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Smith County Health and Rehabilitation

  • Nursing Home
  • Memory Care

Updated Sep 1, 2022 by Nick Lata

Historical Rating
Grade: D
Oct 18: FNov 18: FDec 18: FJan 19: FFeb 19: FMay 19: DJun 19: DJul 19: FAug 19: FSep 19: FJan 20: DMar 20: DApr 20: DMay 20: DJun 20: DJul 20: DAug 20: DSep 20: DOct 20: DJan 21: DFeb 21: DMar 21: DApr 21: DMay 21: DJun 21: DJul 21: DAug 21: DSep 21: DOct 21: DNov 21: DJan 22: DFeb 22: DMar 22: DApr 22: DMay 22: DJun 22: DAug 22: DSep 22: D
See Rating Overview
Smith County Health and Rehabilitation's website

112 Health Care Dr,
Carthage TN 37030

(615) 735-0569

61.64% estimated occupancy 1

Smith County Health and Rehabilitation is a large nursing home in Carthage, Tennessee. We gave this facility an overall grade of D. A score in this range typically suggests some red flags. If you are not satisfied with this facility's pedestrian overall grade, you may have to look in other cities as this is the only nursing home in Carthage. In spite of all this, this nursing home did just fine in our inspections category, which you can find more information about below.

Quick Details

  • Accepts Medicare 1
  • Accepts Medicaid 1
  • No CCRC
  • Has Resident Council
  • No Family Council
  • For profit - Corporation
  • Offers Post-Acute Care 
  • Offers Inpatient Rehab
  • Offers Outpatient Rehab

Specialized Services

  • Medication Management
  • Speech Therapy
  • IV Antibiotic Therapy
  • Wound Care
  • Occupational Therapy
  • Physical Therapy
  • Respiratory Therapy
  • Nutritional Counseling
  • Recreational Therapy

Registered Staff Hours

Medical Staff Hours Per Patient (2021)
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April
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January
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February
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Facility Inspections

Grade: A-plus

Although we didn't grade this nursing home favorably overall, we actually gave it an excellent grade in the category of inspections, where it earned a grade of A+. Our inspection grades are based on several datapoints found on the a nursing home's recent inspection reports. Deficiencies are a key item to look for on these reports. You should especially avoid facilities with severe deficiencies associated with endangerment of patients. This nursing home received 5 deficiencies on its inspection report, but fortunately none of the deficiencies were considered to be severe. This tells you that the government inspectors didn't consider any of these deficiencies an imminent threat to resident safety or health. A couple minor deficiencies aren't the end of the world.

Long-term Care Quality

Grade: F

We also would like to note that this facility was given an F for its long-term care grade. Facilities that do not fare well in this category often do not provide as much nursing care and also may be lagging in a few of the areas of routine healthcare services we assessed. One of the criteria we considered in addition to nursing hours is vaccines. We were a bit alarmed this facility administered the pneumonia vaccination to just 46.037735 percent of its residents. To our surprise, this nursing home was actually able to limit hospitalizations. With only 0.01 hospitalizations per 1,000 long-term resident days, this nursing home had less hospitalizations than the majority of nursing homes. This is its best score in this category.

Short-term Care Quality

Grade: F

Our next area we graded was short-term care, where this facility received an F. Short-term care grades are generally employed to assess a facility's performance with rehabilitation To provide highly graded rehabilitation services, nursing homes generally must have better levels of highly skilled nursing services. These types of services include registered nurses, physical therapists, occupational therapists and other licensed professionals. Based on its poor grade in this category, we weren't surprised to discover that this facility provided significantly fewer registered nurse and physical therapist hours per resident than most nursing homes. The final item we looked at in this area is the number of residents who ultimately were able to return home from the facility. This facility struggled quite a bit in this metric as well, with just 4.9 percent of its patients returning home. This was well below the national average.

Nurse Quality

Grade: F

The last area we scored is nursing. It received an abysmal F in this area, which is a poor score. In determining a facility's nursing rating, we assess the number of hours nurses commit to residents as well as the level of licensure of those nurses. This facility provided just 0.3 hours of nursing care per resident per day. This is a very low total compared to most nursing homes. Finally, we also assessed some nursing quality measures in determining our nursing ratings. This place fared well in the area of minimizing its residents' pressure ulcers and major falls. We consider these statistics to be good indicators of the quality of nursing care.

Rating Over Time

Compared to national and state averages across all facilities.

