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Smith County Health and Rehabilitation
112 Health Care Dr, Carthage, TN 37030 (opens Google Maps) · Smith County · (615) 735-0569· 128 certified beds · avg 81 residents/day · certified since Dec 4, 1984 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: SIMCHA HYMAN & NAFTALI ZANZIPER (79 facilities, chain avg rating 2.6★)
5/5
Health inspection rating (on-site)
inspected Sep 17, 2025
2
Serious findings on record
most recent Sep 26, 2019
$0
Fines, last 3 years
3.50
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, isolated · 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.
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Oct 24, 2019 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · 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.
▲ Immediate jeopardy, isolated · 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.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Oct 24, 2019 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 6 inspection findings. Open the full record below to read every finding.
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. F-0812
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. F-0757
The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. F-0604
View all 6 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 17, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Sep 17, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0757 |
| Sep 26, 2019 | ▲ J · Immediate jeopardy, isolated | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · F-0604 |
| Sep 26, 2019 | ▲ J · Immediate jeopardy, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Sep 26, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
| Sep 26, 2018 | D · Potential for more than minimal harm, isolated | 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. · F-0812 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (3 → 2).
All citationsSerious citations (G–L)
2018
All citations: 1
Serious citations (G–L): 0
2019
All citations: 3
Serious citations (G–L): 2
2025
All citations: 2
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityTennessee averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.50
Tennessee average: 3.62
U.S. average: 3.95
Registered Nurse hours
This facility: 0.45
Tennessee average: 0.57
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.14
Tennessee average: 3.15
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.60 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 2/5 · short-stay residents: 5/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Smith County Health and Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 4 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Simcha Hyman & Naftali Zanziper — 79 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Soddy-Daisy Health Care Center — Soddy-Daisy, TN · overall 3/5
- Willow Branch Health and Rehabilitation — McMinnville, TN · overall 2/5
- August Healthcare at Richmond — Richmond, VA · overall 3/5
- Anchor Care & Rehabilitation Center — Palm Bay, FL · overall 4/5
- Beach Street Health and Rehabilitation Center — Daytona Beach, FL · overall 4/5
- Brynwood Health and Rehabilitation Center — Monticello, FL · overall 5/5
- Dade City Health and Rehabilitation Center — Dade City, FL · overall 1/5abuseSFF
- Gainesville Health and Rehabilitation — Gainesville, FL · overall 1/5
Listed by state, then facility name — not a ranking. Showing 8 of the 78 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 52% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| 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 | 17.9 mi | Lebanon, TN | ★★★★★ | 4/5 | |
| Pavilion-Ths, LLC | 19.0 mi | Lebanon, TN | ★★★★★ | 4/5 |
Facility data as of CMS processing date 2026-08-01. CCN 445172.