Smith County Health and Rehabilitation: Staffing, Turnover, and Inspection Record
Smith County Health and Rehabilitation is a 128-bed for-profit nursing home in Carthage, Tennessee, part of Simcha Hyman & Naftali Zanziper. In the CMS August 2026 release it reported 1.84 nurse aide hours per resident per day, 13% below the Tennessee average of 2.12, and 51.7% nursing staff turnover (Tennessee average 48.9%).
Smith County Health and Rehabilitation
112 Health Care DrCarthage, TN 37030
Smith County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Smith County Health and Rehabilitation, nurse aides logged 1.84 hours per resident per day, 13% below the Tennessee average. With about 81 residents a day, that works out to roughly 150 aide hours a day, or about 19 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | Tennessee avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.84 | 2.12 | 2.32 |
| Licensed practical nurses | 1.30 | 1.09 | 0.86 |
| Registered nurses | 0.46 | 0.60 | 0.69 |
| All nursing staff | 3.60 | 3.80 | 3.86 |
| All nursing staff, weekends | 3.23 | 3.31 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
51.7% of nursing staff at Smith County Health and Rehabilitation left over the year CMS measured, against a Tennessee average of 48.9% and a US average of 45.8%. Registered nurse turnover was 50.0%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Sep 17, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 2 health deficiencies (Tennessee average 4.7). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Smith County Health and Rehabilitation holds 5 of 5 overall; the Tennessee average is 3.0.
About Smith County Health and Rehabilitation
- Ownership: For profit - Limited Liability company
- Chain: Simcha Hyman & Naftali Zanziper, 79 homes
- Legal name: Carthage Opco LLC
- Medicare and Medicaid certified since: Dec 4, 1984
- Councils: resident council
- Area: urban
Nursing homes near Smith County Health and Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Hartsville Convalescent Center Hartsville · many days without an RN | 12.2 | 95 | 1.95 | 5.64 | 72.3% | 1 | $16,796 |
| Quality Center for Rehabilitation and Healing LLC Lebanon | 16.3 | 280 | 1.99 | 3.45 | 45.3% | 1 | None |
| Knollwood Manor Lafayette | 17.8 | 49 | 2.02 | 3.41 | 33.3% | 1 | None |
| Lebanon Center for Rehabilitation and Healing, LLC Lebanon | 17.8 | 60 | 2.27 | 4.23 | 59.1% | 5 | None |
| Pavilion-Ths, Llc Lebanon | 19.0 | 60 | 2.48 | 4.40 | 25.0% | 5 | None |
| Mabry Health Care Gainesboro | 20.1 | 80 | 1.83 | 3.15 | 55.7% | 3 | None |
| Red Boiling Springs TN Opco LLC Red Boiling Springs | 20.4 | 119 | 1.65 | 3.09 | 55.6% | 3 | None |
| NHC Healthcare, Smithville Smithville | 23.0 | 114 | 2.44 | 3.82 | 42.2% | 3 | $228,511 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.