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NHC HEALTHCARE, LEWISBURG

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NHC HEALTHCARE, LEWISBURG is a for profit - limited liability company facility in LEWISBURG, TN with 100 certified beds and a 2-star overall CMS rating. The facility has 27 deficiency records on file. Total penalties: $379K.

1653 MOORESVILLE HIGHWAY, LEWISBURG, TN 37091

Phone: 9313594506

Overall Rating

2/5

Health Inspection

1/5

Staffing

3/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
445094
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
100
Residents
60
In Hospital
No
County
Marshall
Last Inspection
Feb 1, 2020

Staffing Data

RN Hours
0.82 (nat'l avg: 0.68)
LPN Hours
0.67
CNA Hours
2.45
Total Nursing Hours
3.95 (nat'l avg: 3.89)
PT Hours
0.13
Nursing Turnover
53.4%
RN Turnover
50.0%

What the CMS Record Reveals About NHC HEALTHCARE, LEWISBURG

NHC HEALTHCARE, LEWISBURG operates 100 certified beds in LEWISBURG, TN with approximately 60 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (3★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 27 deficiency records from recent surveys, of which 11 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $379K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.95 total nursing hours per resident day (national average 3.89), with RN coverage at 0.82 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, NHC HEALTHCARE, LEWISBURG falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 53.4%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (27 most recent)

D — Isolated - Minimal harm Mar 14, 2024 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Apr 3, 2024

G — Isolated - Actual harm Mar 14, 2024 Tag: 0835

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Category: Administration Deficiencies

Corrected: Apr 25, 2024

G — Isolated - Actual harm Mar 14, 2024 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 25, 2024

J — Isolated - Jeopardy Mar 14, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 29, 2024

G — Isolated - Actual harm Mar 14, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 8, 2024

D — Isolated - Minimal harm Mar 14, 2024 Tag: 0636

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 29, 2024

D — Isolated - Minimal harm Mar 14, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 29, 2024

D — Isolated - Minimal harm Mar 14, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 8, 2024

G — Isolated - Actual harm Mar 14, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 8, 2024

F — Widespread - Minimal harm Jul 6, 2023 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Aug 14, 2023

E — Pattern - Minimal harm Jul 6, 2023 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 14, 2023

E — Pattern - Minimal harm Jul 6, 2023 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Aug 14, 2023

J — Isolated - Jeopardy Jul 6, 2023 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 14, 2023

J — Isolated - Jeopardy Jul 6, 2023 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Aug 14, 2023

K — Pattern - Jeopardy Mar 4, 2023 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Mar 28, 2023

K — Pattern - Jeopardy Mar 4, 2023 Tag: 0835

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Category: Administration Deficiencies

Corrected: Mar 28, 2023

K — Pattern - Jeopardy Mar 4, 2023 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 28, 2023

K — Pattern - Jeopardy Mar 4, 2023 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Mar 28, 2023

D — Isolated - Minimal harm Mar 4, 2023 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: Mar 28, 2023

E — Pattern - Minimal harm Feb 1, 2020 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 16, 2020

D — Isolated - Minimal harm Feb 1, 2020 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 16, 2020

D — Isolated - Minimal harm Feb 1, 2020 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 16, 2020

D — Isolated - Minimal harm Feb 1, 2020 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 16, 2020

D — Isolated - Minimal harm Feb 1, 2020 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 16, 2020

D — Isolated - Minimal harm Feb 1, 2020 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 16, 2020

D — Isolated - Minimal harm Feb 1, 2020 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 16, 2020

D — Isolated - Minimal harm Feb 1, 2020 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: Mar 16, 2020

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 10.4% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.0% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.9% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.9% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.8% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 95.8% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 11.3% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 21.3% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 98.6% No
Percentage of long-stay residents with pressure ulcers Long Stay 2.3% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 28.7% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 15.2% Yes

Penalty History 2 penalties totaling $379K

Date Type Amount
Mar 14, 2024 Fine $217K
Mar 14, 2024 Payment Denial -
Jul 6, 2023 Fine $162K
Jul 6, 2023 Payment Denial -
Mar 4, 2023 Fine $202K

Frequently Asked Questions

What is the overall CMS rating for NHC HEALTHCARE, LEWISBURG?
NHC HEALTHCARE, LEWISBURG has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (1★), staffing levels (3★), and quality measures (5★).
What are the staffing levels at NHC HEALTHCARE, LEWISBURG?
NHC HEALTHCARE, LEWISBURG reports 3.95 total nursing hours per resident day (national average: 3.89). RN hours are 0.82 per resident day (national average: 0.68). Nursing staff turnover is 53.4%.
How many beds does NHC HEALTHCARE, LEWISBURG have?
NHC HEALTHCARE, LEWISBURG has 100 certified beds with approximately 60 residents. The facility is located at 1653 MOORESVILLE HIGHWAY, LEWISBURG, TN 37091.
Does NHC HEALTHCARE, LEWISBURG have any deficiencies on record?
Yes, NHC HEALTHCARE, LEWISBURG has 27 deficiencies on record from recent inspections. Of these, 11 are classified as causing actual harm or jeopardy.
Has NHC HEALTHCARE, LEWISBURG received any fines or penalties?
Yes, NHC HEALTHCARE, LEWISBURG has received 2 penalties totaling $379K.
Who owns NHC HEALTHCARE, LEWISBURG?
NHC HEALTHCARE, LEWISBURG is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was NHC HEALTHCARE, LEWISBURG last inspected?
The most recent health inspection for NHC HEALTHCARE, LEWISBURG was on Feb 1, 2020. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for NHC HEALTHCARE, LEWISBURG?
NHC HEALTHCARE, LEWISBURG is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial