Total health inspections
5
State average N/A
Last Health inspection on Jun 2024
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.
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Assisted Living in USA
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Smoky Mountain Healthcare and Rehabilitation Center
Assisted Living in USA
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Smoky Mountain Healthcare and Rehabilitation Center
Smoky Mountain Healthcare and Rehabilitation Center is located in Pigeon Forge, Tennessee. It offers short-term rehabilitation, long-term care, and respite stays in a warm, inviting atmosphere. The facility is dedicated to providing expert care with compassion and dignity.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
120
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
60.8%
Residents per day (avg)
81
Occupancy rate
60.8%
Residents per day (avg)
81
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
20% of new residents, usually for short-term rehab.
Typical stay
24 days
Private pay
59% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
20% of new residents, often for long-term daily care.
Typical stay
9 - 10 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$11.4M
Operating loss
-$139.0K
Privately-owned community
Operated by a business corporation.
Home revenue
$11.4M
Operating loss
-$139.0K
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.
$8.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.5M
120-bed community
A larger shared setting that may offer more common spaces and organized community services.
33 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
Facility TypeNursing Home
StatusLicensed
IssuanceJuly 1, 1992
License Number00000228
CMS Certification Number445382
Smoky Mountain Healthcare and Rehabilitation Center is administrated by Leonard Kyle Chamberlain.
Owner NameSM Healthcare OP LLC
Rehabilitation Services
Respite Care
Short-Term Rehab
Nursing Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehabilitation
Respite Care
Gourmet Meals
On-Site Beauty Salon
Updated Suites And Lounges
Outdoor Seating Areas
Weekly Outings
Religious Services
Daily Activities
Socials And Meet Ups
ActivitiesComprehensive activity schedule available.
Specific ProgramsShort-term rehabilitation, Long-term care, Labs and x-rays on-site, PT, OT, ST offered seven days per week, 24/7 nursing care, Comprehensive resident-centered care plan with multi-disciplinary approach, Comprehensive wound care, Tracheostomy care, Respite care, Local physician rounding on staff, Staff psychologist, Pain management, Respiratory therapy.
Religious ServicesYes
Food DescriptionGourmet meals are provided.
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.
Tennessee average: 9 complaint visits
Latest inspection
Date
January 5, 2024
1
enforcement action
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety, or regulatory standards.
2
Health Inspection History
Inspections
Total health citations
19
State average N/A
Citations per inspection
3.8
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 19 citations resulted from standard inspections; and 7 of 19 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
5
5
In line with State averageState average: N/A
Serious Health citations
2
2
In line with State averageState average: N/A
5 critical citations
2 serious citations
12 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect serious citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 21, 2024
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 21, 2024
Abuse/Neglect serious citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Apr 05, 2024
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Apr 05, 2024
Corrected
Nursing Services critical citation
Issues related to the availability and quality of nursing staff and the care they provide.
Apr 05, 2024
Issues related to the availability and quality of nursing staff and the care they provide.
Apr 05, 2024
Corrected
Quality of Care critical citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 05, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 05, 2024
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.
Compare Assisted Living around Usa The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
Filter by care type
Smoky Mountain Healthcare and Rehabilitation Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Pigeon Forge
120
-
-
Anton’s Assisted Living
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Boerne
10
-
-
Job Haines Home
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Bloomfield
40
85
Studio / 1 Bed / Private / Semi-Private Rooms
Village Care Homes Assisted Living – Stephen F Austin
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Conroe
16
27
Private / Semi-Private Suite
Countryside Manor Assisted Living
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Conroe
12
8
-
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
192
Employees
70
Contractors
122
Staff to resident ratio
2.59:1
0% compared with State averageState average ratio: 0:0
Avg staff/day
31
Average shift
9.4 hours
0% compared with State averageState average: 0 hours
Total staff hours (quarter)
26,394
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
63
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
95
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
15.4%
4,067 contractor hours this quarter
Certified Nursing Assistant: 64
Licensed Practical Nurse: 54
Occupational Therapy Assistant: 2
Occupational Therapy Aide: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 31 | 64 | 95 | 13,133 | 91 | 100% | 10.2 |
| Licensed Practical Nurse | 9 | 54 | 63 | 5,023 | 91 | 100% | 10 |
| Registered Nurse | 5 | 0 | 5 | 2,133 | 91 | 100% | 10.4 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,220 | 74 | 81% | 7.9 |
| Physical Therapy Assistant | 4 | 0 | 4 | 954 | 49 | 54% | 7.5 |
| Administrator | 1 | 0 | 1 | 717 | 64 | 70% | 11.2 |
| Speech Language Pathologist | 3 | 0 | 3 | 574 | 50 | 55% | 6.8 |
| Nurse Practitioner | 2 | 0 | 2 | 552 | 65 | 71% | 8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 548 | 69 | 76% | 6.9 |
| Dietitian | 1 | 0 | 1 | 424 | 41 | 45% | 10.3 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 293 | 44 | 48% | 5.8 |
| Nurse Aide in Training | 1 | 0 | 1 | 227 | 27 | 30% | 8.4 |
| Qualified Social Worker | 1 | 0 | 1 | 190 | 27 | 30% | 7 |
| Dental Services Staff | 1 | 0 | 1 | 168 | 21 | 23% | 8 |
| Physical Therapy Aide | 1 | 0 | 1 | 130 | 21 | 23% | 6.2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 70 | 10 | 11% | 7 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 37 | 7 | 8% | 5.2 |
| Medical Director | 0 | 1 | 1 | 4 | 2 | 2% | 2 |
95 Certified Nursing Assistant
% of Days
100%
63 Licensed Practical Nurse
% of Days
100%
5 Registered Nurse
% of Days
100%
5 Clinical Nurse Specialist
% of Days
81%
4 Physical Therapy Assistant
% of Days
54%
1 Administrator
% of Days
70%
3 Speech Language Pathologist
% of Days
55%
2 Nurse Practitioner
% of Days
71%
3 Other Dietary Services Staff
% of Days
76%
1 Dietitian
% of Days
45%
2 Respiratory Therapy Technician
% of Days
48%
1 Nurse Aide in Training
% of Days
30%
1 Qualified Social Worker
% of Days
30%
1 Dental Services Staff
% of Days
23%
1 Physical Therapy Aide
% of Days
23%
1 Occupational Therapy Aide
% of Days
11%
2 Occupational Therapy Assistant
% of Days
8%
1 Medical Director
% of Days
2%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
74 residents
Residents by payment source
Medicare
4 residents (5.4%)
Medicaid
49 residents (66.2%)
Private pay or other
21 residents (28.4%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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.
15.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.5
48% 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.
29.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.3
50% 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
40.5%
Percent of long-stay residents whose ability to move independently worsened
40.5%
87% 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
21.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.8%
5% worse than State averageState average: 20.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
21% worse than State averageState average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.5%
Percent of long-stay high risk residents with pressure ulcers
3.5%
37% better than State averageState average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.4%
Percent of long-stay residents with a urinary tract infection
0.4%
82% better than State averageState average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.6%
Percent of long-stay residents who lose too much weight
3.6%
43% better than State averageState average: 6.3%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
8.4%
Percent of long-stay residents who have depressive symptoms
8.4%
24% better than State averageState average: 11.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
9.0%
Percent of long-stay residents who received an antipsychotic medication
9.0%
45% better than State averageState average: 16.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
83.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
83.4%
7% worse than State averageState average: 89.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
73.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
73.6%
22% worse than State averageState average: 94.5%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
71.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
71.1%
11% worse than State averageState average: 79.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
26% better than State averageState average: 1.7%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
62.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
62.4%
22% 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.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$173K
100% higher than State averageState average: $86K
Number of fines
4
129% more fines than State averageState average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
293% more payment denials than State averageState average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$173K
State average
$86K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 5, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 5, 2024
$17K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 5, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 5, 2024
$44K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Apr 5, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Apr 5, 2024
81 days
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 23, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 23, 2023
$4K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Smoky Mountain Healthcare and Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
60.8%
↓ 7.3pp vs 2022
Net Income
-$139.0K
↓ ~$358.5K vs 2022
Total Payroll
$3.7M
↓ ~$559.6K vs 2022
Profit Margin
-1.3%
↓ 2.9pp vs 2022
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