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D
Poor

SMITH COUNTY HEALTH AND REHABILITATION

112 HEALTH CARE DR · CARTHAGE, TN 37030

6157350569 · For profit - Limited Liability company

128 beds83.6 residents111 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

SMITH COUNTY HEALTH AND REHABILITATION receives an overall staffing grade of D (Poor). With 3.4787 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.312 HPRD, below the recommended 0.75. It is 0.42 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 19.37% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.4787 HPRD — needs 0.00 more hours per resident per day.
⚠️RN staffing (0.312 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.4787hrs/resident/day▼ 0.42
CMS benchmark: 3.48
RN HPRD
0.312hrs/resident/day▼ 0.37
Recommended: 0.75
Weekend Drop-off
19.37%
3.6802 weekday → 2.9672 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.6991hrs/resident/day
Direct care aides
LPN HPRD
1.4105hrs/resident/day
Licensed practical nurses
Consistency
0.4094std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Smith County Average+0.00 HPRD
3.48
03.48 HPRD
vs. Tennessee State Average-0.39 HPRD
3.87
03.48 HPRD
vs. National Average-0.42 HPRD
3.90
03.48 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
SMITH COUNTY HEALTH AND REHABILITATION ★
CARTHAGE · This facility
—
D
3.47870.312★★★★☆
HARTSVILLE CONVALESCENT CENTER
HARTSVILLE
12.2 mi
D
4.01140.3062★★☆☆☆
QUALITY CENTER FOR REHABILITATION AND HEALING LLC
LEBANON
16.3 mi
D
3.5560.3456★★☆☆☆
KNOLLWOOD MANOR
LAFAYETTE
17.8 mi
C
3.45130.4714★☆☆☆☆
LEBANON CENTER FOR REHABILITATION AND HEALING, LLC
LEBANON
17.8 mi
B
4.12970.6507★★★★★
RED BOILING SPRINGS TN OPCO LLC
RED BOILING SPRINGS
20.4 mi
D
3.18180.3133★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
6
Total Deficiencies
$0
Fines Assessed
Sep 17, 2025Health
2 deficiencies cited
▼
Sep 26, 2019Health
3 deficiencies cited· Includes actual harm
▼
Sep 26, 2018Health
1 deficiency cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.