Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
SMITH COUNTY HEALTH AND REHABILITATION
CARTHAGE, TN · 128 certified beds · Last Life Safety survey September 26, 2019
CMS Certification Number 445172 · first certified December 1984
Ownership
Operated by SIMCHA HYMAN & NAFTALI ZANZIPER · For profit - Limited Liability company
- Ownership changed July 1, 2019 (change of ownership)from EAGLE ACQUISITION IX LLC
Position within TN
13 citations — more than 75% of the 303 certified nursing homes in TN. Compared within TN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 4 citations; the earlier surveys in the window averaged 4.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Well past the typical window (December 2020 to June 2023), and past the point by which nine in ten TN facilities have been surveyed. This facility’s last Life Safety survey was September 2019. Facilities in TN are typically surveyed 15–44 months after the last one (median 33), measured over 279 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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Emergency preparedness
5 of the 13 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
1 physical-environment citation on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 13 Life Safety citations above. The Physical Environment Index
- F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
How that compares
Compared with the median facility in TN, and nationally. Surveyors differ markedly between states, so the TN figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 13 |
| Median facility in TN | 8 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| August 2, 2017 | 1 |
| September 26, 2018 | 8 |
| September 26, 2019 | 4 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | 2 | 2019-09-26 |
| E-0024 | Establish policies and procedures for volunteers. | 1 | 2018-09-26 |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | 1 | 2018-09-26 |
| E-0039 | Conduct testing and exercise requirements. | 1 | 2018-09-26 |
| E-0006 | Conduct risk assessment and an All-Hazards approach. | 1 | 2018-09-26 |
| K-0363 | Install corridor and hallway doors that block smoke. | 1 | 2018-09-26 |
| K-0324 | Provide properly protected cooking facilities. | 1 | 2019-09-26 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 1 | 2018-09-26 |
What the citations cover
- Emergency Preparedness Deficiencies 5
- Smoke Deficiencies 5
- Gas, Vacuum, and Electrical Systems Deficiencies 2
- Miscellaneous Deficiencies 1
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 5 |
| Smoke Deficiencies | 5 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
| Miscellaneous Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
September 26, 2019 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Deficient, Provider has date of correction (September 27, 2019) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (September 27, 2019) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (September 27, 2019) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (October 7, 2019) |
September 26, 2018 — 8 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (November 29, 2018) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (October 15, 2018) |
| E-0024 | Establish policies and procedures for volunteers. | Deficient, Provider has date of correction (November 29, 2018) |
| E-0032 | Provide primary/alternate means for communication. | Deficient, Provider has date of correction (October 15, 2018) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (October 15, 2018) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (October 15, 2018) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (October 15, 2018) |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | Deficient, Provider has date of correction (November 29, 2018) |
August 2, 2017 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Deficient, Provider has date of correction (August 24, 2017) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.