Smoky Mountain Healthcare and Rehabilitation Center
Nursing Home & Skilled Nursing · Pigeon Forge, TN
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Smoky Mountain Healthcare and Rehabilitation Center

Nursing Home & Skilled Nursing · Pigeon Forge, TN
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Smoky Mountain Healthcare and Rehabilitation Center accepts Medicare, Medicaid, and private pay.

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.

Since 2023 · 3 years of data 2 citations

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the Tennessee state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2023 vs. Tennessee state average
Overall vs. TN average 0 Worse No metrics in this bucket. 2 Better Metrics better than Tennessee average:
• Total citations (50% below)
• Citations per year (46% below)
Latest Inspection January 5, 2024

Citations Info Citations are formal regulatory issues recorded during state inspections.

This Facility TN Average vs. TN Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 2 4 This facility has 50% fewer total citations than a typical Tennessee assisted living residence (2 vs. TN avg 4).↓ 50% better
Citations per year Info Average citations per year since 2023. 0.7 1.3 This facility has 46% fewer citations per year than a typical Tennessee assisted living residence (0.7 vs. TN avg 1.3).↓ 46% better

Health Inspection History

Inspections since 2019
Total health inspections 5

State average N/A


Last Health inspection on Jun 2024

Total health citations
19 Rank #133 / 196Health citations — State benchmarkedThis home is ranked 133rd out of 196 homes in Tennessee. Shows this facility's total health deficiency citations benchmarked to the Tennessee State average, with a ranking across all 196 TN facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
3.8 Rank #79 / 196Citations per inspection — State benchmarkedThis home is ranked 79th out of 196 homes in Tennessee. Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 196 facilities with citation data. Lower is better.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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 7 years)
Critical health citations
5
In line with State average

State average: N/A


Serious health citations
2
In line with State average

State average: N/A

5 critical citations State average: N/A

2 serious citations State average: N/A

12 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 7 years)
Abuse/Neglect serious citation Jun 21, 2024

Abuse/Neglect serious citation Apr 05, 2024
Corrected

Nursing Services critical citation Apr 05, 2024
Corrected

Quality of Care critical citation Apr 05, 2024
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 224
Employees 45
Contractors 179
Staff to resident ratio 3.03 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 36
Average shift 8.6 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 28,604

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 5 RN Staff are full-time employees. No contractors work on this role. 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 74 total: 11 full-time employees and 63 contractors. 74
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 118 total: 22 full-time employees and 96 contractors. 118
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

43.4%

12,415 contractor hours this quarter

Certified Nursing Assistant: 96 Licensed Practical Nurse: 63 Respiratory Therapy Technician: 5 Speech Language Pathologist: 4 Physical Therapy Assistant: 4 Physical Therapy Aide: 3 Qualified Social Worker: 3 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant 22 96 118 14,627 92 100% 9.1
Licensed Practical Nurse 11 63 74 7,036 92 100% 8.8
Registered Nurse 5 0 5 1,879 89 97% 9.9
Clinical Nurse Specialist 2 0 2 786 65 71% 7.9
Speech Language Pathologist 0 4 4 709 76 83% 5.5
Physical Therapy Aide 0 3 3 548 64 70% 6.7
Physical Therapy Assistant 0 4 4 511 66 72% 7.4
Mental Health Service Worker 1 0 1 507 64 70% 7.9
Nurse Practitioner 1 0 1 499 64 70% 7.8
RN Director of Nursing 1 0 1 452 58 63% 7.8
Administrator 1 0 1 345 45 49% 7.7
Respiratory Therapy Technician 0 5 5 287 42 46% 6.5
Other Dietary Services Staff 1 0 1 229 32 35% 7.2
Qualified Social Worker 0 3 3 160 41 45% 3.8
Occupational Therapy Assistant 0 1 1 30 4 4% 7.6
118 Certified Nursing Assistant
% of Days 100%
74 Licensed Practical Nurse
% of Days 100%
5 Registered Nurse
% of Days 97%
2 Clinical Nurse Specialist
% of Days 71%
4 Speech Language Pathologist
% of Days 83%
3 Physical Therapy Aide
% of Days 70%
4 Physical Therapy Assistant
% of Days 72%
1 Mental Health Service Worker
% of Days 70%
1 Nurse Practitioner
% of Days 70%
1 RN Director of Nursing
% of Days 63%
1 Administrator
% of Days 49%
5 Respiratory Therapy Technician
% of Days 46%
1 Other Dietary Services Staff
% of Days 35%
3 Qualified Social Worker
% of Days 45%
1 Occupational Therapy Assistant
% of Days 4%

Penalties and fines

Includes penalties issued in 2024

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 Rank #170 / 198Federal fines — State benchmarkedThis home is ranked 170th out of 198 homes in Tennessee. Shows this facility's cumulative CMS federal fine dollars versus the Tennessee average among facilities with fines, and where it ranks among 198 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
100% higher than State average

State average: $86K

Number of fines 4
129% more fines than State average

State average: 1.7

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 2
293% more payment denials than State average

State 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.

