• CMS rates this facility 4/5 stars (above average)
• Has 50 certified beds with an average of 46.6 residents per day (93% occupancy)
• Last health inspection found 4 deficiencies (inspected Feb 5, 2025)
• No fines on record
• Total nursing staff: 3.34 hours per resident per day
• Staff turnover rate: 72.2% (high)
• Part of the Principle Long Term Care chain (44 facilities)
Smoky Mountain Health and Rehabilitation Center is a 4-star Medicare and Medicaid certified nursing home in Waynesville, North Carolina with 50 certified beds. It has been operating since 1991. The facility scored above average compared to North Carolina facilities.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Provide safe and appropriate respiratory care for a resident when needed.
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.
Keep residents' personal and medical records private and confidential.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Ensure each resident receives an accurate assessment.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
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.
Provide and implement an infection prevention and control program.
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| PRINCIPLE IT SERVICES, INC. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | N/A | Jan 1, 2011 |
| PRINCIPLE LONG TERM CARE, INC. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | N/A | Jan 1, 2011 |
| HILL, RAYMOND | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | N/A | Jan 28, 2011 |
| HILL, ROBERT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 21% | Jan 28, 2011 |
| HILL, STEPHEN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | N/A | Jan 28, 2011 |
| PRINCIPLE LONG TERM CARE, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jan 1, 2011 |
| BOICE, GALE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Mar 18, 2018 |
| HILL, RAYMOND | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2011 |
| HILL, STEPHEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2011 |
| BOICE, GALE | CORPORATE OFFICER | Individual | N/A | Mar 5, 2018 |
| JOHNSON, DIANNE | CORPORATE OFFICER | Individual | N/A | Jan 1, 2011 |
This chain operates 44 facilities. View all →