GoodStanding

Nursing home report

SMITH COUNTY HEALTH AND REHABILITATION

CARTHAGE, TN · Medicare-certified · 128 beds

In good standing
For-profitChain member
4 of 5 overall

4 out of 5 stars overall. Strong inspection and quality scores, but staffing is a major weakness at 1 out of 5 stars with reported nurse staffing below the federal benchmark (3.38 vs. 4.1 hours per resident per day); there were no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.3805 hrs/resident/day

Quality measures

Last inspection: September 17, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3805.

Staffing detail

Registered nurses
0.37
Licensed practical nurses
1.34
Nurse aides
1.67
Weekend nursing
3.04

Hours per resident per day.

Total staff turnover: 48%
Registered nurse turnover: 60%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

32.2%Improving

Residents with a fall causing major injury

4.2%Worsening

Residents with pressure ulcers (bedsores)

4.1%Steady

Residents with a urinary tract infection

0.4%Worsening

Residents who lost too much weight

7.3%Improving

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

30.4%Worsening

Residents whose ability to walk got worse

36.1%Steady
Show all measures

Long-stay residents on antianxiety or sleep medication

36.5%Worsening

Short-stay residents newly given an antipsychotic

0%Steady

Residents with a long-term catheter

0.6%Worsening

Residents with new or worsening incontinence

20.3%Worsening

Residents with depressive symptoms

0%Steady

Long-stay residents given the seasonal flu vaccine

95.1%Steady

Long-stay residents given the pneumonia vaccine

87.6%Worsening

Short-stay residents given the seasonal flu vaccine

58.5%Steady

Short-stay residents given the pneumonia vaccine

40.6%Worsening

What the inspectors found

The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited September 2019 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 604 — 42 CFR §483.12 — S/S: J

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2019 — isolated incident, immediate jeopardy to residents.

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F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: E

The home failed to ensure residents’ medications were free from unnecessary drugs. Cited September 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 757 — 42 CFR §483.45(d) — S/S: D

The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited September 2019 — isolated incident, potential for harm.

View the original federal record

F-Tag 550 — 42 CFR §483.10(a) — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of SIMCHA HYMAN & NAFTALI ZANZIPER · 90 homes · 2.5 stars avg
Occupancy
81.9 residents on an average day (64% of 128 beds)
Resident voice
Resident council
Medicare history
Certified for 41 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.