Elder Care Record

Tennessee › Smith County › Carthage

Smith County Health and Rehabilitation

112 Health Care Dr, Carthage, TN 37030

CCN 445172 · For-profit, limited liability company · 128 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Smith County Health and Rehabilitation is a For-profit, limited liability company nursing home in Carthage, Tennessee, certified for 128 beds and caring for about 81 residents a day.

CMS gives it 5 of 5 stars overall, above the Tennessee median of 3; the health inspection rating is 5, staffing 2 and quality measures 4.

Inspectors recorded 6 health deficiencies across the three most recent survey cycles (2, 3, 1 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 4.7 per 100 beds, fewer than the state median of 12.2.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.6 hours per resident per day (0.5 RN), close to the Tennessee median of 3.6; nursing staff turnover is 51.7%.

6health deficiencies, 3 survey cycles2 at actual harm or worse
$0fines listed by CMS0 penalties in period
3.6nurse hours per resident per daystate median 3.6
64%occupancy (residents ÷ beds)81 residents a day

Compared with county, state and nation

MeasureThis facilitySmith Co. medianTennessee medianUS average
Overall star rating5533.0
Health citations, 3 cycles661328.7
Citations per 100 beds4.74.712.226.8
Total nurse hours per resident day3.63.63.63.9
RN hours per resident day0.50.50.50.7
Nursing staff turnover51.7%51.7%50.0%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (1 in the county, 303 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)2
Cycle 23
Cycle 31

Dark bar: this facility. Grey bar: Tennessee average per facility for the same cycle, as published by CMS. Standard health survey dates: 17 Sep 2025, 26 Sep 2019.

Severity mix: J ×2 D ×3 E ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
17 Sep 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey7 Jan 2026
17 Sep 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey7 Jan 2026
26 Sep 2019F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.JStandard survey (under dispute review)24 Oct 2019
26 Sep 2019F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JStandard survey (under dispute review)24 Oct 2019
26 Sep 2019F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey (under dispute review)24 Oct 2019
26 Sep 2018F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey15 Oct 2018

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.6 h
Nurse aides1.84 h
LPN1.3 h
RN0.46 h
Weekend total3.23 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Tennessee average. Turnover: nursing staff 51.7%, RNs 50.0%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityTennessee medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay28.2%12.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.9%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.2%1.5%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.4%3.1%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%1.2%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay31.1%15.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.9%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay31.6%15.6%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. CMS groups this facility with 79 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: Carthage Opco Llc.

OrganisationRole in the CMS recordInterestSince
Clearview Healthcare Management Tn LLCOperational/managerial controlNOT APPLICABLE12/01/2021

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Questions and answers

How many deficiencies has Smith County Health and Rehabilitation been cited for?

6 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Tennessee median is 13 per facility.

Has Smith County Health and Rehabilitation been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Smith County Health and Rehabilitation compare?

Reported total nurse staffing is 3.6 hours per resident per day against a Tennessee median of 3.6 and a national average of 3.9.

Who operates Smith County Health and Rehabilitation?

CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Clearview Healthcare Management Tn LLC. Individual owners and managers are not listed on this site.

When was Smith County Health and Rehabilitation last inspected?

The most recent survey or investigation in the CMS record is dated 17 Sep 2025; the most recent standard health survey was 17 Sep 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.