Smoky Mountain Health and Rehabilitation Center
415 Cole Drive, Pigeon Forge, TN 37863 · Sevier County · 120 certified beds · avg 85 residents/day · certified since Sep 1, 1996
Part of chain: CCH HEALTHCARE (33 facilities, chain avg rating 2.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
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 · Apr 5, 2024 · F-0689 · triggered by a complaint
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): 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: Apr 8, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Apr 5, 2024 · F-0725 · triggered by a complaint
The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Why it matters: Understaffing means longer waits for help, missed care, and higher risk of falls and other harm.
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: Apr 8, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jun 21, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
▲ Actual harm, one-off · Apr 5, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jul 22, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (16)
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 |
|---|---|---|
| Jun 21, 2024 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Apr 5, 2024 | ▲ 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. · from a complaint |
| Apr 5, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint |
| Apr 5, 2024 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jan 5, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jan 5, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jan 5, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jan 5, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Jan 5, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jan 5, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Sep 11, 2019 | F · Potential for harm, facility-wide | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Sep 11, 2019 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Sep 11, 2019 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Sep 11, 2019 | 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 11, 2019 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Sep 11, 2019 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 6 | 0 | F |
| 2024 | 10 | 4 | J ▲ |
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)
2 fines totaling $61,180, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Apr 5, 2024 | Fine | $17,255 |
| Apr 5, 2024 | Fine | $43,925 |
| Apr 5, 2024 | Payment Denial | 81 days from May 2, 2024 |
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) | 3.18 | 3.62 | 3.95 | bottom 27% in Tennessee; bottom 21% in the U.S. |
| Registered Nurse hours | 0.44 | 0.57 | 0.69 | bottom 35% in Tennessee; bottom 28% in the U.S. |
| Weekend total nurse staffing | 2.65 | 3.15 | 3.50 | bottom 21% in Tennessee; bottom 14% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.28 | 0.39 | 0.48 | bottom 36% in Tennessee; bottom 28% in the U.S. |
| Total nursing staff turnover (%) | 70.1 | 48.9 | 45.8 | bottom 4% in Tennessee; bottom 6% in the U.S. |
| RN turnover (%) | 61.5 | 43.2 | 42.9 | bottom 19% in Tennessee; bottom 20% 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 3.45, RN 0.47, weekend 2.87. Staffing rating: 1/5.
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: 3/5 · long-stay residents: 4/5 · short-stay residents: 1/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 10-26 Nationwide Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| 1026 Enterprises II, LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Capital Holdings Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Jeremias, Baruch | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Starlight Healthcare LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Stern, Jacob | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| 10-26 Nationwide Tr | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| 1026 Enterprises II, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Capital Holdings Trust | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| CCH Healthcare NC, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| CCH Healthcare NC, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/30/2025 |
| Chamberlain, Leonard | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Chamberlain, Leonard | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Daniel, Anton | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Daniel, Anton | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| SM Healthcare PC LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| SM Healthcare PC LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Starlight Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Stern, Jacob | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2025 |
| Stern, Jacob | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
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 falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "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 | Flags |
|---|---|---|---|---|---|
| Sevierville Health and Rehabilitation Center | 6.2 mi | Sevierville, TN | ★★★★☆ | 4/5 | |
| Jefferson County Nursing Home | 18.5 mi | Dandridge, TN | ★★★☆☆ | 4/5 |
Compare this facility with the 2 closest →
All facilities in Pigeon Forge →
Facility data as of CMS processing date 2026-08-01. CCN 445382.