Smith County Health and Rehabilitation — nursing home in Carthage, TN

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 128 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 84.7 CMS, MDS-derived
CMS Certification Number: 445172
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Dec 4, 1984
Ownership type: For profit - Limited Liability company
Operator (legal business name): Carthage Opco LLC
CMS chain: Simcha Hyman & Naftali Zanziper 79 facilities
Phone: (615) 735-0569
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Sep 17, 2025

Citations

19

6 health · 13 fire

Harm or worse

2

2 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G·	H·	I·
Potential harm	D12	E1	F·
Minimal	A·	B·	C4

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 445172
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 128
First approved: Dec 4, 1984
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Tennessee.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Sep 17, 2025	Health	Health Standard	2	Potential harm	—	Open →
Sep 26, 2019	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Sep 26, 2019	Health	Health Standard	3	Immediate jeopardy	—	Open →
Sep 26, 2018	Fire safety	Fire Safety Standard	8	Potential harm	—	Open →
Sep 26, 2018	Health	Health Standard	1	Potential harm	—	Open →
Aug 2, 2017	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G·	H·	I·
Potential harm	D12	E1	F·
Minimal	A·	B·	C4

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Sep 17, 2025	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jan 7, 2026
Sep 17, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jan 7, 2026
Sep 26, 2019	F-0604	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	J · Immediate jeopardy Isolated	Corrected Oct 24, 2019	IIDR
Sep 26, 2019	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Oct 24, 2019	IIDR
Sep 26, 2019	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 27, 2019
Sep 26, 2019	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 27, 2019
Sep 26, 2019	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 27, 2019
Sep 26, 2019	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 7, 2019
Sep 26, 2019	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 24, 2019	IIDR
Sep 26, 2018	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Oct 15, 2018
Sep 26, 2018	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 15, 2018
Sep 26, 2018	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 15, 2018
Sep 26, 2018	K-0921	Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 29, 2018
Sep 26, 2018	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Oct 15, 2018
Sep 26, 2018	E-0006	Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness	C · Minimal Widespread	Corrected Nov 29, 2018
Sep 26, 2018	E-0015	Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness	C · Minimal Widespread	Corrected Oct 15, 2018
Sep 26, 2018	E-0024	Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Emergency preparedness	C · Minimal Widespread	Corrected Nov 29, 2018
Sep 26, 2018	E-0032	Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness	C · Minimal Widespread	Corrected Oct 15, 2018
Aug 2, 2017	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 24, 2017

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 3

Staffingstate 2.5

Quality measuresstate 3.7

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.53

State avg 3.82US avg 3.90

Registered nurse (RN)0.42

State avg 0.60US avg 0.69

Licensed practical nurse1.26

State avg 1.08US avg 0.86

Nurse aide1.85

State avg 2.14US avg 2.35

Weekend total nurse3.24

State avg 3.32US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.47 (case-mix index 1.42).

Staff turnover

Total nursing staff turnover49.4%

State avg 48.6%US avg 45.3%

Registered nurse turnover25.0%

State avg 43.2%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Sep 17, 2025
Cycle 1 health score: 12
Total weighted score: 9

Operating entity

Carthage Opco LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Simcha Hyman & Naftali Zanziper

79 facilities in 6 states. CMS chain ID 580.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.8

Ownership disclosures

Disclosures

4

Organizations

1

Individuals

3

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Clearview Healthcare Management Tn LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 1, 2021
Mick Vujanovic	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2020
Mick Vujanovic	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2020
Casey Malone	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Sep 26, 2022

Same chain in Tennessee

All 78 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Midtown Center for Health and Rehabilitation 141 N Mclean Blvd, Memphis, TN 38104 CCN 445139	180	Sep 4, 2025	371 IJ1 harm	$188k
Willow Branch Health and Rehabilitation 415 PACE Street, Mcminnville, TN 37110 CCN 445216	140	Apr 30, 2025	243 harm	—
River Grove Health and Rehabilitation 1520 Grove St Box 190, Loudon, TN 37774 CCN 445253	180	Aug 11, 2025	32	—
Fairpark Health and Rehabilitation 307 N Fifth St Box 5477, Maryville, TN 37801 CCN 445286	75	Jul 1, 2026	23	—
Red Boiling Springs Tn Opco LLC 309 Main St, Red Boiling Springs, TN 37150 CCN 445329	119	Mar 27, 2026	20	—
Mt Pleasant Healthcare and Rehabilitation 904 Hidden Acres Dr, Mount Pleasant, TN 38474 CCN 445374	72	Jun 24, 2026	46	—
Soddy-Daisy Health Care Center 701 Sequoyah Road, Soddy-Daisy, TN 37379 CCN 445408	134	Nov 17, 2025	17	—
Magnolia Creek Nursing and Rehabilitation 1992 Hwy 51 S, Covington, TN 38019 CCN 445461	156	Sep 17, 2025	551 IJ2 harm	$17k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS (geocoding footnote 22).

Address: 112 Health Care Dr, Carthage, TN 37030
ZIP: 37030
County: Smith County FIPS 47159
State: Tennessee
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Hartsville Convalescent Center 649 Mcmurry Blvd, Hartsville, TN 37074 CCN 445256	19.6 km	95		Aug 11, 2025	451 IJ	$17k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	445172	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	445172	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 445172

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction