Smith Crossing
Strong Medicare quality ratings; families often praise beautiful, well-maintained campus. Still worth an in-person visit.
based on 41 Google reviews
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What this means for your family
Smith Crossing is highly regarded for its independent living and rehabilitation programs, offering a beautiful environment and dedicated therapy teams. However, families should be aware of reports regarding staffing shortages in higher-acuity units; we recommend asking specifically about current staff-to-resident ratios and how the facility handles communication during off-hours.
Google Reviews
Google Reviews
41 reviews on Google“Smith Crossing is a highly regarded senior living community that many families praise for its beautiful, well-maintained campus and compassionate, attentive staff. While independent living and rehab patients frequently report excellent experiences, some families of residents in higher levels of care have raised serious concerns regarding understaffing, inconsistent communication, and the quality of care for those with complex medical needs.”
Quality Themes
Tap a score for detailsStrengths
- Beautiful, well-maintained campus
- Compassionate and attentive nursing/CNA staff
- Effective physical and occupational therapy
- Strong sense of community for independent living residents
Concerns
- Understaffing leading to neglect or lack of assistance (mentioned by 3 reviewers)
- Inconsistent or poor communication from management (mentioned by 2 reviewers)
- High cost and perceived poor value of dining services (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 44 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1Given the high staffing rating, how do you ensure that level of care remains consistent across all shifts, especially during peak hours when residents might need the most assistance?
- 2I noticed your team is quite active in responding to feedback online; how do you typically handle communication with families when concerns about a loved one's care arise?
- 3With the recent health inspection findings, what specific steps has the leadership team taken to address those areas and improve the overall care experience?
- 4The campus is beautiful and seems to have a strong community vibe; what are some of the most popular daily activities that help residents feel connected to one another?
- 5How does your nursing team coordinate with the therapy department to ensure a smooth transition for residents recovering from an injury or illness?
- 6Regarding the dining program, how do you incorporate resident feedback to ensure the meals are meeting both their nutritional needs and personal preferences?
Personalized based on this facility's data
Key Review Excerpts
“The staff are so carring, compassionate, kind, helpful, and friendly. It was hard having to put our dad into assisted, but we are very thankful that we chose Smith Crossing.”
“I cannot say enough wonderful things about Smith Crossing and for the care and compassion that everyone showed our mom during her eight month stay in the Skilled Care unit.”
“The CNA’s work constantly and are Incredible with the Residents but there are not enough of them. I was told “We meet the States Minimum Standards” by a Nurse at Smith Crossing !”
Staffing
Staffing Hours
per resident/day · Medicare 2026This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
7
measures
7
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents on antipsychotic medication
Residents vaccinated for the flu
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaints triggering inspections at Smith Crossing, with recurring issues in resident safety, quality of care, and medication management. The facility shows persistent problems with accident prevention, pressure ulcer care, and fire safety systems appearing across multiple surveys from 2023-2025. While all deficiencies report correction dates, the pattern of repeated violations in critical care areas suggests ongoing supervision and quality control challenges that families should carefully evaluate.
Mar 12, 2026Complaint1
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Jun 18, 2025Routine14
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
May 29, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Apr 30, 2025Complaint3
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Jun 28, 2024Routine18
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Pharmacy Service Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Aug 17, 2023Routine8
Pharmacy Service Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Federal Penalties
Fine
Jun 18, 2025
$47,250
Payment Denial
Jun 18, 2025
4-day denial
Fine
Aug 10, 2023
$95,193
Ownership & Operations
Who Operates This Facility
Smith Crossing
nonprofit
Ownership & Management
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
41 reviews from families & visitors
Official Website
Visit smithcrossing.org
Medicare data downloads
Original nursing home datasets
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