NATIONAL HEALTHCARE CORPORATION
Ownership rollup across 69 nursing homes in 8 states: Alabama, Georgia, Kentucky, Missouri, North Carolina, South Carolina, Tennessee, Virginia. The "follow the money" view of an operator’s whole portfolio — the pattern a single facility page can’t show.
The chain’s homes average 4.0 of 5 stars on the CMS overall rating — about 1.0 stars above the ~2.9 average of the 8 states it operates in — better than its local peers. It is improving: across the same 69 homes rated throughout, the average rose 0.25 stars between 2025-02 and 2026-06. We benchmark against its own states because CMS ranks the health-inspection star within each state, so a national comparison (national average ~3.0) partly measures where a chain operates rather than how it operates.
Where the rating comes from
The CMS overall star blends three different things. Split apart across the whole portfolio, they say different things about an operator: thin staffing is a budget decision made above the building, while a weak inspection score is what surveyors actually found inside it.
| Component | Chain average | Basis | |
|---|---|---|---|
| Health inspection | 3.5 of 5 | 69 rated homes | state surveyors’ findings, ranked within each state |
| Staffing | 3.5 of 5 | 69 rated homes | from payroll (PBJ) hours |
| Quality measures | 4.4 of 5 | 69 rated homes | largely self-reported clinical data |
Averaged across this chain’s rated homes. Health-inspection stars are assigned within each state’s own distribution, so for a chain spanning several states this component mixes distributions and is best read alongside each home’s actual citations.
Portfolio red flags
How many of this chain’s homes carry the most serious CMS markers. One flagged home can be local; a pattern across the portfolio is an operator-level signal worth researching.
56 of this chain’s 69 homes are tied to an institutional investment firm in CMS ownership records. Private-equity and REIT operators are the focus of most research into how money is moved out of nursing homes — often through the related-party payments shown below. CMS under-reports these ties, so read this as a floor.
Follow the money — chain finances
Aggregated from each home’s CMS Medicare cost report (HCRIS). Related-party payments are dollars a home sends to landlords or management companies under common ownership — the main channel through which private-equity and REIT owners can pull money out of a home while its own books still show a thin margin.
Only homes with a cost report on file are included, so the related-party total is a floor. Cost reports are self-filed, unaudited, and a year or two behind.
Weighted by each home’s average daily census, across the all 69 homes that report both a usable payer mix and a census. Homes whose cost report fails the same validity check the facility pages apply are left out of this figure entirely rather than counted as zero.
Every home in this chain
Lowest-rated first, so the homes most worth a closer look sit at the top. Each links to its full inspection, staffing, fines, and ownership record.
| Home | CMS rating | Flags |
|---|---|---|
| NHC Healthcare - MauldinGreenville, SC | 1 of 5 | $7,313 fined |
| Nhc Healthcare, AnnistonAnniston, AL | 2 of 5 | Abuse flag $11,057 fined |
| Nhc Healthcare RossvilleRossville, GA | 2 of 5 | 4 immediate-jeopardy $57,077 fined |
| NHC Healthcare, GlasgowGlasgow, KY | 2 of 5 | $4,017 fined |
| Nhc Healthcare, JoplinJoplin, MO | 2 of 5 | — |
| Osage Beach Rehabilitation And Health Care CenterOsage Beach, MO | 2 of 5 | 2 immediate-jeopardy Abuse flag $107,324 fined |
| White Oak Manor-ShelbyShelby, NC | 2 of 5 | 2 immediate-jeopardy $42,972 fined |
| NHC Healthcare - CharlestonCharleston, SC | 2 of 5 | 1 immediate-jeopardy $25,495 fined |
| Nhc Healthcare, FranklinFranklin, TN | 2 of 5 | 1 immediate-jeopardy $62,491 fined |
| Nhc Healthcare, SpringfieldSpringfield, TN | 2 of 5 | 1 immediate-jeopardy Abuse flag $79,346 fined |
