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Smoky Mountain Health and Rehabilitation Center

All states › Tennessee › Pigeon Forge › Smoky Mountain Health and Rehabilitation Center

415 Cole Drive Pigeon Forge, TN 37863 · Sevier County

(865) 428-5454

Accepts Medicare Accepts Medicaid 120 certified beds For profit

CMS certification number 445382 · 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 Smoky Mountain Health and Rehabilitation Center 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 Smoky Mountain Health and Rehabilitation Center as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Tennessee average of 3.1. Inspectors issued 17 citations in the last three years. CMS imposed 3 penalties, including $61,180 in fines, in that time. For short-term rehab patients CMS rates quality 1 out of 5; for long-term residents, 4 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 3.27 hours per resident per day at Smoky Mountain Health and Rehabilitation Center, below the Tennessee median of 3.66 (US median: 3.72). About 0.58 of those hours are from registered nurses. On weekends it falls to 2.78 hours, 15% below its all-week average. 72.9% of nursing staff left within a year (Tennessee median 48.7%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.

Nursing care per resident per day 3.27 hours
Below the Tennessee median of 3.66 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.58 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.78 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 72.9% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 63.6% a year Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds120
Residents per day 89 About 74% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceSeptember 1996
Part of a chainCch Healthcare
Legal business nameSM HEALTHCARE OP LLC

Paying for care at Smoky Mountain Health and Rehabilitation Center: Medicare and Medicaid

Smoky Mountain Health and Rehabilitation Center 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 January 5, 2024 and found 6 deficiencies, plus 1 from complaint inspections in the same period. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 17 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 17 citations at Smoky Mountain Health and Rehabilitation Center across 5 inspection dates, 5 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 5, 2024 (complaint inspection). The most common areas cited were resident assessment and care planning (4) and quality of life and care (3). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, April 5, 2024). 2 citations were under CMS's abuse, neglect and exploitation rules.

August 11, 2026 · 1 citation · includes complaint inspection

GEnsure that residents are free from significant medication errors.

Actual harm · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Deficient, Provider has no plan of correction

June 21, 2024 · 1 citation, includes actual harm · includes complaint inspection

GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has no plan of correction

April 5, 2024 · 3 citations, includes immediate jeopardy · includes complaint inspection

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 · Complaint inspection · Deficient, Provider has date of correction (Apr 8, 2024)

JProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Immediate jeopardy · Nursing and Physician Services Deficiencies · Tag F0725 · Complaint inspection · Deficient, Provider has date of correction (Apr 8, 2024)

GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Jul 22, 2024)

January 5, 2024 · 6 citations

EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Jan 26, 2024)

DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Jan 26, 2024)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Jan 26, 2024)

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Deficient, Provider has date of correction (Jan 26, 2024)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Jan 26, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jan 26, 2024)

September 11, 2019 · 6 citations

FSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Potential for more than minimal harm · Administration Deficiencies · Tag F0867 · Deficient, Provider has date of correction (Oct 19, 2019)

EProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Oct 19, 2019)

EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0725 · Deficient, Provider has date of correction (Oct 19, 2019)

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 (Oct 19, 2019)

DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Oct 19, 2019)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Oct 19, 2019)

Questions to ask on a tour of Smoky Mountain Health and Rehabilitation Center

  1. Inspectors cited the home at the immediate-jeopardy level on April 5, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on June 21, 2024. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Nursing staff turnover was 72.9% a year. How many of the staff come from agencies?
  5. CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  6. The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
  7. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  8. 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

3 penalties in the last three years, including $61,180 in fines.

DateTypeAmount or length
Apr 5, 2024 Fine $17,255
Apr 5, 2024 Fine $43,925
Apr 5, 2024 Payment Denial 81 days of payments denied

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 1/5 1/5 3/5
August 2026 1/5 2/5 1/5 3/5
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Location

Hospitals near Smoky Mountain Health and Rehabilitation Center

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

  • 5.0 mi
    Leconte Medical Center Sevierville
    Emergency room ★★★★★ Medicare overall 5 of 5
    Median ER visit 3h 20m for patients treated and sent home
  • 22.3 mi
    Blount Memorial Hospital Maryville
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 3h 36m for patients treated and sent home
  • 22.3 mi
    St Mary's Jefferson Memorial Hospital Jefferson City
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 2h 50m for patients treated and sent home

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

Nearby nursing homes

Sevierville Health and Rehabilitation Center Sevierville · 6.2 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 98 beds · Medicaid
Jefferson County Nursing Home Dandridge · 18.5 mi away ★★★☆☆ Inspection 4/5 · Staffing 4/5 160 beds · Medicaid
Asbury Place at Maryville Maryville · 20.3 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 181 beds · Medicaid
Ocoee Transitional Care Center Maryville · 21.1 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 76 beds
Holston Health & Rehabilitation Center Knoxville · 21.6 mi away ★★★★★ Inspection 4/5 · Staffing 3/5 94 beds · Medicaid

More nursing homes near Smoky Mountain Health and Rehabilitation Center ›   All nursing homes in Pigeon Forge ›

Compare Smoky Mountain Health and Rehabilitation Center with the 3 closest homes side by side ›

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Other Cch Healthcare nursing homes in Tennessee

Affiliation comes from CMS's affiliated-entity data, October 2026. All 33 Cch Healthcare 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/pigeon-forge/smoky-mountain-health-and-rehabilitation-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.