Deficiency Index

NHC Healthcare, Somerville

Somerville, Tennessee · CCN 445119

6 surveys since 2013. The first finding at harm level was recorded in 2026.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
28
Surveys
6
Harm or worse
1
Immediate jeopardy
0
The record, 2013–2026
’13’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file4/6

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
72
Ownership
For profit - Corporation
Chain
NATIONAL HEALTHCARE CORPORATION
County
Fayette
Medicare-certified since
1977

CMS ratings

Overall
5
Health inspection
4
Staffing
4
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=2, floor 20).

Last survey on record

Feb 19, 2026

263 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.963.49
Registered-nurse hours per resident day0.74—
Annual nurse turnover37.5%52.6%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$13,520 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG120.0%H—I—
No harm, potential for more than minimalD240.0%E120.0%F120.0%
No harm, potential for minimalA—B—C—
CMS’s current file: 5 of the 28 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F6581×

    Ensure services provided by the nursing facility meet professional standards of quality.

  • F6971×

    Provide safe, appropriate pain management for a resident who requires such services.

  • F8801×

    Provide and implement an infection prevention and control program.

In the surveyor’s words

From the most serious findings on record at NHC Healthcare, Somerville, in the surveyor’s own words.

  • Actual harm, isolatedF697Feb 19, 2026

    Based 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. […]

  • No harm, potential for more than minimal, patternF812Feb 19, 2026

    Based 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. The findings include: 1. Review of the facility's policy titled, .Safety & Sanitation Best Practice Guidelines., dated 6/2025, revealed . Refrigerated and frozen foods will be stored properly for optimal Product Safety.Foods should be clearly labeled with the contents with the use by date.Expiration dates, Best by Dates, used by dates will be used.to ensure food safety. 2. Observation in the kitchen in the walk-in refrigerator on 2/18/2026 beginning at 11:37 AM, revealed the following: a. […]

Read 20 findings in full →The most serious and the most recent: 20 of 28 on record.

Every survey on record

FindingsAt actual harm or above

  • Feb 19, 2026Standard2 findings · 1 harm
  • May 15, 2019Standard3 findings
  • Jun 28, 2017Standard3 findings
  • Apr 20, 2016Standard6 findings
  • Apr 1, 2015Standard4 findings
  • Sep 18, 2013—10 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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