Nursing HomeInspections

Smoky Mountain Health and Rehabilitation Center

Nursing home in Pigeon Forge, TN

Medicare & Medicaid certified1★ overall (CMS)

Call (865) 428-5454Send a messageMap ↗

Public-record details

Address
415 Cole Drive, Pigeon Forge, TN 37863
Phone
(865) 428-5454
Listed under
For-profit
Medicare CCN
445382
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
120
Average residents per day
85
Ownership
For-profit, limited Liability company
Legal business name
Sm Healthcare Op LLC
Chain
Cch Healthcare (33 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Sep 1, 1996
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 445382. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jan 5, 2024. CMS lists 16 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 11, 2019 to Jun 21, 2024): 4 from complaint inspections, 4 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 21, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		G
Actual harm, isolated
Apr 5, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		G
Actual harm, isolated
Apr 5, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Apr 5, 2024Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · complaint inspection		J
Immediate jeopardy, isolated
Jan 5, 2024Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance…
Resident Rights		D
Potential for more than minimal harm, isolated
Jan 5, 2024Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jan 5, 2024Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jan 5, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jan 5, 2024Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Jan 5, 2024Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights		E
Potential for more than minimal harm, pattern
Sep 11, 2019Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Sep 11, 2019Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 16. Full inspection reports are on Medicare Care Compare.

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 2 fines totalling $61,180 and 1 denial of Medicare payment for new admissions in the last three years.

Apr 5, 2024Fine: $17,255
Apr 5, 2024Fine: $43,925
Apr 5, 2024Payment denial for 81 days from May 2, 2024

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
3.45 hours
Registered nurse (RN) time per resident per day
0.47 hours
Nurse aide time per resident per day
2.01 hours
Total nurse staffing on weekends
2.87 hours
Nursing staff turnover (yearly)
70%
RN turnover (yearly)
62%
Administrators who left in the past year
2

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.