Total health inspections
3
State average N/A
Last Health inspection on Sep 2019
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.
Smith County Health and Rehabilitation
Assisted Living Home
Smith County Health and Rehabilitation
Assisted Living Home
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
34
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
62.7%
Residents per day (avg)
88
Occupancy rate
62.7%
Residents per day (avg)
88
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
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
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$9.7M
34-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
33 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
Occupancy Rate
62%
Occupied Beds
21 of 34
Percentage of available beds currently in use by residents.
License Status
LicensedFacility Type
Nursing Home
License Date
July 1, 1992
Additional licensing details
License number:
00000259
CMS Certification Number:
445172
County:
Davidson
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
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
Residents information
Stay stats
Average length of stay
698 days
Total residents
29
Total admissions (2024)
8
Total discharges (2024)
11
Discharges
- To hospital 6
- To Private Residence or Home 2
Demographics
GENDER
- Female Residents 65.5%
- Male Residents 34.5%
AGE DISTRIBUTION
- 75-79 6.9%
- 80-84 3.4%
- 85-89 41.4%
- 90 or more 48.3%
ETHNICITY
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.
Compare Assisted Living around Usa
The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
Job Haines Home
-21%
+63%
-41%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Home Care
HC
Hospice Care
SNF
Nursing Homes 24/7 care needed
Bloomfield
40
No
85
HAVERON, NOREEN
45.5%
$13,340,016.00
$10,214,151.00
76.6%
36.90
6.3081
4
-
-21%+63%-41%Studio / 1 Bed / Private / Semi-Private Rooms
Smith County Health and Rehabilitation
-37%
-11%
-15%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
TN 37030
124
No
-
TN M53 SPE OPCO HOLDCO LLC
61.8%
$9,543,039.00
$3,302,685.00
34.6%
87.50
3.2357
7
2
-37%-11%-15%-
Anton’s Assisted Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Boerne
10
No
-
-
-
-
-
-
-
-
-
-
-
-
-
Village Care Homes Assisted Living – Stephen F Austin
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Conroe
16
No
27
VILLAGE CHANGE LLC
-
-
-
-
-
-
-
-
-
-
Private / Semi-Private Suite
Countryside Manor Assisted Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Conroe
12
No
8
GOLDEN OAKS VILLAS, LLC
-
-
-
-
-
-
-
-
-
-
-
Job Haines Home
Type of care:
AL
HC
HC
SNF
Community:
Bloomfield
Bed Count:
40
Pets Allowed:
No
Operator:
HAVERON, NOREEN
CCN:
315392
Occupancy:
45.5%
Home Revenue:
$13,340,016.00
Payroll Costs:
$10,214,151.00
Payroll %:
76.6%
Avg Residents/Day:
36.90
Overall Rating:
Adj Nurse Hours:
6.3081
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
-21%
-21%
Staffing vs State Avg:
+63%
+63%
Occupancy vs State Avg:
-41%
-41%
Bed Options:
Studio / 1 Bed / Private / Semi-Private Rooms
Smith County Health and Rehabilitation
Type of care:
SNF
AL
Community:
TN 37030
Bed Count:
124
Pets Allowed:
No
Operator:
TN M53 SPE OPCO HOLDCO LLC
CCN:
445172
Occupancy:
61.8%
Home Revenue:
$9,543,039.00
Payroll Costs:
$3,302,685.00
Payroll %:
34.6%
Avg Residents/Day:
87.50
Overall Rating:
Adj Nurse Hours:
3.2357
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
7
Severe Citations:
2
RN share vs State Avg:
-37%
-37%
Staffing vs State Avg:
-11%
-11%
Occupancy vs State Avg:
-15%
-15%Places of interest near Smith County Health and Rehabilitation
0.0 miles from city center
Carthage, TN 37030
Calculate Travel Distance to Smith County Health and Rehabilitation
Add your location
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 Nurse | 6 | 8.5 | No |
| Licensed Practical Nurse | 21 | 9.8 | No |
| Certified Nursing Assistant | 46 | 8.8 | 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 Assistant | 46 | 0 | 46 | 13,694 | 91 | 100% | 8.8 |
| Licensed Practical Nurse | 21 | 0 | 21 | 9,085 | 91 | 100% | 9.8 |
| Registered Nurse | 6 | 0 | 6 | 2,111 | 91 | 100% | 8.5 |
| RN Director of Nursing | 4 | 0 | 4 | 1,992 | 68 | 75% | 8 |
| Speech Language Pathologist | 0 | 7 | 7 | 1,779 | 79 | 87% | 6.9 |
| Physical Therapy Aide | 0 | 4 | 4 | 1,381 | 78 | 86% | 7.5 |
| Mental Health Service Worker | 2 | 0 | 2 | 824 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 604 | 73 | 80% | 8.3 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 510 | 71 | 78% | 7.1 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 441 | 70 | 77% | 6.3 |
| Physical Therapy Assistant | 0 | 3 | 3 | 355 | 60 | 66% | 5.5 |
| Qualified Social Worker | 0 | 2 | 2 | 328 | 55 | 60% | 4.7 |
| Nurse Aide in Training | 7 | 0 | 7 | 201 | 9 | 10% | 7.4 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 48 | 6 | 7% | 8 |
Health Inspection History
Inspections
Total health citations
7
Citations per inspection
2.33
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 7 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
In line with State averageState average: N/A
Serious Health citations
0
0
In line with State averageState average: N/A
2 critical citations
0 serious citations
5 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect critical citation
Sep 26, 2019
Corrected
Quality of Care critical citation
Sep 26, 2019
Corrected
Resident Rights moderate citation
Sep 26, 2019
Corrected
Nutrition moderate citation
Sep 26, 2018
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
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.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.5
57% worse than State averageState average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.6
47% worse than State averageState average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
25.5%
Percent of long-stay residents whose need for help with daily activities has increased
25.5%
59% worse than State averageState average: 16.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
39.6%
Percent of long-stay residents whose ability to move independently worsened
39.6%
82% worse than State averageState average: 21.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.8%
In line with State averageState average: 20.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.8%
Percent of long-stay residents experiencing one or more falls with major injury
2.8%
25% better than State averageState average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.5%
Percent of long-stay high risk residents with pressure ulcers
5.5%
In line with State averageState average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than State averageState average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.9%
Percent of long-stay residents who lose too much weight
8.9%
42% worse than State averageState average: 6.3%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than State averageState average: 11.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
36.5%
Percent of long-stay residents who received an antipsychotic medication
36.5%
121% worse than State averageState average: 16.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
89.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
89.3%
In line with State averageState average: 89.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.1%
In line with State averageState average: 94.5%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
59.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
59.4%
25% worse than State averageState average: 79.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
64% better than State averageState average: 1.7%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
58.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
58.5%
27% worse than State averageState average: 79.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Smith County Health and Rehabilitation based on CMS SNF Cost Reports.
Occupancy Rate
62.7%
↑ 3.7pp vs 2022
Net Income
$369,488
↓ ~$99K vs 2022
Total Payroll
$3,731,140
↑ ~$1.1M vs 2022
Profit Margin
3.9%
↓ 2.0pp vs 2022
Loading trend charts...
Guides for Better Senior Living
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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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