Smith County Health And Rehabilitation earns a solid B grade from CMS data, with a score of 70/100. Performing above average across most metrics, this Carthage facility ranks in the 71th percentile among Tennessee nursing homes.
Staffing at Smith County Health And Rehabilitation is near the national average, with 3.48 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 6 deficiencies at Smith County Health And Rehabilitation, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.48 | 3.8 | Average |
| Registered Nurses (RN) | 0.31 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.41 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.76 | 2.4 | Below Average |
| Weekend Total Nursing | 2.97 | 3.8 | Below Average |
| Weekend RN Hours | 0.34 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Sep 16, 2025 · Nutrition and Dietary Deficiencies
- Tag 0757 Severity DEnsure each resident’s drug regimen must be free from unnecessary drugs.Sep 16, 2025 · Pharmacy Service Deficiencies
- Tag 0604 Severity JEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.Sep 25, 2019 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Sep 25, 2019 · Quality of Life and Care Deficiencies
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Sep 25, 2019 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.3% | 4.5% | Average |
| Falls with major injury | 3.5% | 3.0% | Worse |
| On antipsychotic medication | 35.5% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 26.9% | 14.0% | Worse |
| Excessive weight loss | 7.3% | 7.5% | Average |
| New/worsened incontinence | 19.8% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of B is based on a score of 70 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 5★ → 25 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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