Nursing Care Index

Smoky Mountain Health And Rehabilitation Center

Pigeon Forge, Sevier County, Tennessee · CCN 445382 · For-profit (LLC) · part of Cch Healthcare (33 facilities, chain average 2.5 stars)

CMS rates Smoky Mountain Health And Rehabilitation Center 1 of 5 overall as of August 2026. 120 certified beds, 85 residents a day on average. 16 citations on record from the current inspection cycles, 2 at immediate jeopardy; 2 fines totalling $61,180 and 1 payment denial.

On record

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★☆☆☆☆ 1 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★☆☆☆☆ 1 of 5
Quality measures★★★☆☆ 3 of 5
Quality: long-stay / short-stay4 / 1 of 5

Staffing

Total nurse staffing3.4498 hours per resident per day
Registered nurses0.472 hours per resident per day
Weekend total2.86852 hours per resident per day
Nursing staff turnover70.1% (registered nurses 61.5%)
Administrators who left2

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2024-06-21
complaint survey
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has no plan of correction
2024-04-05
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2024-04-08
2024-04-05
complaint survey
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · tag F0725
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2024-04-08
2024-04-05
complaint survey
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2024-07-22
2024-01-05 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.
Resident Rights Deficiencies · tag F0584
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-01-26
2024-01-05 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.
Resident Rights Deficiencies · tag F0578
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-26
2024-01-05 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-26
2024-01-05 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · tag F0644
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-26
2024-01-05 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-26
2024-01-05 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-26
2019-09-11 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · tag F0867
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2019-10-19
2019-09-11 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2019-10-19
2019-09-11 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · tag F0725
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2019-10-19
2019-09-11 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2019-10-19
2019-09-11 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · tag F0655
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-10-19
2019-09-11 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-10-19

Fines and payment denials

DatePenaltyAmount
2024-04-05Payment denial for 81 days from 2024-05-02
2024-04-05Fine$43,925
2024-04-05Fine$17,255

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
10-26 Nationwide Tr
Organization
adp of the snf2025-06-01
1026 Enterprises II, LLC
Organization
adp of the snf2025-06-01
Capital Holdings Trust
Organization
adp of the snf2025-06-01
Cch Healthcare Nc, LLC
Organization
adp of the snf2025-06-30
Sm Healthcare PC LLC
Organization
adp of the snf2025-06-01
Starlight Healthcare LLC
Organization
adp of the snf2025-06-01
1026 Enterprises II, LLC
Organization
direct ownership interest2025-06-01
Starlight Healthcare LLC
Organization
direct ownership interest2025-06-01
10-26 Nationwide Tr
Organization
indirect ownership interest2025-06-01
Capital Holdings Trust
Organization
indirect ownership interest2025-06-01
Cch Healthcare Nc, LLC
Organization
operational/managerial control2025-06-01
Sm Healthcare PC LLC
Organization
operational/managerial control2025-06-01
Chamberlain, Leonard
Individual
adp of the snf2025-06-01
Daniel, Anton
Individual
adp of the snf2025-06-01
Stern, Jacob
Individual
adp of the snf2025-06-01
Jeremias, Baruch
Individual
indirect ownership interest2025-06-01
Stern, Jacob
Individual
indirect ownership interest2025-06-01
Stern, Jacob
Individual
managing control - governing body2025-06-01
Chamberlain, Leonard
Individual
operational/managerial control2025-06-01
Daniel, Anton
Individual
operational/managerial control2025-06-01
Stern, Jacob
Individual
operational/managerial control2025-06-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Sevier County.