CareLedger USAAt a glance
- Record status
- Record found
- CMS Certification Number
- 676193
- Facility type
- Nursing home
- Certified beds
- 92
- Ownership
- Government - Hospital district
- County or equivalent
- Smith
- CMS area classification
- Urban
- Phone
- (903) 561-1300
- CMS data processed
- 2026-08-01
Published CMS ratings
- Overall
- 4 of 5
- Health inspection
- 4 of 5
- Staffing
- 2 of 5
- Quality measures
- 4 of 5
Ratings are published by CMS. CareLedger does not create or alter federal star ratings.
Published CMS staffing measures
Staffing figures to ask about
CMS reports nurse hours per resident per day, weekend hours and staff turnover. These figures can help you prepare questions about coverage and continuity. How to read these staffing numbers.
- Total nurse hours per resident per day
- 3.38 hours
- RN hours per resident per day
- 0.51 hours
- Weekend nurse hours per resident per day
- 3.00 hours
- Weekend RN hours per resident per day
- 0.31 hours
- Nursing staff turnover
- 50.7%
- RN turnover
- 44.4%
- Administrators who left
- 0
Ask the home: how are weekday and weekend shifts staffed now, and how do you cover absences? More questions for a visit.
These published measures cover different reporting periods and are not a real-time staffing count or a judgment about care today. CMS processing date: 2026-08-01. Open this facility's CMS source row. How Medicare explains staffing measures.
Record timeline
- Retrieved by CareLedger
The public source record was retrieved for this directory.
- CMS data processed
CMS lists this as the processing date for the published dataset row.
- Standard survey listed
Most recent standard survey: 2026-05-06. Health deficiencies: 5.
For your visit
Questions to take with you
Public records can help you prepare, but they cannot tell you what daily life feels like now. Ask to see current documents and talk through anything that matters to your family.
- CMS lists 5 health deficiencies in its latest rating cycle. Which findings were corrected, and where can we verify that?Why this question: CMS rating cycle 1 total number of health deficiencies · CMS data processed 2026-08-01
- CMS lists 2 fines. What were they for, and where can we read the related records?Why this question: CMS number of fines · CMS data processed 2026-08-01
These are conversation prompts, not new findings or recommendations. The source record may lag behind current conditions. Check the CMS source data
Inspection record
Most recent standard survey: 2026-05-06. Health deficiencies: 5.
From the CMS Health Deficiencies file
Citations on the most recent survey date in this CMS file
The latest date with a citation for this facility in this file is . This may not be the facility’s latest inspection. The entries below are source records, not an assessment of care today.
CMS tag 0584 Resident Rights Deficiencies
CMS requirement: 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.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-05-07 · CMS scope/severity code: D
CMS tag 0694 Quality of Life and Care Deficiencies
CMS requirement: Provide for the safe, appropriate administration of IV fluids for a resident when needed.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-05-07 · CMS scope/severity code: D
CMS tag 0842 Resident Assessment and Care Planning Deficiencies
CMS requirement: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-05-07 · CMS scope/severity code: D
CMS tag 0880 Infection Control Deficiencies
CMS requirement: Provide and implement an infection prevention and control program.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-05-07 · CMS scope/severity code: D
The correction field and date are reproduced from CMS; they do not independently verify a correction or establish whether a concern exists now. Open the CMS Health Deficiencies data for this CCN. CMS processing date: 2026-08-01. Retrieved for CareLedger: 2026-09-22.
Enforcement record
Fines: 2 ($23,389.00 total). Payment denials: 0.
Source and coverage
- Coverage status
- verified live data
- Source agency
- Centers for Medicare & Medicaid Services
- Retrieved
- 2026-09-24
- Confidence
- primary_source
Public records can lag, omit context, or use terms differently across states. Verify material facts with the source agency and facility.