Smith County Health and Rehabilitation

Smith County Health and Rehabilitation

Carthage, TN 37030 View Map

Smith County Health and Rehabilitation is an Assisted Living Home in Tennessee

Smith County Health and… is an Assisted Living Home in Tennessee

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Overview of Smith County Health and Rehabilitation
Smith County Health and Rehabilitation is a nursing and rehabilitation center located in Carthage, TN. It provides top-notch nursing and rehabilitation services with a focus on personalized attention and a family-oriented environment. The facility is committed to ensuring the well-being of each resident through quality care.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 3.24/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
4/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
5/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
1/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
4/5

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 124

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the state average
Occupancy rate 62.7%
Residents per day (avg) 88
Occupancy rate
62.7%
Residents per day (avg)
88

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

27% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

45% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

27% of new residents, often for long-term daily care.

Typical stay 9 - 10 months

Finances and operations

Proprietary home
Corporation
Home revenue
$10.1M
Profit
$369.5K
Proprietary home Corporation
Home revenue
$10,065,334.00
Profit
$369,488.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.3M
32.8% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.4M
Total costs $9.7M
Bed community size
124-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
33 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

About this community

License Status
Licensed
Facility Type
Nursing Home
License Date
July 1, 1992

Additional licensing details

License number: 00000259
CMS Certification Number: 445172

Ownership & operating entity

Smith County Health and Rehabilitation is administrated by Casey Lynn Malone.

Owner name: Carthage Opco LLC

Care Services

Nursing Services
Rehabilitation Services
Memory Care
Licensed Nurses/CNAs

Amenities & Lifestyle

Dining & Lounge Area
Lobby with Fireplace
Snack Available 24/7
Outdoor Activities
Therapy Department
In-house Nurse Practitioner
Arts & Crafts
Hands-On Cooking
Bingo Games
Pet Therapy
Church Services
Music & Leisure
Vending Machines
Alternate Dietary Menus
In-room TVs
Religious Services
Gardening Club

Programs & Activities

Specific Programs
Speech Therapy, Occupational Therapy, Physical Therapy, Post-operative Rehab, Medication Management, Respiratory Therapy, Wound Care, Inpatient/Outpatient Therapies, Memory Care, IV Therapy, Long and Short Term Care

Inspection History

In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.

Latest inspection

Date:September 26, 2019

0 enforcement actions

Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety or regulatory standards.

Comparison Chart

The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
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SNF

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Places of interest near Smith County Health and Rehabilitation

Address 0.0 miles from city center

Address Carthage, TN 37030

Calculate Travel Distance to Smith County Health and Rehabilitation

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

109
Total Staff
92
Employees
17
Contractors
34,393
Total Hours (Quarter)
44
Avg Staff/Day
8.6
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse68.5 No
Licensed Practical Nurse219.8 No
Certified Nursing Assistant468.8 No
Staff by Category
Administration
1 staff
8hs shift avg
Nursing Staff
84 staff
9hs shift avg
Physicians & Practitioners
2 staff
8hs shift avg
Therapy Services
15 staff
6.9hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
2 staff
4.7hs shift avg
Dietary Services
3 staff
7.7hs shift avg
Other Services
2 staff
8hs shift avg
Contractor Analysis
12.5%
of total hours from contractors
4,284 contractor hours this quarter
Speech Language Pathologist: 7 Physical Therapy Aide: 4 Respiratory Therapy Technician: 1 Physical Therapy Assistant: 3 Qualified Social Worker: 2
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant4604613,69491100%8.8
Licensed Practical Nurse210219,08591100%9.8
Registered Nurse6062,11191100%8.5
RN Director of Nursing4041,9926875%8
Speech Language Pathologist0771,7797987%6.9
Physical Therapy Aide0441,3817886%7.5
Mental Health Service Worker2028246470%8
Dietitian1016047380%8.3
Administrator1015206571%8
Nurse Practitioner1015206571%8
Other Dietary Services Staff2025107178%7.1
Respiratory Therapy Technician0114417077%6.3
Physical Therapy Assistant0333556066%5.5
Qualified Social Worker0223285560%4.7
Nurse Aide in Training707201910%7.4
Clinical Nurse Specialist1014867%8

Health Inspection History

Source: CMS Health Citations (Aug 2017 – Sep 2019)

3
Inspections
7
Total Citations
2
Critical (J-L)
0
Serious (G-I)
2.33
Citations/Inspection
Sep 2019
Last Inspection
Citation Severity Distribution
Minor (A-C)
0
Moderate (D-F)
5
Serious (G-I)
0
Critical (J-L)
2
What do these levels mean?
Top Deficiency Categories
Abuse, Neglect & Exploitation
2
29% of total
Resident Rights
1
14% of total
Quality of Life & Care
1
14% of total
Citation Sources
Standard Inspections 7
Complaint Investigations 0
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
Sep 26, 2019 J Abuse/NeglectF0604 Corrected
Sep 26, 2019 J Quality of CareF0689 Corrected
Sep 26, 2019 D Resident RightsF0550 Corrected
Sep 26, 2018 D NutritionF0812 Corrected
Aug 02, 2017 D Abuse/NeglectF0224 Corrected
Aug 02, 2017 F NutritionF0371 Corrected
Aug 02, 2017 D Care PlanningF0283 Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit LLC
Part of: Clearview Health Care Management
Resident Census by Payment Source
84 Total Residents
Medicare 8 (9.5%)
Medicaid 48 (57.1%)
Private Pay/Other 28 (33.3%)
Programs & Services
Residents' Group
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Quality Measures

CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.

Source: CMS Nursing Home Compare (Data as of Jan 2026)

High-Risk Clinical Events
16.5 Score
57% worse than avg avg: 10.5

Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline

Functional Decline
28.6 Score
47% worse than avg avg: 19.5

Composite score based on ADL decline, walking ability decline, and incontinence

Long-Stay Resident Measures

Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.

Need for Help with Daily Activities Increased
25.5%
Lost Too Much Weight
8.9%
Urinary Tract Infection
0.0%
Depressive Symptoms
0.0%
Falls with Major Injury
2.8%
Pneumococcal Vaccine
89.3%
Antipsychotic Use
36.5%
Walking Ability Worsened
39.6%
Influenza Vaccine
95.1%
High Risk Residents with Pressure Ulcers
5.5%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
20.8%
Short-Stay Resident Measures

Measures for residents who stay 100 days or less (typically rehabilitation patients).

Pneumococcal Vaccine
59.4% 25% worse than avg : 79.7%
Short-Stay Residents Who Received a New Antipsychotic Medication
0.6% 64% better than avg : 1.7%
Influenza Vaccine
58.5% 27% worse than avg : 79.8%

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