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Smith County Health and Rehabilitation

All states › Tennessee › Carthage › Smith County Health and Rehabilitation

112 Health Care Dr Carthage, TN 37030 · Smith County

(615) 735-0569

Accepts Medicare Accepts Medicaid 128 certified beds For profit

CMS certification number 445172 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Smith County Health and Rehabilitation a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Smith County Health and Rehabilitation as of October 2026.

CMS rates it 5 out of 5 stars overall, above the Tennessee average of 3.1. Inspectors issued 6 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 5 out of 5; for long-term residents, 3 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.53 hours per resident per day at Smith County Health and Rehabilitation, below the Tennessee median of 3.66 (US median: 3.72). About 0.42 of those hours are from registered nurses. On weekends it falls to 3.24 hours, 8% below its all-week average. 49.4% of nursing staff left within a year (Tennessee median 48.7%).

Nursing care per resident per day 3.53 hours
Below the Tennessee median of 3.66 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.42 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.24 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 49.4% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 25% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds128
Residents per day 85 About 66% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceDecember 1984
Part of a chainSimcha Hyman & Naftali Zanziper
Legal business nameCARTHAGE OPCO LLC

Paying for care at Smith County Health and Rehabilitation: Medicare and Medicaid

Smith County Health and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Tennessee's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on September 17, 2025 and found 2 deficiencies. In total, inspectors issued 6 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 6 citations at Smith County Health and Rehabilitation across 3 inspection dates. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on September 26, 2019. The most common areas cited were nutrition and dietary (2) and freedom from abuse, neglect, and exploitation (1). The most serious was cited under the CMS rule to "ensure that each resident is free from the use of physical restraints, unless needed for medical treatment" (tag F0604, level J, September 26, 2019). 1 citation was under CMS's abuse, neglect and exploitation rules.

September 17, 2025 · 2 citations

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jan 7, 2026)

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Deficient, Provider has date of correction (Jan 7, 2026)

September 26, 2019 · 3 citations, includes immediate jeopardy

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

Immediate jeopardy · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 · Deficient, Provider has date of correction (Oct 24, 2019)

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

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Oct 24, 2019)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Oct 24, 2019)

September 26, 2018 · 1 citation

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Oct 15, 2018)

Questions to ask on a tour of Smith County Health and Rehabilitation

  1. Inspectors cited the home at the immediate-jeopardy level on September 26, 2019 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on September 26, 2019. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 5/5 5/5 2/5 4/5
August 2026 5/5 5/5 2/5 4/5
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Location

Hospitals near Smith County Health and Rehabilitation

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Hartsville Convalescent Center Hartsville · 12.2 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 95 beds · Medicaid
Quality Center for Rehabilitation and Healing Lebanon · 16.3 mi away ★★★☆☆ Inspection 2/5 · Staffing 2/5 280 beds · Medicaid
Knollwood Manor Lafayette · 17.8 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 4/5 49 beds · Medicaid
Lebanon Center for Rehabilitation and Healing Lebanon · 17.8 mi away ★★★★★ Inspection 4/5 · Staffing 2/5 60 beds · Medicaid
Pavilion-Ths Lebanon · 19.0 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 60 beds · Medicaid

More nursing homes near Smith County Health and Rehabilitation ›   All nursing homes in Carthage ›

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Other Simcha Hyman & Naftali Zanziper nursing homes in Tennessee

Affiliation comes from CMS's affiliated-entity data, October 2026. All 79 Simcha Hyman & Naftali Zanziper nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/tennessee/carthage/smith-county-health-and-rehabilitation/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.