Nhc Healthcare, Smithville
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 12 Google reviews
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What this means for your family
While the facility is highly regarded for its rehabilitation therapy and CNA training programs, recent reports of neglect and unresponsive call systems are deeply concerning. If you are considering this facility, we strongly recommend conducting an unannounced visit to observe staff responsiveness and asking management specifically how they ensure timely assistance for residents' hygiene needs.
Google Reviews
Google Reviews
12 reviews analyzed“NHC HealthCare, Smithville receives highly polarized feedback, with strong praise for their CNA training program and rehab therapy outcomes alongside critical reports regarding basic patient care. While some families and residents praise the nursing staff's kindness and professional attitude, others have raised serious concerns about neglect, hygiene, and the lack of responsive call systems for residents.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical therapy and rehabilitation
- Supportive CNA training program
- Kind and professional nursing staff
- Positive environment for long-term residents
Concerns
- Neglect of basic hygiene and toileting needs (mentioned by 2 reviewers)
- Inadequate response to patient call systems (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
Questions for Your Tour
- 1Given that physical therapy is a noted strength here, how do you integrate those rehabilitation services into the daily routine for long-term residents?
- 2I noticed the facility has a 2/5 rating for health inspections; what specific steps are you currently taking to improve oversight and ensure consistent quality of care?
- 3How does your nursing team manage the call light system to ensure that residents receive timely assistance with their personal hygiene and toileting needs?
- 4With a capacity of 114 residents, how do you ensure that each individual receives personalized attention and that staff are consistently available to respond to urgent requests?
- 5Could you walk me through how your staff is trained to maintain a high standard of cleanliness and comfort in the residents' living spaces?
- 6Since you have a supportive training program for your CNAs, how does that program directly impact the quality of daily care and the relationships they build with residents?
Personalized based on this facility's data
Key Review Excerpts
“Very please with the service and the way my dad is been treated, and the way he been progressing with gaining his movements on his left side of his body after having a stroke”
“My step mother is there now and has laid 4 days without physical therapy doing anything. It was to much trouble to put her on potty so they put her in a diaper. She being signs of bed sores.”
“Im in here n they dont have any call lites to get help when i need it im laying in y own piss n its not looking good”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
14
measures
2
measures
1
measures
Residents with depression symptoms
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents needing more daily help over time
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed complaints triggering serious deficiencies in April 2024, including resident abuse and neglect protections, accident prevention, and staff training. The most recurring issues involve fire safety systems, care planning, and building maintenance. While all deficiencies show correction dates, the pattern of complaint-triggered issues around resident safety and the facility's recent citation for numerous building and safety violations warrant careful consideration during any visit.
Feb 27, 2025Routine17
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Egress Deficiencies
Have exits that are accessible at all times.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Meet other general requirements that are deficient.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Ensure that HVAC heat units are suspended and out of the reach of patients and can be shut off if unit is working improperly.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
Provide properly sized and located linen or trash receptacles.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Apr 11, 2024Complaint14
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nursing and Physician Services Deficiencies
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.
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nursing and Physician Services Deficiencies
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.
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Nov 20, 2019Routine1
Construction Deficiencies
Meet requirements for sections of health care facilities separated by fire resistive construction.
Oct 31, 2018Routine3
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Federal Penalties
Fine
Apr 11, 2024
$228,511
Payment Denial
Apr 11, 2024
40-day denial
Ownership & Operations
Who Operates This Facility
Nhc Healthcare, Smithville
for profit
Chain Affiliation
National Healthcare Corporation
65 facilities nationwide
Chain avg rating: 3.9/5 · Rank 51 of 65
Ownership & Management
Owners
Morgan Stanley Institutional Advisors LLC
Owner (parent company) · Organization
Nhc/delaware INC
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
12 reviews from families & visitors
Official Website
Visit nhccare.com
Medicare data downloads
Original nursing home datasets
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