Smyrna Care Center
200 Mayfield Drive, Smyrna, TN 37167 · Rutherford County · 125 certified beds · avg 94 residents/day · certified since Oct 26, 1983
Part of chain: EXCEPTIONAL LIVING CENTERS (10 facilities, chain avg rating 2.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · 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 27, 2026 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable 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: May 16, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jan 24, 2018 · F-0580
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
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: Feb 12, 2018 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jan 24, 2018 · F-0641
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Why it matters: An inaccurate assessment can mean the wrong care plan — and needs that go unmet.
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: Feb 12, 2018 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jan 24, 2018 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
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: Feb 12, 2018 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jan 24, 2018 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
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: Feb 12, 2018 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jan 24, 2018 · 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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Feb 12, 2018 (Deficient, Provider has date of correction)
All citations in the current public record (30)
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 |
|---|---|---|
| Apr 27, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Feb 26, 2020 | F · Potential for harm, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Feb 26, 2020 | F · Potential for harm, facility-wide | 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. |
| Feb 26, 2020 | 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. |
| Feb 26, 2020 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Feb 26, 2020 | D · Potential for 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. |
| Feb 26, 2020 | 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. |
| Feb 26, 2020 | D · Potential for harm, one-off | 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. |
| Feb 26, 2020 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Feb 26, 2020 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 6, 2019 | F · Potential for harm, facility-wide | The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs. |
| Mar 6, 2019 | F · Potential for harm, facility-wide | 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. |
| Mar 6, 2019 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 6, 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. |
| Mar 6, 2019 | 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. |
| Mar 6, 2019 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 6, 2019 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jan 24, 2018 | ▲ G · Actual harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Jan 24, 2018 | ▲ G · Actual 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 24, 2018 | ▲ G · Actual harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jan 24, 2018 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jan 24, 2018 | ▲ G · Actual 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. |
| Jan 24, 2018 | F · Potential for harm, facility-wide | 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. |
| Jan 24, 2018 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Jan 24, 2018 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jan 24, 2018 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Jan 24, 2018 | D · Potential for harm, one-off | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Jan 24, 2018 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Jan 24, 2018 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jan 24, 2018 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (7 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 13 | 5 | G ▲ |
| 2019 | 7 | 0 | F |
| 2020 | 9 | 0 | F |
| 2026 | 1 | 1 | 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)
1 fine totaling $174,615.
| Date | Type | Amount / length |
|---|---|---|
| Apr 27, 2026 | Fine | $174,615 |
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) | 2.91 | 3.62 | 3.95 | bottom 13% in Tennessee; bottom 11% in the U.S. |
| Registered Nurse hours | 0.54 | 0.57 | 0.69 | top 43% in Tennessee; bottom 44% in the U.S. |
| Weekend total nurse staffing | 2.70 | 3.15 | 3.50 | bottom 25% in Tennessee; bottom 16% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.53 | 0.39 | 0.48 | top 18% in Tennessee; top 29% in the U.S. |
| Total nursing staff turnover (%) | 65.0 | 48.9 | 45.8 | bottom 12% in Tennessee; bottom 10% in the U.S. |
| RN turnover (%) | 36.4 | 43.2 | 42.9 | top 37% in Tennessee; top 40% 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 3.22, RN 0.60, weekend 2.99. 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: 2/5 · long-stay residents: 4/5 · short-stay residents: 2/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Lexington Health Management LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/01/2023 |
| Medical Rehabilitation Centers, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/01/2023 |
| Watts, Amy | Individual | 5% or Greater Indirect Ownership Interest | — | 02/01/2023 |
| Watts, Walter | Individual | 5% or Greater Indirect Ownership Interest | — | 02/01/2023 |
| Campbell, Brenda | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2023 |
| Campbell, Brenda | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2023 |
| Park, Seleena | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/23/2025 |
| Park, Seleena | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/23/2025 |
| Park, Seleena | Individual | ADP of the SNF | NOT APPLICABLE | 01/23/2025 |
| Vollmer, Donald | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/01/2023 |
| Vollmer, Donald | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2023 |
| Watts, Walter | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2023 |
| Watts, Walter | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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 | Flags |
|---|---|---|---|---|---|
| The Waters of Smyrna, LLC | 0.2 mi | Smyrna, TN | ★☆☆☆☆ | 1/5 | |
| Life Care Center of Hickory Woods | 5.7 mi | Antioch, TN | ★★★★★ | 4/5 | |
| Tennessee Veterans Home | 8.8 mi | Murfreesboro, TN | ★☆☆☆☆ | 1/5 | |
| Antioch TN Opco, LLC | 9.3 mi | Antioch, TN | ★★☆☆☆ | 1/5 | abuseSFF |
| Stones River Manor, INC | 9.3 mi | Murfreesboro, TN | ★★★★★ | 4/5 | |
| Adamsplace, LLC | 9.8 mi | Murfreesboro, TN | ★★★☆☆ | 2/5 | |
| Stone River Post Acute | 10.2 mi | Murfreesboro, TN | ★★★☆☆ | 3/5 | |
| NHC Healthcare, Murfreesboro | 11.5 mi | Murfreesboro, TN | ★★★★★ | 5/5 | |
| Bethany Center for Rehabilitation and Healing LLC | 12.7 mi | Nashville, TN | ★☆☆☆☆ | 2/5 | |
| Somerfield at the Heritage | 15.8 mi | Brentwood, TN | ★★★★★ | 5/5 | |
| Cedar Creek Post Acute | 15.8 mi | Mount Juliet, TN | ★☆☆☆☆ | 1/5 | |
| Community Care of Rutherford | 16.3 mi | Murfreesboro, TN | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 445160.