Smyrna Care Center
200 Mayfield Drive · Smyrna, TN · 37167 · 6153550350
125 certified beds For profit - Corporation Chain: Exceptional Living Centers
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- 5 citations involved actual harm to residents.
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
62% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.51 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.65 | 0.55–0.75 |
| Weekend hours / resident-day | 3.24 | ≈ weekday level |
| Nursing turnover / year | 62% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (30 in the current record)
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Immediate jeopardy · J April 27, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has no plan of correction · Quality of Life and Care
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Potential for harm · D February 26, 2020
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 20, 2020 · Resident Rights
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Potential for harm · D February 26, 2020
Reasonably accommodate the needs and preferences of each resident.
Corrected March 20, 2020 · Resident Rights
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Potential for harm · D February 26, 2020
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 20, 2020 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 26, 2020
Ensure each resident receives an accurate assessment.
Corrected March 20, 2020 · Resident Assessment and Care Planning
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Potential for harm · D February 26, 2020
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 20, 2020 · Quality of Life and Care
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Potential for harm · D February 26, 2020
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 20, 2020 · Quality of Life and Care
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Potential for harm · D February 26, 2020
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 20, 2020 · Quality of Life and Care
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Potential for harm · F February 26, 2020
Post nurse staffing information every day.
Corrected March 20, 2020 · Nursing and Physician Services
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Potential for harm · F February 26, 2020
Provide and implement an infection prevention and control program.
Corrected March 20, 2020 · Infection Control
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Potential for harm · D March 6, 2019
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 10, 2019 · Resident Rights
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Potential for harm · D March 6, 2019
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected April 10, 2019 · Resident Assessment and Care Planning
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Potential for harm · D March 6, 2019
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 10, 2019 · Quality of Life and Care
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Potential for harm · D March 6, 2019
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 10, 2019 · Pharmacy Service
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Potential for harm · E March 6, 2019
Ensure 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.
Corrected April 10, 2019 · Pharmacy Service
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Potential for harm · F March 6, 2019
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected April 10, 2019 · Nutrition and Dietary
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Potential for harm · F March 6, 2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 10, 2019 · Nutrition and Dietary
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Actual harm · G January 24, 2018
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 12, 2018 · Resident Rights
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Actual harm · G January 24, 2018
Ensure each resident receives an accurate assessment.
Corrected February 12, 2018 · Resident Assessment and Care Planning
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Actual harm · G January 24, 2018
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 12, 2018 · Quality of Life and Care
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Actual harm · G January 24, 2018
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 12, 2018 · Quality of Life and Care
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Actual harm · G January 24, 2018
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 12, 2018 · Quality of Life and Care
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Potential for harm · D January 24, 2018
Reasonably accommodate the needs and preferences of each resident.
Corrected February 12, 2018 · Resident Rights
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Potential for harm · D January 24, 2018
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 12, 2018 · Resident Assessment and Care Planning
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Potential for harm · D January 24, 2018
Provide 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.
Corrected February 12, 2018 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445160 · certified since October 26, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.