| NHC Healthcare - GreenwoodGreenwood, SC | 3 of 5 | $14,433 fined |
| White Oak Manor - YorkYork, SC | 3 of 5 | — |
| Adamsplace, LLCMurfreesboro, TN | 3 of 5 | — |
| Nhc Healthcare, Ft SandersKnoxville, TN | 3 of 5 | $9,770 fined |
| Nhc Healthcare, HendersonvilleHendersonville, TN | 3 of 5 | $16,153 fined |
| Nhc Healthcare, KnoxvilleKnoxville, TN | 3 of 5 | — |
| Nhc Healthcare, LewisburgLewisburg, TN | 3 of 5 | 1 immediate-jeopardy $217,240 fined |
| Nhc Healthcare, PulaskiPulaski, TN | 3 of 5 | — |
| Nhc Healthcare, SmithvilleSmithville, TN | 3 of 5 | 2 immediate-jeopardy $228,511 fined |
| Nhc Healthcare, SpartaSparta, TN | 3 of 5 | — |
| Nhc Healthcare, TullahomaTullahoma, TN | 3 of 5 | — |
| The Health Center At Richland PlaceNashville, TN | 3 of 5 | 2 immediate-jeopardy $56,378 fined |
| The MeadowsNashville, TN | 3 of 5 | — |
| Nhc Healthcare, DeslogeDesloge, MO | 4 of 5 | — |
| Nhc Healthcare, Maryland HeightsMaryland Heights, MO | 4 of 5 | — |
| Nhc Healthcare, St CharlesSaint Charles, MO | 4 of 5 | — |
| NHC HealthCare - North AugustaNorth Augusta, SC | 4 of 5 | — |
| NHC Healthcare - BlufftonOkatie, SC | 4 of 5 | — |
| NHC Healthcare - Garden CityGarden City, SC | 4 of 5 | $4,147 fined |
| NHC Healthcare - LexingtonWest Columbia, SC | 4 of 5 | 1 immediate-jeopardy |
| White Oak Manor - CharlestonCharleston, SC | 4 of 5 | $8,788 fined |
| White Oak Manor - SpartanburgSpartanburg, SC | 4 of 5 | — |
| Nhc Healthcare, ChattanoogaChattanooga, TN | 4 of 5 | — |
| Nhc Healthcare, ColumbiaColumbia, TN | 4 of 5 | — |
| Nhc Healthcare, MilanMilan, TN | 4 of 5 | — |
| Nhc Healthcare, Oak RidgeOak Ridge, TN | 4 of 5 | — |
| Nhc Healthcare, OakwoodLewisburg, TN | 4 of 5 | — |
| Nhc Place At Cool SpringsFranklin, TN | 4 of 5 | — |
| Nhc Healthcare, MoultonMoulton, AL | 5 of 5 | — |
| Nhc Healthcare Ft OglethorpeFort Oglethorpe, GA | 5 of 5 | $16,530 fined |
| Macon Health Care CenterMacon, MO | 5 of 5 | — |
| Nhc Healthcare, KennettKennett, MO | 5 of 5 | — |
| Nhc Healthcare, West PlainsWest Plains, MO | 5 of 5 | — |
| Springfield Rehabilitation & Health Care CenterSpringfield, MO | 5 of 5 | — |
| NHC HealthCare - AndersonAnderson, SC | 5 of 5 | — |
| NHC Healthcare - ClintonClinton, SC | 5 of 5 | — |
| NHC Healthcare - GreenvilleGreer, SC | 5 of 5 | — |
| NHC Healthcare - LaurensLaurens, SC | 5 of 5 | 1 immediate-jeopardy |
| NHC Healthcare - ParklaneColumbia, SC | 5 of 5 | — |
| NHC Healthcare - SumterSumter, SC | 5 of 5 | — |
| HeartlandNashville, TN | 5 of 5 | $7,901 fined |
| Holston Health & Rehabilitation CenterKnoxville, TN | 5 of 5 | — |
| Nhc Healthcare, AthensAthens, TN | 5 of 5 | — |
| Nhc Healthcare, CookevilleCookeville, TN | 5 of 5 | — |
| Nhc Healthcare, DicksonDickson, TN | 5 of 5 | — |
| Nhc Healthcare, FarragutKnoxville, TN | 5 of 5 | — |
| Nhc Healthcare, Johnson CityJohnson City, TN | 5 of 5 | — |
| Nhc Healthcare, KingsportKingsport, TN | 5 of 5 | — |
| Nhc Healthcare, LawrenceburgLawrenceburg, TN | 5 of 5 | — |
| Nhc Healthcare, McMinnvilleMcMinnville, TN | 5 of 5 | — |
| Nhc Healthcare, MurfreesboroMurfreesboro, TN | 5 of 5 | — |
| Nhc Healthcare, ScottLawrenceburg, TN | 5 of 5 | — |
| Nhc Healthcare, SequatchieDunlap, TN | 5 of 5 | — |
| Nhc Healthcare, SomervilleSomerville, TN | 5 of 5 | $13,520 fined |
| Nhc Place At The TraceNashville, TN | 5 of 5 | — |
| Nhc Place SumnerGallatin, TN | 5 of 5 | — |
| Nhc-Maury Regional Transitional Care CenterColumbia, TN | 5 of 5 | — |
| West Meade PlaceNashville, TN | 5 of 5 | — |
| Nhc Healthcare, BristolBristol, VA | 5 of 5 | $12,735 fined |
Source: CMS Provider Data Catalog (nursing-home ratings, deficiencies, penalties, and ownership) and the CMS Medicare cost report (HCRIS) for finances. Chain membership is as reported to CMS. CMS extracts retrieved 30 August 2026; CMS refreshes them monthly, so counts here are as of that date. Verify with the facility and your state regulator.