Smith County Health and Rehabilitation

Name: Smith County Health and Rehabilitation
Address: 112 HEALTH CARE DR, Carthage, TN, 37030, US
Telephone: 6157350569

112 Health Care Dr, Carthage, TN 37030 · Smith County · 128 certified beds · avg 81 residents/day · certified since Dec 4, 1984

Part of chain: SIMCHA HYMAN & NAFTALI ZANZIPER (79 facilities, chain avg rating 2.6★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.50

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Sep 26, 2019 · F-0604

The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.

Why it matters: Unneeded restraints can cause injuries, muscle loss, and deep emotional distress.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Oct 24, 2019 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, one-off · Sep 26, 2019 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Corrected: Oct 24, 2019 (Deficient, Provider has date of correction)

All citations in the current public record (6)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Sep 17, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Sep 17, 2025	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Sep 26, 2019	▲ J · Immediate jeopardy, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Sep 26, 2019	▲ J · Immediate jeopardy, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Sep 26, 2019	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Sep 26, 2018	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (3 → 2).

Year	Citations	Serious (G–L)	Worst severity that year
2018	1	0	D
2019	3	2	J ▲
2025	2	0	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Tennessee avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.50	3.62	3.95	top 48% in Tennessee; bottom 37% in the U.S.
Registered Nurse hours	0.45	0.57	0.69	bottom 36% in Tennessee; bottom 30% in the U.S.
Weekend total nurse staffing	3.14	3.15	3.50	top 40% in Tennessee; bottom 39% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.49	0.39	0.48	top 22% in Tennessee; top 34% in the U.S.
Total nursing staff turnover (%)	51.7	48.9	45.8	bottom 44% in Tennessee; bottom 32% in the U.S.
RN turnover (%)	50.0	43.2	42.9	bottom 37% in Tennessee; bottom 39% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.60, RN 0.46, weekend 3.23. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 2/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Clearview Healthcare Management TN LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2021
Malone, Casey	Individual	W-2 Managing Employee	NOT APPLICABLE	09/26/2022
Vujanovic, Mick	Individual	Corporate Officer	NOT APPLICABLE	01/01/2020
Vujanovic, Mick	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2020

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your policy on physical restraints, and what alternatives do you try first?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Hartsville Convalescent Center	12.2 mi	Hartsville, TN	★☆☆☆☆	2/5
Quality Center for Rehabilitation and Healing LLC	16.3 mi	Lebanon, TN	★☆☆☆☆	2/5
Knollwood Manor	17.8 mi	Lafayette, TN	★☆☆☆☆	1/5
Lebanon Center for Rehabilitation and Healing, LLC	17.8 mi	Lebanon, TN	★★★★★	4/5
Pavilion-Ths, LLC	19.0 mi	Lebanon, TN	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Carthage →

Facility data as of CMS processing date 2026-08-01. CCN 445172.

The Care File

Visit checklist — Smith County Health and Rehabilitation

112 Health Care Dr, Carthage, TN 37030 · 6157350569

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Most serious findings on record:

▲ Sep 26, 2019 (F-0604, Immediate jeopardy, one-off): The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
▲ Sep 26, 2019 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your policy on physical restraints, and what alternatives do you try first?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 445172 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)