Nursing Home Alerts

Smith County Health and Rehabilitation

112 Health Care Dr, Carthage, TN 37030

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Smith County Health and Rehabilitation is a nursing home in Carthage, Tennessee. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

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CMS flags

CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of July 29, 2026

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 5 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

  2. CMS update of April 29, 2026

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

  3. CMS update of February 25, 2026

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 3 of 5.

  4. CMS update of November 20, 2025

    • Star rating

      The CMS overall star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

  5. Health inspection on September 17, 2025

    2 citations

    CMS lists this as a standard inspection.

    Show the 2 citations
    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on January 7, 2026.

      CMS has cited this home for F0812 2 times since 2018.

    • Citation F0757. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident’s drug regimen must be free from unnecessary drugs.

      CMS lists it as corrected on January 7, 2026.

    See this home on CMS Care Compare

  6. CMS update of April 30, 2025

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 5 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

  7. CMS update of February 26, 2025

    • Star rating

      The CMS overall star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

  8. CMS update of October 30, 2024

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 5 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

  9. CMS update of June 26, 2024

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 4 of 5.

    • Star rating

      The CMS health inspection star rating changed from 4 of 5 to 5 of 5.

  10. CMS update of April 25, 2024

    • Star rating

      The CMS quality measures star rating changed from not rated by CMS to 3 of 5.

  11. Health inspection on September 26, 2019

    3 citations

    CMS lists this as a standard inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    5 of 303 Tennessee homes (2%) got a citation at the immediate jeopardy level in 2019.

    Show the 3 citations
    • Citation F0604. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

      The home is disputing this citation through CMS's independent review.

      CMS lists it as corrected on October 24, 2019.

    • Citation F0689. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      The home is disputing this citation through CMS's independent review.

      CMS lists it as corrected on October 24, 2019.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      The home is disputing this citation through CMS's independent review.

      CMS lists it as corrected on October 24, 2019.

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  12. Fire safety inspection on September 26, 2019

    4 citations

    CMS lists this as a standard inspection.

    Show the 4 citations
    • Citation K0321. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on September 27, 2019.

      CMS has cited this home for K0321 2 times since 2017.

    • Citation K0324. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on September 27, 2019.

    • Citation K0353. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on September 27, 2019.

    • Citation K0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: To conduct inspection, testing and maintenance of fire doors by qualified individuals.

      CMS lists it as corrected on October 7, 2019.

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  13. Health inspection on September 26, 2018

    1 citation

    CMS lists this as a standard inspection.

    Show the 1 citation
    • Citation F0812. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on October 15, 2018.

    See this home on CMS Care Compare

  14. Fire safety inspection on September 26, 2018

    8 citations

    CMS lists this as a standard inspection.

    Show the 8 citations
    • Citation E0039. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Conduct testing and exercise requirements.

      CMS lists it as corrected on October 15, 2018.

    • Citation K0363. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on October 15, 2018.

    • Citation K0918. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on October 15, 2018.

    • Citation K0921. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that testing and maintenance of electrical equipment is performed.

      CMS lists it as corrected on November 29, 2018.

    • Citation E0006. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Conduct risk assessment and an All-Hazards approach.

      CMS lists it as corrected on November 29, 2018.

    • Citation E0015. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Address subsistence needs for staff and patients.

      CMS lists it as corrected on October 15, 2018.

    • Citation E0024. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Establish policies and procedures for volunteers.

      CMS lists it as corrected on November 29, 2018.

    • Citation E0032. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Provide primary/alternate means for communication.

      CMS lists it as corrected on October 15, 2018.

    See this home on CMS Care Compare

  15. Fire safety inspection on August 2, 2017

    1 citation

    CMS lists this as a standard inspection.

    Show the 1 citation
    • Citation K0321. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on August 24, 2017.

    See this home on CMS Care Compare

CMS star ratings

Facts from CMS

Phone
(615) 735-0569
Last standard health inspection
September 17, 2025 (1 year ago)
Certified beds
128
Residents per day, on average
84.7
Ownership type
For profit - Limited Liability company
Legal business name
Carthage Opco LLC
Chain
Simcha Hyman & Naftali Zanziper
Takes part in
Medicare and Medicaid

Fewer health citations than the Tennessee average (6 vs 14).

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Smith County Health and Rehabilitation last inspected?

CMS lists September 17, 2025 as the date of its most recent standard health inspection.

How many citations (violations) does Smith County Health and Rehabilitation have?

CMS lists 6 health citations since September 26, 2018. CMS also calls these deficiencies.

Has Smith County Health and Rehabilitation been fined?

CMS lists no fines for this home in the past three years.

What is the CMS star rating of Smith County Health and Rehabilitation?

Its CMS overall star rating is 5 of 5.

Is Smith County Health and Rehabilitation a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.