Federal inspection record · CMS data as of October 1, 2026
Smoky Mountain Health And Rehabilitation Center
415 Cole Drive, Pigeon Forge, TN · (865) 428-5454
- Certified beds
- 120
- Residents per day
- 89
- Ownership
- For-Profit
- Chain
- Cch Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 1, 1996
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Tennessee.
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Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Tennessee homes
Smoky Mountain Health And Rehabilitation Center carries 77.25 inspection points. That is fewer than 13% of Tennessee's 300 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Tennessee: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–17 pts
- 3★ 17–31 pts
- 2★ 31–61 pts
- 1★ over 61 pts
Bars show every rated home in Tennessee by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
17 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (5)
-
G
Ensure that residents are free from significant medication errors.
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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J
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Resident Assessment and Care Planning4D
- D
Ensure each resident receives an accurate assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Rights2E
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Quality of Life and Care2E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Administration1F
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Nursing and Physician Services1E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2024-01-05
7 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2021-06-16
0 health deficiencies · 3 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2019-09-11
10 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 16 min of nursing staff time a day, 35 min of it from a registered nurse.
This home
3 h 16 min
Tennessee average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 73% of nursing staff and 64% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$61,180 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-04-05 | Fine | $17,255 |
| 2024-04-05 | Fine | $43,925 |
| 2024-04-05 | Payment Denial · 81 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts worse | 1.7 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse | 2.2 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine20.9 pts worse | 68.6% | 89.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.8 pts worse | 92.0% | 93.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.9 pts better | 0.4% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms12.8 pts better | 2.1% | 14.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.7 pts worse | 9.7% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.1 pts better | 22.6% | 31.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.2 pts better | 11.8% | 17.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.6 pts worse | 16.0% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.5 pts better | 13.0% | 13.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.3% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts better | 0.7% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.8 pts better | 17.2% | 19.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts better | 4.2% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine41.1 pts worse | 38.3% | 79.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit15.6 pts worse | 26.9% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse | 1.9% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine34.1 pts worse | 45.1% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission11.5 pts worse | 34.1% | 22.6% | 23.4% |
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Who owns and runs it
21 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| 10-26 Nationwide Tr | Indirect Ownership Interest · Organization | 0% | 10 facilities |
| 10-26 Nationwide Tr | Adp Of The SNF · Organization | 0% | 10 facilities |
| 1026 Enterprises Ii LLC | Direct Ownership Interest · Organization | 0% | 7 facilities |
| 1026 Enterprises Ii LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Capital Holdings Trust | Indirect Ownership Interest · Organization | 0% | 6 facilities |
| Capital Holdings Trust | Adp Of The SNF · Organization | 0% | 6 facilities |
| Cch Healthcare Nc, LLC | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Cch Healthcare Nc, LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Chamberlain, Leonard | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Chamberlain, Leonard | Adp Of The SNF · Individual | 0% | 1 facilities |
| Daniel, Anton | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Daniel, Anton | Adp Of The SNF · Individual | 0% | 4 facilities |
| Jeremias, Baruch | Indirect Ownership Interest · Individual | 0% | 25 facilities |
| Sm Healthcare Pc LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Sm Healthcare Pc LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Starlight Healthcare LLC | Direct Ownership Interest · Organization | 0% | 21 facilities |
| Starlight Healthcare LLC | Adp Of The SNF · Organization | 0% | 21 facilities |
| Stern, Jacob | Indirect Ownership Interest · Individual | 0% | 37 facilities |
| Stern, Jacob | Managing Control - Governing Body · Individual | 0% | 37 facilities |
| Stern, Jacob | Operational/Managerial Control · Individual | 0% | 37 facilities |
| Stern, Jacob | Adp Of The SNF · Individual | 0% | 37 facilities |
·
Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5E
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install corridor and hallway doors that block smoke.
- E
Construct fire resistant interior walls.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Provide properly protected cooking facilities.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Provide a written emergency evacuation plan.
Services2F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
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Other homes nearby
-
Sevierville Health And Rehabilitation Center
Sevierville, TN · Champion Care
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 19 min
- Fines
- $0
-
Jefferson County Nursing Home
Dandridge, TN
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 19 min
- Fines
- $0
-
The Waters of Maryville
Maryville, TN · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 36 min
- Fines
- $10,868