Nursing homeActive
Smyrna Care Center
200 Mayfield Drive, Smyrna, TN 371676153550350125 certified beds · 94 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2018
Deficiencies
30
● 0● 24● 6
Penalties · 3 yrs
$174,615
1 fine
Last survey
2026-04-27
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 2
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Tennessee Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-27 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2020-02-26 | Standard | 090 | CMS-2567 (Care Compare) | — |
| 2019-03-06 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2018-01-24 | Standard | 085 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Tennessee Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-05-16Record 445160-20260427-F684
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-03-20Record 445160-20200226-F550
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-03-20Record 445160-20200226-F558
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-03-20Record 445160-20200226-F600
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-03-20Record 445160-20200226-F641
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-03-20Record 445160-20200226-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-03-20Record 445160-20200226-F684
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-03-20Record 445160-20200226-F695
F732Post nurse staffing information every day.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2020-03-20Record 445160-20200226-F732
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2020-03-20Record 445160-20200226-F880
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-04-10Record 445160-20190306-F550
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-04-10Record 445160-20190306-F644
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-04-10Record 445160-20190306-F695
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-04-10Record 445160-20190306-F755
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-04-10Record 445160-20190306-F761
F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2019-04-10Record 445160-20190306-F800
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2019-04-10Record 445160-20190306-F812
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity GHarm
Dignity & rights
Isolated; actual harm that is not immediate jeopardy.Corrected 2018-02-12Record 445160-20180124-F580
F641Ensure each resident receives an accurate assessment.Scope/severity GHarm
Care planningRecords
Isolated; actual harm that is not immediate jeopardy.Corrected 2018-02-12Record 445160-20180124-F641
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2018-02-12Record 445160-20180124-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2018-02-12Record 445160-20180124-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2018-02-12Record 445160-20180124-F689
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-02-12Record 445160-20180124-F558
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-02-12Record 445160-20180124-F657
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-02-12Record 445160-20180124-F688
F732Post nurse staffing information every day.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-02-12Record 445160-20180124-F732
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-02-12Record 445160-20180124-F758
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-02-12Record 445160-20180124-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2018-02-12Record 445160-20180124-F812
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-02-12Record 445160-20180124-F919
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-04-27 | Civil money penalty | $174,615 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.60
Facility
Tennessee
National
Tennessee 0.60 · National 0.69
Total nurse hours per resident day3.22
Facility
Tennessee
National
Tennessee 3.80 · National 3.86
Weekend total nurse hours2.99
Facility
Tennessee
National
Tennessee 3.31 · National 3.42
Total nursing staff turnover65%
Facility
Tennessee
National
Tennessee 49% · National 46%
Registered nurse turnover36%
Facility
Tennessee
National
Tennessee 43% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Tennessee | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.0% | 5.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.5% | 3.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 14.1% | 16.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 1.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 17.2% | 14.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.4% | 6.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 22.1% | 31.7% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Medical Rehabilitation Centers, LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Lexington Health Management LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Watts, Amy Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Watts, Walter Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Campbell, Brenda Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Park, Seleena Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Campbell, Brenda Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Park, Seleena Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Park, Seleena Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Vollmer, Donald Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Vollmer, Donald Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Watts, Walter Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Watts, Walter Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Exceptional Living Centers — 10 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Tennessee.
No county cost figures on file for Rutherford.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| The Waters Of Smyrna, LLC Smyrna | 0.2 mi | 2024-06-21 | 073 |
| Life Care Center Of Hickory Woods Antioch | 5.7 mi | 2025-11-19 | 0120 |
| Tennessee Veterans Home Murfreesboro | 8.7 mi | 2026-05-06 | 0115 |
| Stones River Manor, Inc Murfreesboro | 9.3 mi | 2025-07-01 | 040 |
| Antioch TN Opco, LLC Antioch | 9.2 mi | 2025-10-09 | 003 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |