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Nursing home report

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.

Facility ratings

Health inspections

Staffing

3.4498 hrs/resident/day

Quality measures

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).

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).

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

  1. STAFFING

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

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  4. 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.