Nursing HomeInspections

Smith County Health and Rehabilitation

Nursing home in Carthage, TN

Medicare & Medicaid certified5★ overall (CMS)

Call (615) 735-0569Send a messageMap ↗

Public-record details

Address
112 Health Care Dr, Carthage, TN 37030
Phone
(615) 735-0569
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
445172
Overall star rating
5 of 5 ★★★★★
Health inspection rating
5 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
128
Average residents per day
81
Ownership
For-profit, limited Liability company
Legal business name
Carthage Opco LLC
Chain
Simcha Hyman & Naftali Zanziper (79 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 4, 1984
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 445172. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 17, 2025. CMS lists 6 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 26, 2018 to Sep 17, 2025): 0 from complaint inspections, 2 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Sep 17, 2025Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Sep 17, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Sep 26, 2019Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · under dispute review		D
Potential for more than minimal harm, isolated
Sep 26, 2019Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation · under dispute review		J
Immediate jeopardy, isolated
Sep 26, 2019Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · under dispute review		J
Immediate jeopardy, isolated
Sep 26, 2018Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.60 hours
Registered nurse (RN) time per resident per day
0.46 hours
Nurse aide time per resident per day
1.84 hours
Total nurse staffing on weekends
3.23 hours
Nursing staff turnover (yearly)
52%
RN turnover (yearly)
50%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.