ElderGrade
B

74/100

Above average

Smith County Health And Rehabilitation

112 Health Care Dr, Carthage, TN 37030

CMS 5/5 stars (615) 735-0569
Certified beds
128
Occupancy
64%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 2 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

13/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.5 total nurse hours per resident per day (national median 3.77)
  • 0.46 RN hours per resident per day
  • Weekend staffing drops 10% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 52% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.60 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.46 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.23 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 51.70%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: September 17, 2025 (11 months ago).

E Sep 17, 2025 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

D Sep 17, 2025 F0757

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

No actual harm, potential for more than minimal harm

J Sep 26, 2019 F0604

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Immediate jeopardy to resident health or safety

J Sep 26, 2019 F0689

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy to resident health or safety

D Sep 26, 2019 F0550

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

No actual harm, potential for more than minimal harm

D Sep 26, 2018 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of SIMCHA HYMAN & NAFTALI ZANZIPER, which operates 84 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
MALONE, CASEY Individual W-2 MANAGING EMPLOYEE
VUJANOVIC, MICK Individual CORPORATE OFFICER
CLEARVIEW HEALTHCARE MANAGEMENT TN LLC Organization OPERATIONAL/MANAGERIAL CONTROL
VUJANOVIC, MICK Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

Write a review

No family reviews yet for Smith County Health And Rehabilitation. If you or a relative have experience of this home, other families would find it useful.

Be the first to review

Every review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern — that routes you to your state ombudsman, who can actually intervene.

Common questions about Smith County Health And Rehabilitation

What is the ElderGrade for Smith County Health And Rehabilitation? +

Smith County Health And Rehabilitation holds an ElderGrade of B (74 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Smith County Health And Rehabilitation? +

Residents receive an average of 3.60 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Smith County Health And Rehabilitation been cited for harming residents? +

Yes. 2 of the 6 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Smith County Health And Rehabilitation accept Medicaid? +

Yes, Smith County Health And Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.