Smoky Mountain Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Smoky Mountain Health and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Mar 19, 2026

  Based on observations and staff interviews, the facility failed to dispose of food stored past the use by date in 1 of 1 dry food storage area, failed to keep beverages off the floor and failed to clean 1 of 1 walk-in refrigerator for food storage. The deficient practice had the potential to affect food served to residents.Findings Included a. On 3/16/26 at 10:40 AM, an observation of the walk-in refrigerator was conducted with the Dietary Manager. The floor under the food storage racks contained a buildup of grey white debris that crumbled when touched. Several areas of the floor were raised, white, and fuzzy in appearance. […]

• No harm, potential for more than minimal, patternF803Sep 28, 2023

  Based on a lunch meal tray line observation, record review, and staff interviews the facility failed to serve cod in a three-ounce portion per the menu. This failure had the potential to affect 15 residents with orders for mechanical soft diet texture. Findings included: The menu for the lunch meal on 09/26/23 for residents receiving a mechanical soft diet was 3 ounces of baked cod, a half cup of au gratin potatoes, a half cup of green peas, and a dinner roll. A continuous observation of the lunch meal tray line on 09/26/23 from 12:00 PM through 12:15 PM revealed Cook #1 began plating food and used a number 16 scoop (contained 2-2.25 ounces) to plate cod for residents receiving a mechanical soft diet. Cook #1 was observed giving a level scoop of cod using the number 16 scoop. […]

• No harm, potential for more than minimal, patternF641Mar 8, 2022

  Based on record review and staff interviews the facility failed to accurately code Minimum Data Set (MDS) assessments in the areas of fall, medications, weight loss, discharge, and restraints for 5 of 12 sampled residents (Residents #1, #2, #3, #38, and #8). Findings included: 1.a. Resident #1 was admitted to the facility 06/04/19 with a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] Review of Resident #1's Physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] [MEDICATION(S)] (a blood thinner medication) 3 milligrams (mg) was ordered once a day on 12/23/21. Review of Resident #1's December 2021 and January 2022 Medication Administration Records (MAR) revealed she received [MEDICATION(S)] as ordered. […]

• No harm, potential for more than minimal, patternF761Mar 8, 2022

  Based on observations and staff interview the facility failed to remove expired medications that were available for resident use from 2 of 2 medication carts and 1 of 1 medication storage rooms observed for medication storage. Findings included: 1. An observation of the medication cart for even numbered rooms of 200 hall and all of 300 hall on 03/03/22 at 01:29 PM revealed an opened 887 milliliter (ml) bottle of [CONDITION(S)]-Stat (a ready-to-drink liquid for urinary tract health) with an expiration date of 01/11/22 and an opened bottle of ceravite tablets (a multivitamin) with an expiration date of 01/2022 were available for resident use in the medication cart. […]

• No harm, potential for more than minimal, isolatedF605Mar 19, 2026

  Based on record reviews and interviews with resident, staff and the Medical Director, the facility failed to ensure an as needed (PRN) psychotropic medication, Clonazepam (a medication primarily used for panic disorder), had a stop date of 14 days for 1 of 5 residents reviewed for unnecessary medications (Resident #44).Findings included:Resident #44 was admitted to the facility on [DATE] with diagnoses that included anxiety disorder.The quarterly Minimum Data Set assessment dated [DATE] indicated Resident #44 was cognitively intact and that she received antianxiety medications during the assessment period.Resident #44's care plan last reviewed on 2/11/26 indicated the use of psychotropic medications with the potential for adverse effects. […]