Tennessee › Rutherford County › Smyrna
Smyrna Care Center
200 Mayfield Drive, Smyrna, TN 37167
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.
Smyrna Care Center is a For-profit, corporation nursing home in Smyrna, Tennessee, certified for 125 beds and caring for about 94 residents a day.
CMS gives it 1 of 5 stars overall, below the Tennessee median of 3; the health inspection rating is 1, staffing 2 and quality measures 2.
Inspectors recorded 30 health deficiencies across the three most recent survey cycles (10, 7, 13 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 24.0 per 100 beds, more than the state median of 12.2.
CMS lists 1 penalty in the period covered: fines totalling $175K.
Reported nurse staffing is 3.2 hours per resident per day (0.6 RN), close to the Tennessee median of 3.6; nursing staff turnover is 65.0%.
CMS flags that the facility has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | Rutherford Co. median | Tennessee median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 30 | 21 | 13 | 28.7 |
| Citations per 100 beds | 24.0 | 23.5 | 12.2 | 26.8 |
| Total nurse hours per resident day | 3.2 | 4.7 | 3.6 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.5 | 0.7 |
| Nursing staff turnover | 65.0% | 57.4% | 50.0% | 45.8% |
| Fines listed | $174,615 | $0 | $0 | — |
County and state figures are medians across facilities (8 in the county, 303 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Tennessee average per facility for the same cycle, as published by CMS. Standard health survey dates: 26 Feb 2020, 6 Mar 2019.
Severity mix: J ×1 G ×5 D ×18 E ×1 F ×5
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 27 Apr 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 16 May 2026 |
| 26 Feb 2020 | F0732 | Post nurse staffing information every day. | F | Standard survey | 20 Mar 2020 |
| 26 Feb 2020 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 20 Mar 2020 |
| 26 Feb 2020 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 20 Mar 2020 |
| 26 Feb 2020 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 20 Mar 2020 |
| 26 Feb 2020 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 20 Mar 2020 |
| 26 Feb 2020 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 20 Mar 2020 |
| 26 Feb 2020 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 20 Mar 2020 |
| 26 Feb 2020 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 20 Mar 2020 |
| 26 Feb 2020 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 20 Mar 2020 |
| 6 Mar 2019 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | F | Standard survey | 10 Apr 2019 |
| 6 Mar 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 10 Apr 2019 |
| 6 Mar 2019 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 10 Apr 2019 |
| 6 Mar 2019 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 10 Apr 2019 |
| 6 Mar 2019 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 10 Apr 2019 |
| 6 Mar 2019 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 10 Apr 2019 |
| 6 Mar 2019 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 10 Apr 2019 |
| 24 Jan 2018 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Standard survey | 12 Feb 2018 |
| 24 Jan 2018 | F0641 | Ensure each resident receives an accurate assessment. | G | Standard survey | 12 Feb 2018 |
| 24 Jan 2018 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard survey | 12 Feb 2018 |
| 24 Jan 2018 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 12 Feb 2018 |
| 24 Jan 2018 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 12 Feb 2018 |
| 24 Jan 2018 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 12 Feb 2018 |
| 24 Jan 2018 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 12 Feb 2018 |
| 24 Jan 2018 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 12 Feb 2018 |
| 24 Jan 2018 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 12 Feb 2018 |
| 24 Jan 2018 | F0732 | Post nurse staffing information every day. | D | Standard survey | 12 Feb 2018 |
| 24 Jan 2018 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 12 Feb 2018 |
| 24 Jan 2018 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 12 Feb 2018 |
| 24 Jan 2018 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 12 Feb 2018 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 27 Apr 2026 | Fine | $174,615 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Tennessee average. Turnover: nursing staff 65.0%, RNs 36.4%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Tennessee median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.2% | 12.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.5% | 3.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.3% | 1.2% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.3% | 15.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.0% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.1% | 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, corporation. Chain: Exceptional Living Centers (10 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Medical Rehabilitation Centers, LLC | 5% or greater direct ownership interest | 100% | 02/01/2023 |
| Lexington Health Management LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/01/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Rutherford County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Nhc Healthcare, Murfreesboro | Murfreesboro | 181 | 5 | 5 | 3 | 7 | 3.9 | — | 2 Aug 2024 |
| Stones River Manor, Inc | Murfreesboro | 30 | 5 | 4 | 5 | 15 | 50.0 | — | 1 Jul 2025 |
| Adamsplace, LLC | Murfreesboro | 40 | 3 | 2 | 4 | 9 | 22.5 | — | 17 Dec 2025 |
| Stone River Post Acute | Murfreesboro | 68 | 3 | 3 | 3 | 16 | 23.5 | — | 4 Dec 2025 |
| Community Care of Rutherford | Murfreesboro | 131 | 1 | 1 | 1 | 21 | 16.0 | — | 27 Jun 2026 |
| Tennessee Veterans Home | Murfreesboro | 140 | 1 | 1 | 4 | 23 | 16.4 | $193K | 6 May 2026 |
| The Waters of Smyrna, LLC | Smyrna | 91 | 1 | 1 | 1 | 36 | 39.6 | $98K | 21 Jun 2024 |
All 8 facilities in Rutherford County
Questions and answers
How many deficiencies has Smyrna Care Center been cited for?
30 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Tennessee median is 13 per facility.
Has Smyrna Care Center been fined?
Yes. CMS lists fines totalling $175K in the period covered.
How does staffing at Smyrna Care Center compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Tennessee median of 3.6 and a national average of 3.9.
Who operates Smyrna Care Center?
It is part of the Exceptional Living Centers chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Medical Rehabilitation Centers, LLC and Lexington Health Management LLC. Individual owners and managers are not listed on this site.
When was Smyrna Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 27 Apr 2026; the most recent standard health survey was 26 Feb 2020.
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.