Home / Tennessee / Pigeon Forge
Smoky Mountain Health and Rehabilitation Center
415 Cole Drive, Pigeon Forge, TN 37863 · Sevier County · (865) 428-5454
120 certified beds, about 85 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1996
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445382 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 5, 2024, inspectors cited 6 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
Of 16 health citations since September 2019, 4 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 2 fines totaling $61,180 in the last three years; the largest was $43,925, and the latest is dated April 5, 2024.
Nurses and nurse aides worked 3.45 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.47 of those hours.
70.1% of nursing staff left within the year CMS measured (Tennessee average 48.9%).
CMS links it to Cch Healthcare, an affiliated group of 33 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
609/19
006/21
601/24
304/24
106/24
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 16 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
7D
4E
1F
Potential for minimal harm
0A
0B
0C
June 21, 2024Complaint inspection · 1 citation
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
April 5, 2024Complaint inspection · 3 citations
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on review of facility policy, medical record review, review of the facility incident logs, review of facility fall investigations, emergency medical services (EMS), police records, police body camera (cam) footage, hospital records , observations, and interviews, the facility failed to provide supervision to prevent recurrent falls, review and revise the Care Plan, and implement fall interventions for 1 Resident (Resident #1) of 7 residents reviewed for falls. Resident #1, a severely cognitively impaired resident with a history of 6 falls since he admitted to the facility on [DATE], fell on 2/17/2024 and staff were unaware he had fallen until they were notified by police officers who responded to a call for a welfare check. Resident #1 was unable to reach facility staff and called a friend to ask for help. [...]
- J Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on facility policy review, medical record review, incident logs, review of census and staffing data review, time punch reports review, police reports and police officer body camera (cam) video footage review, and interviews, the facility failed to maintain sufficient nurse staffing levels on 1 of 2 units on the night of 2/17/2024. The facility's failure to maintain sufficient nurse staffing levels to assure resident safety and attain or maintain the highest practicable physical, mental and psychosocial wellbeing of residents on 1 of units (The Mountain Unit) on 2/17/2024 of 60 days reviewed which resulted in facility staff not detecting a fall for Resident #1 for an unspecified amount of time. [...]
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on facility policy review, facility investigation review, police report review, medical record review, observation, and interview the facility failed to protect the residents' right to be free from physical abuse by a resident for 2 of 14 (Residents #7 and #3) sampled residents reviewed for abuse. The facility failed to protect the residents' right to be free from abuse on 6/13/2023 when Resident #12 open handed slapped Resident #3 on the hands, wrists, and lower forearms and when Resident #14 hit Resident #7 in the upper left arm causing multiple bruises on 6/1/2024 which resulted in actual HARM for Resident #7.
January 5, 2024Standard inspection · 6 citations
- 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.
Inspectors wroteBased on facility policy review, observations, and interviews, the facility failed to provide a homelike environment as evidenced by failing to repair areas of chipped paint in 3 of 54 resident rooms (Rooms #221, #225, and #226) and in 3 of 4 hallways, failing to repair holes to trim boards for 3 of 54 resident rooms (Rooms #123, #220, #225) and in 2 of 4 hallways, failing to repair cracks in the caulking around the heating and air units in 2 of 54 resident rooms (Rooms #219 and #224), and failing to replace the plastic door protector to the entry door of 3 of 54 resident rooms (Rooms #126, #219, and #222) observed.
- 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.
Inspectors wroteBased on facility policy, review of a facility document, medical record review, and interviews, the facility failed to ensure that residents acknowledged having, were educated on or offered information regarding advance directives for 7 residents (Residents #47, #7, #13, #18, #27 and #33) of 24 residents reviewed for advance directives.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on facility policy review, medical record review, and interviews, the facility failed to accurately complete a Minimum Data Set (MDS) assessment for 1 resident (Resident #2) of 18 residents reviewed for MDS assessments.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on medical record review and interview, the facility failed to resubmit a Pre-admission Screening and Resident Review (PASRR) for new diagnoses to the state-designated authority for 1 resident (Resident #18) of 4 residents reviewed for PASRR.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on facility policy review, medical record review, and interviews, the facility failed to maintain an accurate medical record for 1 resident (Resident #43) of 18 residents reviewed for medical records.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on Centers for Disease Control and Prevention (CDC) guidance, facility policy review, observation and interview, the facility failed to ensure expired supplies were not available for resident use in 1 of 4 medication carts observed and failed to ensure staff members performed self-testing for COVID-19 (an infectious disease caused by the SARS-CoV-2 virus) according to current guidance for 1 of 1 self-testing observations, which had the potential to result in transmission of COVID-19.
