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Smith County Health and Rehabilitation

  • Nursing Home
  • Memory Care

Updated Jun 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: D
See Rating Overview
Smith County Health and Rehabilitation's website

112 Health Care Dr,
Carthage TN 37030

(615) 735-0569

59.45% 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. Despite all this, one of the few highlights of this facility's report card is its strong inspection score. You can continue reading to find out about inspections and other category grades

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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January
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February
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June
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July
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August
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November
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December
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Facility Inspections

Grade: A-plus

Although we did not rate this nursing home highly overall, we want to point out its excellent government inspections in recent years. We awarded them an A+ in this category. Our inspection grades account for a host of factors included in a nursing home's inspection reports. One key criteria we weigh heavily is the number and severity of deficiencies. You generally want to avoid nursing homes with a bunch of severe deficiencies flagged. Fortunately, although this nursing home had a few minor dings on its report, it had no severe deficiencies. Severe deficiencies are ones labeled as categories G, H, I, J, K and L. This tells you that the inspectors didn't consider any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. A few minor deficiencies are not necessarily the end of the world.

Short-term Care Quality

Grade: C

This facility's short-term care rating turns out to be one of its more favorable features. The facility was given a C in this area. Our short-term care scores are based in part on a nursing home's quantity of skilled nursing services. This includes a wide scope of nursing services, spanning from registered nurses to physical and respiratory therapists, in addition to other types of therapy. Unfortunately, this facility was below average in terms of its number of physical therapy and registered nurse hours provided to its patients based on the metrics we assessed. The last measure we assessed in this area is the percentage of residents who were able to return home from the nursing home. We found that just 6 percent of this nursing home's residents returned home.

Long-term Care Quality

Grade: F

The third area we assessed is long-term care. This nursing home's was given a bottom of the barrel long-term care score where it was given a lowly F. Nursing homes that receive this kind of grade in long-term care may not provide the type of consistent 24/7 care that some other nursing homes offer. Once we finished looking at the amount of care provided by nurses, we turned to the nursing home's vaccination record. We were a bit alarmed this facility vaccinated just 46.468403 percent of its patients for pneumonia. Surprisingly, this place actually fared well at keeping its patients out of the hospital. In fact, it had only 0 hospitalizations per 1,000 long-term resident days. This is its best feature in this category.

Nurse Quality

Grade: F

Switching gears to the final category, this facility really did not fare very well here either. Due to an abysmal grade of F in nursing, this is really as as uninspiring as it gets. Our nursing rating looks at the facility's nurse staffing levels. We look at both the levels of licensure of the nurses as well as the number of hours spent with residents. 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. Lastly, we also looked at some nursing quality-based metrics in determining our nursing grades. This facility fared well when it comes to minimizing its residents' major falls and pressure ulcers.

Rating Over Time

Compared to national and state averages across all facilities.

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

Smith County Health and Rehabilitation Quality Metrics

Minimizes Pressure Ulcers

Grade: B

In Smith County Health and Rehabilitation, 9.06% of Patients had Pressure Ulcers

This indicates the percentage of patients who suffered from a pressure ulcer. Pressure ulcers are skin damage caused by remaining in one position for too long.

Minimizes Serious Falls

Grade: D

In Smith County Health and Rehabilitation, 3.4% of Patients had Serious Falls

This figure is a measure of the percent of long-term patients which have experienced falls resulting in serious injury. Falls can arise for a variety of reasons, but high rates of major falls may be an indicator of lower quality nursing care.

Minimizes Urinary Tract Infections

Grade: A

In Smith County Health and Rehabilitation, 3.28% of Patients had UTIs

This is the percent of patients that have had a urinary tract infection. These infections may be associated with insufficient hygiene.

Appropriately Uses Anti-Psychotic Medication

Grade: A-plus

In Smith County Health and Rehabilitation, 15.49% of Patients use Anti-Psychotic Medication

This indicates the percentage of patients prescribed antipsychotic medications. While antipsychotic medications may be vital to many patients, it is important to ensure these medications are being used appropriately. In some cases, excessive reliance on these medications may indicate that a nursing home is using these medications to subdue residents.

Appropriately Uses Anti-Anxiety Medication

Grade: F

In Smith County Health and Rehabilitation, 29.7% of Patients use Anti-Anxiety Medication

This indicates the percentage of residents prescribed antianxiety medications. These drugs are commonly given to residents experiencing depression and anxiety.

Managing Depression Among Residents

Grade: D

In Smith County Health and Rehabilitation, 8.67% of Patients

This metric measures the percent of long-term stay patients exhibiting signs of depression.

Appropriate Vaccine Usage

Grade: F

In Smith County Health and Rehabilitation, 89.63% of Patients

This indicates the percent of patients that have received the flu and pneumonia vaccines. High vaccination rates should be demanded by residents.

Residents Maintain Autonomy

Grade: D

In Smith County Health and Rehabilitation, 16.71% Percentage of Patients

This tells you the percent of patients who required more assistance with activities of daily living over time. Higher levels of dependence on staff for assistance with activities of daily living may indicate the erosion of a resident's medical condition.

Ability to Keep Residents Mobile

Grade: A

In Smith County Health and Rehabilitation, 26.22% Percentage of Residents

This is a measure of the percent of long-term stay patients that maintained mobility. Some experts believe that the ability to move around is vital to patients physical and mental health.

Hospitalizations

Grade: A-plus

In Smith County Health and Rehabilitation, 1.21 Hospitalizations per 1,000 resident days

This metric is a measure of the number of times residents are hospitalized per thousand days of patient care.

Short-term Care: Rehospitalizations

Grade: D

In Smith County Health and Rehabilitation, 26.22 Percentage of Residents Rehospitalized

This metric tracks the number of times residents are rehospitalized per thousand days of short-term care.

Short-term Care: ER Visits

Grade: A-minus

In Smith County Health and Rehabilitation, 11.37 Percentage of Patients

This tells you the number of emergency room visits per thousand days of short-term care.

Short-term Care: Facilitates Functional Improvement

Grade: B-minus

In Smith County Health and Rehabilitation, 72.9% Percentage of Resident

This is the percent of short-term residents that saw functional improvements, such as with activities of daily living. Higher levels of autonomy with ADL's typically correlates with successful rehabilitation services.

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

Helpful Articles

Footnotes:

  1. https://www.medicare.gov/nursinghomecompare/profile.html#ID=445172