Federal inspection record · CMS data as of October 1, 2026
Smyrna Care Center
200 Mayfield Drive, Smyrna, TN · (615) 355-0350
- Special Focus Facility
- Certified beds
- 125
- Residents per day
- 96
- Ownership
- For-Profit
- Chain
- Exceptional Living Centers
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 26, 1983
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.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Tennessee homes
Smyrna Care Center carries 175.5 inspection points. That is fewer than 3% 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
32 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 (2)
-
J
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Quality of Life and Care7D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights6D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nutrition and Dietary4F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Dispose of garbage and refuse properly.
- F
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning4D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 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.
Pharmacy Service3E
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control2F
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Nursing and Physician Services2F
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- F
Post nurse staffing information every day.
Administration1E
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspection history
2026-06-26
16 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2020-02-26
9 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2019-03-06
7 health deficiencies · 5 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 34 min of nursing staff time a day, 35 min of it from a registered nurse.
This home
3 h 34 min
Tennessee average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 62% of nursing staff and 33% of registered nurses left in the past year, along with 2 administrators.
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
$240,679 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-06-26 | Fine | $57,664 |
| 2026-04-27 | Fine | $183,015 |
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 days0.3 pts worse | 1.9 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts worse | 1.9 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.8 pts better | 93.3% | 89.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.5 pts better | 97.3% | 93.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts worse | 3.5% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.1 pts better | 12.8% | 14.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.4 pts worse | 9.4% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10.7 pts better | 21.0% | 31.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.6 pts better | 15.4% | 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 worsened4.3 pts better | 11.1% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.7 pts better | 9.8% | 13.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.2% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.3 pts better | 0.4% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence16.3 pts worse | 35.3% | 19.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.3 pts better | 3.5% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.7 pts worse | 74.7% | 79.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit11.1 pts worse | 22.4% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts worse | 2.9% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.3 pts better | 82.5% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.5 pts worse | 26.1% | 22.6% | 23.4% |
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Who owns and runs it
13 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 |
|---|---|---|---|
| Medical Rehabilitation Centers, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 10 facilities |
| Campbell, Brenda | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Campbell, Brenda | Adp Of The SNF · Individual | 0% | 8 facilities |
| Lexington Health Management LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Park, Seleena | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Park, Seleena | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Park, Seleena | Adp Of The SNF · Individual | 0% | 1 facilities |
| Vollmer, Donald | Managing Control - Governing Body · Individual | 0% | 7 facilities |
| Vollmer, Donald | Adp Of The SNF · Individual | 0% | 7 facilities |
| Watts, Amy | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 10 facilities |
| Watts, Walter | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 10 facilities |
| Watts, Walter | Corporate Officer · Individual | 0% | 10 facilities |
| Watts, Walter | Adp Of The SNF · Individual | 0% | 10 facilities |
·
Fire safety
25 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems6E
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- D
Ensure proper usage of power strips and extension cords.
- E
Ensure proper usage of power strips and extension cords.
- D
Meet requirements for the installation and maintenance of electrical systems.
- D
Ensure proper usage of power strips and extension cords.
Smoke6F
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
Emergency Preparedness5D
- D
Address subsistence needs for staff and patients.
- D
Create arrangements with other facilities to receive patients.
- D
Establish roles under a Waiver declared by secretary.
- D
Provide emergency officials' contact information.
- D
Conduct testing and exercise requirements.
Miscellaneous4D
- D
Have simulated fire drills held at unexpected times.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D
Have restrictions on the use of portable space heaters.
Services3F
- D
Have properly installed electrical wiring and gas equipment.
- F
Meet other general requirements that are deficient.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Egress1D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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Other homes nearby
-
The Waters Of Smyrna, LLC
Smyrna, TN · Infinity Healthcare Consulting
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 4 min
- Fines
- $97,773
-
Life Care Center Of Hickory Woods
Antioch, TN · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 14 min
- Fines
- $0
-
Tennessee Veterans Home
Murfreesboro, TN · Tennessee State Veterans' Home
★★★★★- Worst citation, 3 yrs
- L
- Nursing / resident / day
- 4 h 58 min
- Fines
- $193,155