of 71 nursing homes averaging 4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Morgan Stanley Institutional Advisors LLC | Indirect ownership interest | Organization | 11/08/2024 | |
| 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 | |
| Bouldin, Alicia | Operational/managerial control | Individual | 04/24/2006 | |
| Dodson, Vicki | Operational/managerial control | Individual | 06/01/2019 | |
| Duttry, Phillip | Operational/managerial control | Individual | 07/08/2024 | |
| Kidd, Brian | Operational/managerial control | Individual | 01/01/2017 | |
| Ussery, Robert | Operational/managerial control | Individual | 07/01/2000 | |
| Vollmer, Donald | Operational/managerial control | Individual | 12/01/2016 | |
| 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 | 03/25/2025 | |
| Vanguard Group Inc | Adp of the SNF | Organization | 11/30/2006 | |
| Dodson, Vicki | Adp of the SNF | Individual | 06/01/2019 | |
| Duttry, Phillip | Adp of the SNF | Individual | 06/02/2025 | |
| Kidd, Brian | Adp of the SNF | Individual | 01/01/2017 | |
| Vollmer, Donald | Adp of the SNF | Individual | 03/30/2025 |
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 3 problems in this area, most recently on June 24, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- 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 June 11, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on June 11, 2025: "Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive."
- 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 June 11, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
Other nursing homes nearby
- Life Care Center of Sparta Sparta, 2.4 mi · 5 of 5 stars · 5 citations
- Generations Center of Spencer Spencer, 12 mi · 3 of 5 stars · 9 citations
- Wharton Nursing Home Pleasant Hill, 14.9 mi · 1 of 5 stars · 18 citations
- NHC Healthcare, Cookeville Cookeville, 15.6 mi · 5 of 5 stars · 5 citations
- Grandview Post Acute Cookeville, 15.7 mi · 1 of 5 stars · 37 citations
- Signature Healthcare of Putnam County Cookeville, 18 mi · 2 of 5 stars · 15 citations
- Standing Stone Care and Rehab Monterey, 18.9 mi · 5 of 5 stars · 9 citations
- NHC Healthcare, Smithville Smithville, 20.6 mi · 3 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, Sparta's Medicare star rating?
- CMS rates NHC Healthcare, Sparta 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did NHC Healthcare, Sparta get at its last inspection?
- 1 health deficiency at the standard inspection on June 24, 2026. The Tennessee average is 4.4.
- Has NHC Healthcare, Sparta been fined?
- CMS lists no fines in the last three years.
- Does NHC Healthcare, Sparta 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, Sparta?
- CMS lists 21 owners and managers, and links the home to National Healthcare Corporation. Legal business name: NHC HEALTHCARE-SPARTA 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.