facebook tracking Smyrna Care Center, Smyrna TN: CMS Ratings & Inspections
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Smyrna Care Center

All states › Tennessee › Smyrna › Smyrna Care Center

200 Mayfield Drive Smyrna, TN 37167 · Rutherford County

(615) 355-0350

All 2 nursing homes in Smyrna, TN (2 take Medicaid)

SFF candidate Accepts Medicare Accepts Medicaid 125 certified beds For profit

CMS certification number 445160 · See this home on Medicare Care Compare

Special Focus Facility candidate CMS lists this nursing home as a candidate for its Special Focus Facility program, which means it qualifies to be selected for the program based on its inspection record. Shown as of October 2026. About the program (CMS).

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 Smyrna Care 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 Smyrna Care Center as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Tennessee average of 3.1. Inspectors issued 32 citations in the last three years. CMS imposed 2 penalties, including $240,679 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. CMS lists it as a Special Focus Facility candidate.

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 3.56 hours per resident per day at Smyrna Care Center, about the same as 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 3.37 hours, 5% below its all-week average. 61.6% 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. 2 administrators left in the past year.

Nursing care per resident per day 3.56 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 3.37 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 61.6% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 33.3% a year Share of registered nurses who left over a year.
Administrators who left 2 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds125
Residents per day 96 About 77% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceOctober 1983
Part of a chainExceptional Living Centers
Legal business nameSMYRNA CARE CENTER

Paying for care at Smyrna Care Center: Medicare and Medicaid

Smyrna Care 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 June 26, 2026 and found 15 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 32 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 32 citations at Smyrna Care Center across 4 inspection dates, 1 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on June 26, 2026. The most common areas cited were quality of life and care (9) and resident rights (6). The most serious was cited under the CMS rule to "provide appropriate pressure ulcer care and prevent new ulcers from developing" (tag F0686, level J, June 26, 2026). 1 citation was under CMS's abuse, neglect and exploitation rules.

June 26, 2026 · 15 citations

JProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0686 · Deficient, Provider has date of correction (Jul 26, 2026)

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 (Jul 26, 2026)

ESet 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 (Jul 26, 2026)

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 (Jul 26, 2026)

DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0582 · Deficient, Provider has date of correction (Jul 26, 2026)

DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0628 · Deficient, Provider has date of correction (Jul 26, 2026)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Jul 26, 2026)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Jul 26, 2026)

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 (Jul 26, 2026)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Jul 26, 2026)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Jul 26, 2026)

DDispose of garbage and refuse properly.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0814 · Deficient, Provider has date of correction (Jul 26, 2026)

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 (Jul 26, 2026)

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 (Jul 26, 2026)

DEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0947 · Deficient, Provider has date of correction (Jul 26, 2026)

April 27, 2026 · 1 citation, includes immediate jeopardy · includes complaint inspection

JProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (May 16, 2026)

February 26, 2020 · 9 citations

FPost nurse staffing information every day.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Deficient, Provider has date of correction (Mar 20, 2020)

FProvide 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 (Mar 20, 2020)

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 (Mar 20, 2020)

DReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Deficient, Provider has date of correction (Mar 20, 2020)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Deficient, Provider has date of correction (Mar 20, 2020)

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 (Mar 20, 2020)

DProvide 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 (Mar 20, 2020)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Mar 20, 2020)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Mar 20, 2020)

March 6, 2019 · 7 citations

FProvide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0800 · Deficient, Provider has date of correction (Apr 10, 2019)

FProcure 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 (Apr 10, 2019)

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Apr 10, 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 (Apr 10, 2019)

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 (Apr 10, 2019)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Apr 10, 2019)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Apr 10, 2019)

Questions to ask on a tour of Smyrna Care Center

  1. Inspectors cited the home at the immediate-jeopardy level on June 26, 2026 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 February 26, 2020. 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. Nursing staff turnover was 61.6% a year. How many of the staff come from agencies?
  5. Several administrators left in the past year. What has changed for residents since then?
  6. 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?
  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

2 penalties in the last three years, including $240,679 in fines.

DateTypeAmount or length
Jun 26, 2026 Fine $57,664
Apr 27, 2026 Fine $183,015

Rating history

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

Hospitals near Smyrna Care Center

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

The Waters of Smyrna Smyrna · 0.2 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 91 beds · Medicaid
Life Care Center of Hickory Woods Antioch · 5.7 mi away ★★★★★ Inspection 4/5 · Staffing 3/5 124 beds · Medicaid
Tennessee Veterans Home Murfreesboro · 8.7 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 3/5 140 beds · Medicaid
Antioch TN Opco Antioch · 9.2 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 110 beds · Medicaid
Stones River Manor Murfreesboro · 9.3 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 30 beds · Medicaid

More nursing homes near Smyrna Care Center ›   All nursing homes in Smyrna ›

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Other Exceptional Living Centers nursing homes in Tennessee

Affiliation comes from CMS's affiliated-entity data, October 2026. All 10 Exceptional Living Centers 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/smyrna/smyrna-care-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.