June 16, 2021Standard inspection · 0 citations
September 11, 2019Standard inspection · 6 citations
- F Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on facility policy review, review of the Plan of Correction (POC) from the previous annual survey, current survey findings, and interview, the facility's Quality Assurance Performance Improvement team failed to maintain compliance with the prior plan of correction related to sufficient nurse staffing, potentially affecting all 77 residents in the facility.
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on medical record review, observation, and interview, the facility failed to provide assistance for activities of daily living (ADL) for 6 dependent residents (#6, #25, #51, #54, #52, and #124) of 24 residents sampled for ADL care.
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on review of the facility policy, medical record review, observation and interview, the facility failed to maintain adequate staffing levels to meet the activities of daily living care needs of 7 residents (#6, #25, #51, #52, #54, #65, and #124) of 24 residents reviewed for activities of daily living.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure the kitchen cooking pans were stored in a sanitary manner in 1 kitchen; failed to discard expired foods and nutritional supplements; failed to label and date foods brought in by visitors, failed to separate employee and resident foods, and failed to maintain sanitary refrigerators and microwaves in 2 of 2 nourishment rooms.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on medical record review and interview, the facility failed to develop a baseline care plan to address the care and treatment of a surgical wound infection on admission for 1 resident (#124) of 25 sampled residents reviewed for baseline care plans.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on medical record review, observation and interview, the facility failed to provide an environment free of accident hazards, for 1 resident (#65) of 4 residents reviewed for falls.
Fire safety inspections
12 fire safety citations on file: 7 on January 5, 2024, 3 on June 16, 2021, 2 on September 11, 2019.
Every fire safety citation12 citations
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Provide a written emergency evacuation plan.
- 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.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Construct fire resistant interior walls.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- D Provide properly protected cooking facilities.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| April 5, 2024 | Fine | $17,255 |
| April 5, 2024 | Fine | $43,925 |
| April 5, 2024 | Payment Denial | 81 days from May 2, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Tennessee | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.45 | 3.80 | 3.86 |
| Registered nurses | 0.47 | 0.60 | 0.69 |
| All nursing staff on weekends | 2.87 | 3.31 | 3.42 |
| Nurse aides | 2.01 | ||
| Licensed practical nurses | 0.97 | ||
| Nursing staff turnover (share who left in a year) | 70.1% | 48.9% | 45.8% |
| Registered nurse turnover | 61.5% | 43.2% | 42.9% |
| Administrators who left | 2 |
CMS expects 4.15 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.69 on weekdays and 2.87 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 32.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.04 in April to June 2025 to 3.45 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.45 | 0.47 | 3.69 | 2.87 | 32.5% | 0 of 90 | 85 |
| Oct to Dec 2025 | 3.36 | 0.42 | 3.57 | 2.84 | 40.2% | 0 of 92 | 82 |
| Jul to Sep 2025 | 3.38 | 0.46 | 3.59 | 2.84 | 31.1% | 0 of 92 | 79 |
| Apr to Jun 2025 | 3.04 | 0.53 | 3.23 | 2.56 | 17.8% | 0 of 91 | 81 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Tennessee, Jan to Mar 2026 | 3.75 | 0.56 | 3.95 | 3.27 | 4.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Tennessee
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Tennessee, all employers | |||
| CNAs (nursing assistants) | $18.27 | $17.09 to $19.66 | 27,040 |
| LPNs and LVNs | $28.31 | $23.64 to $30.12 | 20,830 |
| Registered nurses | $39.18 | $36.28 to $45.79 | 72,200 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Tennessee | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 13.3 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.1 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.8 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 26.4 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.9 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.4 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.7 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 29.8 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 1.6 | 1.8 |
