Nhc Healthcare, Lewisburg
1653 Mooresville Highway · Lewisburg, TN · 37091 · 9313594506
100 certified beds For profit - Limited Liability company Chain: National Healthcare Corporation
Why this verdict
- 4 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
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Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.64 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.79 | 0.55–0.75 |
| Weekend hours / resident-day | 3.38 | ≈ weekday level |
| Nursing turnover / year | 52% | median 45% |
| Fines (3-yr window) | 2 · $379,256 |
Inspection citations (25 in the current record)
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Potential for harm · D February 26, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 26, 2026 · Resident Rights
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Potential for harm · D February 26, 2026
Ensure each resident receives an accurate assessment.
Corrected March 26, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 26, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 26, 2026 · Resident Assessment and Care Planning
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Immediate jeopardy · J March 14, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 29, 2024 · Quality of Life and Care
-
Actual harm · G March 14, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 8, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G March 14, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 8, 2024 · Resident Assessment and Care Planning
-
Actual harm · G March 14, 2024 · found via complaint
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.
Corrected April 25, 2024 · Nursing and Physician Services
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Actual harm · G March 14, 2024 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected April 25, 2024 · Administration
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Potential for harm · D March 14, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 8, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 14, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected March 29, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 14, 2024 · found via complaint
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected March 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 14, 2024 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected April 3, 2024 · Administration
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Immediate jeopardy · J July 6, 2023 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected August 14, 2023 · Resident Rights
-
Immediate jeopardy · J July 6, 2023 · found via complaint
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.
Corrected August 14, 2023 · Nursing and Physician Services
-
Potential for harm · E July 6, 2023 · found via complaint
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected August 14, 2023 · Pharmacy Service
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Potential for harm · E July 6, 2023 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 14, 2023 · Resident Assessment and Care Planning
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Potential for harm · F July 6, 2023 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected August 14, 2023 · Administration
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Potential for harm · D February 1, 2020
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.
Corrected March 16, 2020 · Resident Rights
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Potential for harm · D February 1, 2020
Assess the resident when there is a significant change in condition
Corrected March 16, 2020 · Resident Assessment and Care Planning
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Potential for harm · D February 1, 2020
Ensure each resident receives an accurate assessment.
Corrected March 16, 2020 · Resident Assessment and Care Planning
-
Potential for harm · D February 1, 2020
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 16, 2020 · Resident Assessment and Care Planning
-
Potential for harm · D February 1, 2020
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 16, 2020 · Quality of Life and Care
-
Potential for harm · D February 1, 2020
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 16, 2020 · Quality of Life and Care
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Potential for harm · D February 1, 2020
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 16, 2020 · Resident Assessment and Care Planning
-
Potential for harm · E February 1, 2020
Provide and implement an infection prevention and control program.
Corrected March 16, 2020 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 14, 2024 | Fine | $217,240 |
| March 14, 2024 | Payment Denial | 36 days |
| July 6, 2023 | Fine | $162,016 |
| July 6, 2023 | Payment Denial | 32 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445094 · certified since July 23, 1971. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.