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Smith County Health and Rehabilitation

  • Nursing Home
  • Memory Care

Updated Apr 1, 2023 by Nick Reese

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: DNov 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: DOct 22: DNov 22: DJan 23: DFeb 23: DMar 23: DApr 23: D
See Rating Overview
Smith County Health and Rehabilitation's website

112 Health Care Dr,
Carthage TN 37030

(615) 735-0569

55.62% 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.

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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 (2022)
Less:
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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: D

We awarded this facility just a D for our long-term care rating and that actually ended up being its next most favorable score. Nursing homes that do not score well in this category often do not provide as much nursing care and also may be struggling in a few of the areas of routine healthcare services we looked at. One of the factors we considered after nurse's aid hours is vaccinations. We were a bit bothered by the fact that this nursing home provided the pneumonia vaccination to just 54.508198 percent of its patients. Surprisingly, this facility was actually able to limit hospitalizations. With only 0.01 hospitalizations per 1,000 long-term resident days, this facility has less hospitalizations than the average nursing home. This is its best score in this category.

Nurse Quality

Grade: F

Unfortunately, we gave this facility an F for its nursing grade. Our nursing grade is based on quite a few factors, however, the main one is the quantity of nurse hours per patient per week. This facility averaged just 0.3 hours of nursing care per patient per day. Finally, we also looked at some nursing quality-based metrics in determining our nursing scores. This place performed well when it comes to minimizing its residents' major falls and pressure ulcers.

Short-term Care Quality

Grade: F

The last category we scored is short-term care. This facility was given an abysmal grade of F in that area. With our short-term care assessment, we seek to craft a sound gauge for rehabilitation services. In this process, we analyze the nursing home's offerings of highly-skilled nursing services, including both registered nurses and physical therapy, as well as respiratory therapy. Considering its abysmal score in this category, we weren't shocked to discover that this place provides significantly fewer registered nurse and physical therapist hours per patient than most nursing homes. The last statistic we considered in this area is the percentage of residents who ultimately returned home from the facility. This nursing home struggled quite a bit in this area as well, with just 4.9 percent of its residents returning home. Unfortunately, this was quite a bit below average.

Rating Over Time

Compared to national and state averages across all facilities.

FDCB-BB+A-AA+Oct 18May 23

Smith County Health and Rehabilitation Quality Metrics

Minimizes Pressure Ulcers

Grade: B-minus

In Smith County Health and Rehabilitation, 9.8% of Patients had Pressure Ulcers

This figure measures the percent of long-term stay patients that developed new or worsened pressure ulcers. Many experts believe that pressure ulcers are a solid barometer of the quality of nursing care a nursing home provides.

Minimizes Serious Falls

Grade: C

In Smith County Health and Rehabilitation, 4.92% of Patients had Serious Falls

This is the percent of patients who suffered from a major fall. Falls leading to severe injury are routinely caused by lower levels of patient supervision. Better nursing protocols reduces the percentage of residents in a nursing home who sustain major falls.

Minimizes Urinary Tract Infections

Grade: C

In Smith County Health and Rehabilitation, 3.78% of Patients had UTIs

This measures the percent of long-term patients who have experienced UTI's. Although more of these infections may reflect poorly on a facility's hygiene protocols, it is difficult to compare between nursing homes due to varying reporting standards.

Appropriately Uses Anti-Psychotic Medication

Grade: B-plus

In Smith County Health and Rehabilitation, 11.32% of Patients use Anti-Psychotic Medication

This is the percent of patients given antipsychotic drugs. Antipsychotic drugs are given to residents for a variety of medical conditions, such as Alzheimer's or other dementias. Unfortunately, in limited situations, increased usage of these drugs may suggest a facility is using these medications to subdue residents.

Appropriately Uses Anti-Anxiety Medication

Grade: D

In Smith County Health and Rehabilitation, 34.39% of Patients use Anti-Anxiety Medication

This figure is an indication of the percentage of long-term residents which were administered antianxiety drugs. These medications are commonly given to patients suffering from anxiety or depression.

Managing Depression Among Residents

Grade: D

In Smith County Health and Rehabilitation, 16.38% of Patients

This tells you the percentage of residents who are exhibiting depressive symptoms. Higher levels of depression could be a sign a less hospitable environment.

Appropriate Vaccine Usage

Grade: F

In Smith County Health and Rehabilitation, 73.09% of Patients

This tells you the percent of patients who were administered the pneumonia and flu vaccines. High vaccination rates should be standard at this point.

Residents Maintain Autonomy

Grade: F

In Smith County Health and Rehabilitation, 30.73% of Patients

This tells you the percentage of residents who needed additional assistance with activities of daily living over time.

Ability to Keep Residents Mobile

Grade: A-plus

In Smith County Health and Rehabilitation, 29.45% of Residents

This indicates the percentage of residents who were able to retain mobility over time. Optimizing mobility is usually a good sign for residents' well-being.

Hospitalizations

Grade: A-plus

In Smith County Health and Rehabilitation, 0.01 Hospitalizations per 1,000 resident days

This indicates 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, 29.45% of Residents Rehospitalized

This is a measure of the number of times residents are rehospitalized per thousand days of short-term care.

Short-term Care: ER Visits

Grade: A-plus

In Smith County Health and Rehabilitation, 1.74% of Patients

This datapoint is a measure of the number of emergency room visits per 1,000 days of short-term patient care.

Short-term Care: Facilitates Functional Improvement

Grade: B-minus

In Smith County Health and Rehabilitation, 73.5% of Resident

This datapoint measures the percentage of short-term stay residents that saw functional improvements.

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