Smith County Health and Rehabilitation

112 Health Care Dr · Carthage, TN · 37030 · 6157350569

128 certified beds For profit - Limited Liability company Chain: Simcha Hyman & Naftali Zanziper

  • Cleaner inspection record than most facilities nationally.
  • No federal fines or payment denials in CMS’s 3-year window.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

2 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Score breakdown

Inspection record 30% of score 84
Serious harm & abuse 20% 78
Staffing 20% 58
Federal penalties 15% 100
Trend 10% 60
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 5 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.383.48 min · 4.1 strong
RN hours / resident-day0.370.55–0.75
Weekend hours / resident-day3.04≈ weekday level
Nursing turnover / year48%median 45%
Fines (3-yr window)none

Inspection citations (6 in the current record)

  • Potential for harm · D September 17, 2025

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected January 7, 2026 · Pharmacy Service

  • Potential for harm · E September 17, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected January 7, 2026 · Nutrition and Dietary

  • Immediate jeopardy · J September 26, 2019

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected October 24, 2019 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J September 26, 2019

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 24, 2019 · Quality of Life and Care

  • Potential for harm · D September 26, 2019

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected October 24, 2019 · Resident Rights

  • Potential for harm · D September 26, 2018

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected October 15, 2018 · Nutrition and Dietary

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445172 · certified since December 4, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.