FDCB-BB+A-AA+Oct 18Sep 22

Smith County Health and Rehabilitation Quality Metrics

Minimizes Pressure Ulcers

Grade: B

In Smith County Health and Rehabilitation, 8.8% of Patients had Pressure Ulcers

This tells you the percent of residents that sustained a pressure ulcer. Pressure ulcers are damage to the skin due to remaining in one position for an excessive period of time.

Minimizes Serious Falls

Grade: D

In Smith County Health and Rehabilitation, 3.44% of Patients had Serious Falls

This tells you the percent of residents that sustained a major fall. Falls leading to serious injuries are considered to be a measure of the quality of nursing care . Major falls are often caused by lower quality nursing care.

Minimizes Urinary Tract Infections

Grade: B

In Smith County Health and Rehabilitation, 3.08% of Patients had UTIs

This is a measure of the percent of long-term patients which have had urinary tract infections. UTI's could be an indication of lower quality nursing care. However, this datapoint could be misleading for some nursing homes due to inconsistent reporting standards for urinary tract infections.

Appropriately Uses Anti-Psychotic Medication

Grade: A-plus

In Smith County Health and Rehabilitation, 15.67% of Patients use Anti-Psychotic Medication

This datapoint tells you the percentage of long-term care residents receiving antipsychotic drugs. While antipsychotic drugs play an important role in caring for many residents, it is important to make sure these medications are being used only where medically required. In some cases, excessive reliance on these medications may mean a facility is using these medications to control patient behavior.

Appropriately Uses Anti-Anxiety Medication

Grade: F

In Smith County Health and Rehabilitation, 29.51% of Patients use Anti-Anxiety Medication

This is the percent of residents given antianxiety drugs. These drugs are prescribed to residents suffering from depression or anxiety.

Managing Depression Among Residents

Grade: D

In Smith County Health and Rehabilitation, 9.05% of Patients

This datapoint measures the percentage of long-term care patients who are showing signs of depression. Some argue this is a reliable measure of quality of care.

Appropriate Vaccine Usage

Grade: F

In Smith County Health and Rehabilitation, 89.05% of Patients

This indicates the percent of residents who have received the pneumonia and flu vaccines. High vaccination rates should be standard at this point.

Residents Maintain Autonomy

Grade: D

In Smith County Health and Rehabilitation, 16.44% Percentage of Patients

This indicates the percentage of residents who needed more assistance with activities of daily living over time. High levels of needing for assistance with ADL's could be a sign of erosion of a patient's well-being.

Ability to Keep Residents Mobile

Grade: A-plus

In Smith County Health and Rehabilitation, 24.2% Percentage of Residents

This is the percent of patients who were able to retain mobility over time. Optimizing mobility can be a great sign for residents' well-being.

Hospitalizations

Grade: A

In Smith County Health and Rehabilitation, 1.27 Hospitalizations per 1,000 resident days

This tells you the number of times residents are hospitalized per 1,000 days of care.

Short-term Care: Rehospitalizations

Grade: F

In Smith County Health and Rehabilitation, 24.2 Percentage of Residents Rehospitalized

This metric measures the number of rehospitalizations per 1,000 days of short-term resident care. Avoiding rehospitalizations during rehabilitation is key to restoring the physical abilities of residents.

Short-term Care: ER Visits

Grade: A-minus

In Smith County Health and Rehabilitation, 11.03 Percentage of Patients

This metric measures the number of emergency room visits per 1,000 days of short-term care. Avoiding medical emergencies is one way to assess the well-being of patients during rehabilitation.

Short-term Care: Facilitates Functional Improvement

Grade: B-minus

In Smith County Health and Rehabilitation, 73.13% Percentage of Resident

Measures the percentage of short-term residents that experienced functional improvements, such as with activities of daily living. Some experts believe this is a reasonable measure of rehabilitation performance.

Nearby Hospitals

  • Riverview Regional Medical CenterCritical Access Hospitals 0.06 miles away158 Hospital Drive Carthage Tennessee 37030Proprietary(615) 735-9815
  • Trousdale Medical CenterCritical Access Hospitals 14.81 miles away500 Church Street Hartsville Tennessee 37074Voluntary non-profit - Other(615) 374-2221
  • Macon Community HospitalCritical Access Hospitals 18.18 miles away204 Medical Drive Lafayette Tennessee 37083Voluntary non-profit - Private(615) 666-2147