Owners and operators
Legal business name: SM HEALTHCARE OP LLC. CMS links this home to Cch Healthcare, a group of 33 nursing homes averaging 2.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| 1026 Enterprises II, LLC | Direct ownership interest | Organization | 06/01/2025 | |
| Starlight Healthcare LLC | Direct ownership interest | Organization | 06/01/2025 | |
| 10-26 Nationwide Tr | Indirect ownership interest | Organization | 06/01/2025 | |
| Capital Holdings Trust | Indirect ownership interest | Organization | 06/01/2025 | |
| Jeremias, Baruch | Indirect ownership interest | Individual | 06/01/2025 | |
| Stern, Jacob | Indirect ownership interest | Individual | 06/01/2025 | |
| Stern, Jacob | Managing control - governing body | Individual | 06/01/2025 | |
| Cch Healthcare Nc, LLC | Operational/managerial control | Organization | 06/01/2025 | |
| Sm Healthcare PC LLC | Operational/managerial control | Organization | 06/01/2025 | |
| Chamberlain, Leonard | Operational/managerial control | Individual | 06/01/2025 | |
| Daniel, Anton | Operational/managerial control | Individual | 06/01/2025 | |
| Stern, Jacob | Operational/managerial control | Individual | 06/01/2025 | |
| 10-26 Nationwide Tr | Adp of the SNF | Organization | 06/01/2025 | |
| 1026 Enterprises II, LLC | Adp of the SNF | Organization | 06/01/2025 | |
| Capital Holdings Trust | Adp of the SNF | Organization | 06/01/2025 | |
| Cch Healthcare Nc, LLC | Adp of the SNF | Organization | 06/30/2025 | |
| Sm Healthcare PC LLC | Adp of the SNF | Organization | 06/01/2025 | |
| Starlight Healthcare LLC | Adp of the SNF | Organization | 06/01/2025 | |
| Chamberlain, Leonard | Adp of the SNF | Individual | 06/01/2025 | |
| Daniel, Anton | Adp of the SNF | Individual | 06/01/2025 | |
| Stern, Jacob | Adp of the SNF | Individual | 06/01/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on January 5, 2024: "Ensure each resident receives an accurate assessment."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on April 5, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on June 21, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on April 5, 2024: "Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.87 hours per resident per day, below the Tennessee average of 3.31.
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Sevierville Health and Rehabilitation Center Sevierville, 6.2 mi · 4 of 5 stars · 11 citations
- Jefferson County Nursing Home Dandridge, 18.5 mi · 3 of 5 stars · 9 citations
- Asbury Place at Maryville Maryville, 20.3 mi · 1 of 5 stars · 23 citations
- Ocoee Transitional Care Center LLC Maryville, 21.1 mi · 3 of 5 stars · 17 citations
- Holston Health & Rehabilitation Center Knoxville, 21.6 mi · 5 of 5 stars · 6 citations
- Island Home Park Health and Rehab Knoxville, 21.9 mi · 4 of 5 stars · 8 citations
- Newport Tn Opco LLC Newport, 22 mi · 3 of 5 stars · 17 citations
- Jefferson City Health and Rehab Center Jefferson City, 22.7 mi · 3 of 5 stars · 8 citations
Tennessee contacts for a concern about a nursing home
These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Tennessee Health Facilities Commission, Division of Licensure and Regulation, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Tennessee Long-Term Care Ombudsman, Department of Disability and Aging, 877-236-0013. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Smoky Mountain Health and Rehabilitation Center's Medicare star rating?
- CMS rates Smoky Mountain Health and Rehabilitation Center 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Smoky Mountain Health and Rehabilitation Center get at its last inspection?
- 6 health deficiencies at the standard inspection on January 5, 2024. The Tennessee average is 4.4.
- Has Smoky Mountain Health and Rehabilitation Center been fined?
- Yes. CMS lists 2 fines totaling $61,180 in the last three years.
- Does Smoky Mountain Health and Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Smoky Mountain Health and Rehabilitation Center?
- CMS lists 21 owners and managers, and links the home to Cch Healthcare. Legal business name: SM HEALTHCARE OP LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.