3 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Apr 5, 2024
$17K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Apr 5, 2024
$44K
Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Apr 5, 2024
81 days

Last updated: Jan 2026

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 Info 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 average

State average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 29.3
50% worse than State average

State average: 19.5

Long-stay resident measures
Average State avg: 3.7 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 25.5%
59% worse than State average

State average: 16.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 40.5%
87% worse than State average

State average: 21.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 21.8%
5% worse than State average

State average: 20.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.4%
21% worse than State average

State average: 3.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.5%
37% better than State average

State average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.4%
82% better than State average

State average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.6%
43% better than State average

State average: 6.3%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 8.4%
24% better than State average

State average: 11.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 9.0%
45% better than State average

State average: 16.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 83.4%
7% worse than State average

State average: 89.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 73.6%
22% worse than State average

State average: 94.5%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.60
In line with State average

State average: 1.58

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.86
18% worse than State average

State average: 1.57

Short-stay resident measures
Below average State avg: 3.4 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 71.1%
11% worse than State average

State average: 79.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.3%
26% better than State average

State average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 62.4%
22% worse than State average

State average: 79.8%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 28.2%
27% worse than State average

State average: 22.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 28.3%
153% worse than State average

State average: 11.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.9%
145% worse than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 62.2%
16% better than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 51.9%
In line with State average

State average: 50.6%

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

Facility Characteristics

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

Total residents 74
Medicare
4
5.4% of residents
Medicaid
49
66.2% of residents
Private pay or other
21
28.4% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.9M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$722.9K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.9M Rank #125 / 196Revenue — State benchmarkedThis home is ranked 125th out of 196 homes in Tennessee. Shows this facility's annual revenue compared to the Tennessee average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$722.9K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$583.9K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #151 / 196Payroll — State benchmarkedThis home is ranked 151st out of 196 homes in Tennessee. Shows total annual staff payroll benchmarked to the Tennessee average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.7M 47.4% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #177 / 196Payroll % — State benchmarkedThis home is ranked 177th out of 196 homes in Tennessee. Shows payroll as a percentage of revenue versus the Tennessee average. Well-run Tennessee facilities typically land around 50–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$4.9M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$8.6M

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.

Most new residents arrive under private pay (59% of admissions), and a typical private pay stay runs around 1 - 2 months.

Admissions
313 total

Coverage residents most often arrive under.

Medicare 20%
Private pay 59%
Medicaid 20%
Discharges
315 total

Coverage residents most often leave under.

Medicare 25%
Private pay 60%
Medicaid 15%

Places of interest near Smoky Mountain Healthcare and Rehabilitation Center

Address 0.0 miles from city center Info Estimated distance in miles from Pigeon Forge's city center to Smoky Mountain Healthcare and Rehabilitation Center's address, calculated via Google Maps.

Calculate Travel Distance to Smoky Mountain Healthcare and Rehabilitation Center

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Frequently Asked Questions about Smoky Mountain Healthcare and Rehabilitation Center

What neighborhood is Smoky Mountain Healthcare and Rehabilitation Center in?

Smoky Mountain Healthcare and Rehabilitation Center is in the East Tennessee neighborhood of Pigeon Forge.

Who is the owner of Smoky Mountain Healthcare and Rehabilitation Center?

Smoky Mountain Healthcare and Rehabilitation Center is legally operated by SM Healthcare OP LLC, and administered by Leonard Kyle Chamberlain.

Is Smoky Mountain Healthcare and Rehabilitation Center in a walkable area?

Smoky Mountain Healthcare and Rehabilitation Center has a walk score of 48. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Smoky Mountain Healthcare and Rehabilitation Center?

According to TN state health department records, Smoky Mountain Healthcare and Rehabilitation Center's license number is 00000228.

What is the occupancy rate at Smoky Mountain Healthcare and Rehabilitation Center?

Smoky Mountain Healthcare and Rehabilitation Center's occupancy is 63%.

Does Smoky Mountain Healthcare and Rehabilitation Center operate as a for-profit or non-profit?

Smoky Mountain Healthcare and Rehabilitation Center is registered as a for-profit in TN.

Who is the administrator of Smoky Mountain Healthcare and Rehabilitation Center?

Leonard Kyle Chamberlain is the administrator of Smoky Mountain Healthcare and Rehabilitation Center.

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