74/100
Above average
Smith County Health And Rehabilitation
112 Health Care Dr, Carthage, TN 37030
- Certified beds
- 128
- Occupancy
- 64%
- Ownership
- For-profit
- Accepts
- Medicare + Medicaid
Our read on Smith County Health And Rehabilitation
Smith County Health and Rehabilitation runs 128 certified beds in Carthage under for-profit LLC ownership, and its inspection record is genuinely strong, a five-star health inspection rating with just six deficiencies on file, though two of those reached the harm or jeopardy level and one was abuse-related, so the record isn't spotless. Staffing is where the picture weakens. At 3.60 nurse hours per resident day, it sits about 7% under the national average, weekends run roughly 10% lighter than weekdays, and annual turnover of 51.7% edges past the 45.8% national figure. The most recent inspection was September 2025. Ask about weekend coverage and how quickly aides cycle through.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
13/30Nursing 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
9/15How 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
12/15The 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
10/10Fines 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 detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: September 17, 2025 (1 year ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of SIMCHA HYMAN & NAFTALI ZANZIPER, which operates 79 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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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? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
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.
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