Ascension Saint Thomas DeKalb

Care teams at Ascension Saint Thomas DeKalb and ER in Smithville, TN, delivers testing and care for your everyday health needs.

Specialty and emergency care, close to home

Ascension Saint Thomas DeKalb in Smithville, Tennessee, delivers specialty care and 24/7 emergency care. We provide advanced surgical care for serious and life-threatening injuries and illnesses. Our care teams listen to understand your health needs and deliver care that's right for you. Ascension Saint Thomas DeKalb is a destination for specialty care — including heart and women’s health. We provide onsite imaging, lab tests and rehabilitation services. Learn more about our services and programs. 

Manage your family’s appointments more easily with the Ascension One app and online account

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Ascension stories you'll love

Man lying in bed with his eyes closed and hand resting on his face, illustrating symptoms that may be associated with seasonal allergies, a cold or the flu.
Health Education

Is it allergies, a cold or the flu? How to spot the difference

Allergies, colds and the flu symptoms can be similar. Learning how to spot key differences can help you feel better faster.
August 17, 2026
Before and after photo of Murfreesboro resident Larina following her bariatric surgery journey.
Patient Story

How bariatric surgery restored a Rutherford mom's life

After years of struggling, Rutherford resident Larina lost over 200 pounds following bariatric surgery with Dr. Stephen Rich at Ascension Saint Thomas Rutherford.
August 5, 2026
Amber Beam, an activities coordinator and Service Commitments Champion at Ascension Living Alexian Village Tennessee
Our Associates

Fulfilling an opera lover's final wish

To fulfill an Ascension Living Alexian Village Tennessee resident’s dying wish, activities coordinator Amber Beam brought the New York Metropolitan Opera to Chattanooga, Tennessee.
July 22, 2026
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