Nursing home
Smith County Health and Rehabilitation
112 Health Care Dr, Carthage, TN 37030 · Map
For profit - Limited Liability company · Part of Simcha Hyman & Naftali Zanziper (94 facilities) · 128 certified beds
Smith County Health and Rehabilitation is a Medicare-certified nursing home in Carthage, Tennessee. CMS rates it 4 out of 5 stars overall (1/5 for staffing, 5/5 for health inspections). Nurse staffing is 3.48 hours per resident per day, below the Tennessee average of 3.85. Its most recent inspection on Sep 17, 2025 cited 2 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Smith County Health and Rehabilitation compares
This facility vs. the Tennessee and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Tennessee avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.48 | 3.85 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.31 | 0.61 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.76 | 2.15 | 2.34 | below avg |
| Nursing staff turnover | 46.9% | 48.7% | 46.4% | below avg |
| Deficiencies cited, last inspection | 2.0 | 5.9 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the September 17, 2025 inspection was corrected by January 7, 2026
What inspectors found at Smith County Health and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Sep 17, 2025 · Full report (PDF) - Potential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Sep 17, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Sep 26, 2019 - Immediate jeopardy
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 26, 2019 - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Sep 26, 2019
Show all 6 deficiencies
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Sep 26, 2018
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 112 Health Care Dr
Carthage, TN 37030 - CMS certification #
- 445172
- Ownership
- For profit - Limited Liability company
- Certified beds
- 128
- Avg residents/day
- 83.6
- Provider type
- Medicare and Medicaid
- First certified
- 1984-12-04
- Chain
- Simcha Hyman & Naftali Zanziper (94 facilities)
- Setting
- Urban
Part of Simcha Hyman & Naftali Zanziper
Simcha Hyman & Naftali Zanziper operates 94 nursing facilities across the United States. View all Simcha Hyman & Naftali Zanziper facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Smith County Health and Rehabilitation using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Highpoint Health-Riverview With Ascension Saint Th, Carthage. 2.5 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Hartsville Convalescent Center, Hartsville. 12.2 miles away, straight line.
- Nearest home health agency office
- Homecare Excellence, LLC, Lebanon. 19.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Watertown Drugs. 13.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 37030 as metropolitan (metropolitan low commuting).
- Hospice
- 7 Medicare hospices tell CMS they serve ZIP code 37030.
- Nearest geriatric medicine practice
- Pardeep Sharma, MD, Cookeville. 27.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively high, wildfire very low, tornado relatively high, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Smith County Health and Rehabilitation a good nursing home?
CMS gives Smith County Health and Rehabilitation an overall rating of 4 out of 5 stars, including 1/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Smith County Health and Rehabilitation staffed?
Smith County Health and Rehabilitation reports 3.48 total nurse hours per resident per day, compared with the Tennessee average of 3.85.
Has Smith County Health and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does Smith County Health and Rehabilitation have?
Smith County Health and Rehabilitation is certified for 128 beds.