Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Smoky Mountain Health And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with severe cognitive impairment experienced multiple falls due to inadequate supervision and failure to update the care plan. The facility did not document a fall that was only discovered after police were called by a friend of the resident. Despite visible injuries and blood in the room, the facility's investigation concluded no fall occurred. The resident later suffered a hip fracture, highlighting the facility's failure to protect the resident from serious injury.
A long-term care facility failed to maintain sufficient nurse staffing levels on one of its units, resulting in a resident's fall going undetected for an unspecified time. The unit was understaffed due to an agency LPN not reporting for duty, leaving only one RN and two CNAs for 27 residents. The resident, who required substantial assistance, was found injured by police after a friend called 911. Staff interviews revealed ongoing issues with understaffing and unreliable agency personnel, which were reported to administration but not adequately addressed.
Two incidents of resident-to-resident abuse occurred in the facility, resulting in harm to residents. In one case, a resident with moderate cognitive impairment physically assaulted another with severe cognitive impairment, causing bruising. In another incident, two residents with severe cognitive impairments were involved in an altercation, classified as abuse, though no injuries were reported. The facility's failure to prevent these incidents highlights deficiencies in protecting residents from abuse.
Failure to Prevent Recurrent Falls and Provide Adequate Supervision
Penalty
Summary
The facility failed to provide adequate supervision and implement necessary interventions to prevent recurrent falls for a resident with severe cognitive impairment. The resident, who had a history of multiple falls, experienced a fall that went unnoticed by the staff until police officers were notified by a friend of the resident. The friend had attempted to contact the facility multiple times without success and eventually called the police for a welfare check. Upon arrival, the police found the resident in bed with visible injuries and blood in the room, indicating a fall had occurred. The facility's documentation and investigation into the incident were inadequate. The fall on a specific date was not documented in the incident logs, and the care plan was not updated with new interventions following the fall. The facility's investigation concluded that there was no evidence of a fall, despite police body camera footage and EMS records indicating otherwise. Staff interviews revealed that the staff were unaware of the fall until informed by the police, and there was a lack of supervision on the unit at the time of the incident. The resident suffered another fall shortly after, resulting in a hip fracture, which further highlighted the facility's failure to protect the resident from serious injury. The facility's lack of timely and appropriate response to the resident's fall risk and failure to update the care plan contributed to the resident's repeated falls and injuries.
Understaffing Leads to Undetected Resident Fall
Penalty
Summary
The facility failed to maintain sufficient nurse staffing levels on one of its units, known as The Mountain Unit, on the night of February 17, 2024. This deficiency resulted in a situation where a resident, who had severe cognitive impairment and required substantial assistance for daily activities, experienced a fall that went undetected by the staff for an unspecified amount of time. The resident had previously been transported to a hospital due to a fall with related injuries, and a new intervention of a fall mat was implemented. However, on the night in question, the unit was understaffed with only one registered nurse and two certified nurse aides for 27 residents, instead of the scheduled two licensed practical nurses and two certified nurse aides. The incident was further compounded by the fact that an agency LPN did not report for duty as scheduled, leaving the unit short-staffed. The resident's fall was only discovered after a friend called 911 for a welfare check, as the resident's calls for help went unanswered by the facility staff. Police officers who responded to the call found the resident with multiple injuries and blood in the room, and no staff were visible in the facility upon their arrival. The officers were not approached by any staff until approximately 20 minutes after their arrival, highlighting the lack of staff presence and attention to the residents' needs. Interviews with facility staff revealed that the issue of understaffing and the unreliability of agency personnel were known problems, with staff frequently reporting these concerns to the administration. Despite these reports, the facility leadership at the time did not take adequate measures to address the staffing shortages, which contributed to the failure to detect the resident's fall and provide timely care. The facility's inability to maintain safe staffing levels placed the resident in an immediate jeopardy situation, with the potential to impact all 78 residents of the facility.
Failure to Prevent Resident-to-Resident Abuse
Penalty
Summary
The facility failed to protect residents from physical abuse, resulting in harm to two residents. On June 1, 2024, a resident with moderate cognitive impairment physically assaulted another resident with severe cognitive impairment, causing bruising and soft tissue swelling. The incident occurred after the aggressor became agitated over missing clothes and attacked the victim in their shared room. Despite the facility's policy to prevent abuse, the altercation resulted in actual harm to the victim, who was on anticoagulation therapy, increasing the risk of bruising. Another incident occurred on June 13, 2024, involving two residents with severe cognitive impairments. One resident attempted to enter a courtyard while another was trying to exit, leading to an altercation where one resident slapped the other. Although no physical injuries were reported, the incident was classified as abuse. The facility's investigation confirmed the altercation, and staff were present to separate the residents and assess them for injuries. Both incidents highlight the facility's failure to prevent resident-to-resident abuse, despite having policies in place. The facility's response included notifying relevant authorities and conducting assessments, but the initial failure to protect residents from harm was evident. The incidents were reported to the police, Adult Protective Services, and other relevant parties, as per standard procedure.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 62 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Pigeon Forge
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sevierville Health And Rehabilitation Center | 6.2 mi | ★★★★★ | 2 | 0 |
| Jefferson County Nursing Home | 18.5 mi | ★★★★★ | 9 | 0 |
| Asbury Place At Maryville | 20.3 mi | ★★★★★ | 27 | 0 |
| Ocoee Transitional Care Center Llc | 21.1 mi | ★★★★★ | 4 | 0 |
| Holston Health & Rehabilitation Center | 21.6 mi | ★★★★★ | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.