Smoky Mountain Healthcare and Rehabilitation Center
Registered name: SMOKY MOUNTAIN HEALTH AND REHABILITATION CENTER
PIGEON FORGE, TN · Medicare-certified · 120 beds
Needs attention
For-profitChain member
Data as of July 1, 2026·
★★★★★1 of 5 overall
Smoky Mountain Healthcare and Rehabilitation Center in Pigeon Forge, TN has an overall rating of 1 out of 5 stars, with a 1-star staffing rating and 3.45 reported nurse staffing hours per resident per day versus the 4.1-hour federal benchmark. It also has a 2-star health inspection rating, 3-star quality measures rating, $0 in fines over the last 24 months, and an attention flag for the lowest overall rating.
Last inspection: June 21, 2024Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4498.
Staffing detail
Registered nurses
0.47
Licensed practical nurses
0.97
Nurse aides
2.01
Weekend nursing
2.87
Hours per resident per day.
Total staff turnover: 70%
Registered nurse turnover: 62%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
9.8%17.9%Worsening
Residents with a fall causing major injury
2.9%0%Improving
Residents with pressure ulcers (bedsores)
5.2%5.9%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
3.4%6.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
15.8%13.5%Improving
Residents whose ability to walk got worse
—26.4%—
Long-stay residents on antianxiety or sleep medication
23.3%23.1%No change
Short-stay residents newly given an antipsychotic
1.5%1.8%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
17.8%18.4%Worsening
Residents with depressive symptoms
10.7%3.4%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—73.6%—
Long-stay residents given the pneumonia vaccine
84.1%59.7%Worsening
Short-stay residents given the seasonal flu vaccine
—62.4%—
Short-stay residents given the pneumonia vaccine
59.3%21.8%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited April 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited June 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited September 2019 — widespread issue, potential for harm.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: F
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited January 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $61,180 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Apr 5, 2024
81 days
Federal fine
Apr 5, 2024
$43,925
Federal fine
Apr 5, 2024
$17,255
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of CCH HEALTHCARE · 33 homes · 2.5 stars avg
Occupancy
85.1 residents on an average day (71% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 29 years
The most recent standard health inspection was more than two years ago.
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.