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HomeNorth CarolinaSmoky Mountain Health and Rehabilitation Center

Smoky Mountain Health and Rehabilitation Center

1349 Crabtree Road, Waynesville, NC 287858284549260WebsiteGoogle Maps
3.9on Google(43 reviews)
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
3/5
Staffing
4/5
Quality
4/5
Beds
50
certified

How Smoky Mountain Health and Rehabilitation Center Compares in North Carolina

Facility results compared with averages for CMS-certified nursing homes in North Carolina. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
3/5
NC average
2.9/5
Close to state average
Health inspection rating
3/5
NC average
2.9/5
Close to state average
Staffing rating
4/5
NC average
2.7/5
Above state average
Nursing hours per resident
3.93 hrs/day
NC average
3.82 hrs/day
Close to state average
RN hours per resident
1.04 hrs/day
NC average
0.61 hrs/day
Above state average
Staff turnover
60.8%
NC average
49.1%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Reported RN time is 1.04 hours per resident per day, above the state average of 0.61.
Staff turnover is 60.8%, higher than the North Carolina average of 49.1%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
7
deficiency citations
Inspected Feb 5, 2025
Most recent cycle
3
deficiency citations
Inspected Mar 19, 2026
The most recent cycle recorded 4 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$8,122/mo
North Carolina median
Private Room
$9,125/mo
North Carolina median
Haywood County 65+
15,580
25.1% of county
County Population
62,152
Haywood County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Smoky Mountain Health and Rehabilitation Center is a 3-star Medicare and Medicaid certified nursing home in Waynesville, North Carolina with 50 certified beds. It has been operating since 1991. Its overall CMS rating is 3 out of 5.

Beds
50
Avg Residents/Day
40.1
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Aug 26, 1991
Sprinklers
Yes
Council
Resident
County
Haywood
Last Inspection
Mar 19, 2026
Deficiencies (Cycle 1)
3
Weighted Score
20.0
Infection Citations
0

Deficiency Citations (10)

F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Mar 19, 2026Corrected: NoCycle: 1
F0605Potential for Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey: Mar 19, 2026Corrected: NoCycle: 1
F0847Potential for Harm

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Survey: Mar 19, 2026Corrected: NoCycle: 1
F0636Potential for Harm

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Survey: Feb 5, 2025Corrected: NoCycle: 2
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Feb 5, 2025Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Feb 5, 2025Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Feb 5, 2025Corrected: NoCycle: 2
F0803Potential for Harm

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.

Survey: Sep 28, 2023Corrected: NoCycle: 3
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Sep 28, 2023Corrected: NoCycle: 3
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Sep 28, 2023Corrected: NoCycle: 3
Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.21 hrs
National avg: 2.32 hrs
LPN0.68 hrs
National avg: 0.86 hrs
RN1.04 hrs
National avg: 0.69 hrs
Total Nursing3.93 hrs
National avg: 3.86 hrs
Weekend Total3.66 hrs
National avg: 0.00 hrs
Physical Therapist0.15 hrs
National avg: 0.07 hrs
Total Turnover
60.8%
RN Turnover
61.5%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (14)

NameRoleTypeOwnership %Since
HILL, ROBERTINDIRECT OWNERSHIP INTERESTIndividualN/AJan 1, 2011
DETAR, DEWEYMANAGING CONTROL - GOVERNING BODYIndividualN/AJan 5, 2023
WALTERS, SHAYNAMANAGING CONTROL - GOVERNING BODYIndividualN/ADec 21, 2020
BOICE, GALECORPORATE OFFICERIndividualN/AMar 5, 2018
JOHNSON, DIANNECORPORATE OFFICERIndividualN/AJan 1, 2011
PRINCIPLE LONG TERM CARE, INC.OPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJan 1, 2011
BOICE, GALEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 18, 2018
HILL, RAYMONDOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2011
HILL, STEPHENOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2011
BOICE, GALEINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/ASep 8, 2025
BOICE, GALEADP OF THE SNFIndividualN/AMar 5, 2018
DETAR, DEWEYADP OF THE SNFIndividualN/AJun 13, 2025
HILL, ROBERTADP OF THE SNFIndividualN/AJan 1, 2011
WALTERS, SHAYNAADP OF THE SNFIndividualN/AJun 13, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Smoky Mountain Health and Rehabilitation Center and nearby alternatives.

All North Carolina facilities
Smoky Mountain Health and Rehabilitation Center
Waynesville, NCCurrent facility
CMS
3/5
Health
3/5
Staffing
4/5
Recorded fines: None
Skyland Terrace and Rehabilitation
Waynesville, NC3.6 mi
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: $8,512
Silver Bluff
Canton, NC5.9 mi
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: None
Autumn Care of Waynesville
Waynesville, NC6.4 mi
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $107,387
Maggie Valley Health and Rehabilitation Center
Maggie Valley, NC8.2 mi
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: $52,629
Pisgah Manor Health Care Center
Candler, NC16.0 mi
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $59,391
Vero Health & Rehab of Sylva
Sylva, NC18.3 mi
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $359,818
FacilityDistanceCMSHealthStaffingRecorded fines
Smoky Mountain Health and Rehabilitation Center
Waynesville, NC · Current facility
—3/53/54/5None recorded
Skyland Terrace and Rehabilitation
Waynesville, NC
3.6 mi4/54/53/5$8,512
Silver Bluff
Canton, NC
5.9 mi3/53/52/5None recorded
Autumn Care of Waynesville
Waynesville, NC
6.4 mi1/51/51/5$107,387
Maggie Valley Health and Rehabilitation Center
Maggie Valley, NC
8.2 mi2/52/53/5$52,629
Pisgah Manor Health Care Center
Candler, NC
16.0 mi2/52/52/5$59,391
Vero Health & Rehab of Sylva
Sylva, NC
18.3 mi1/51/52/5$359,818

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Smoky Mountain Health and Rehabilitation Center?▾
Smoky Mountain Health and Rehabilitation Center has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 4/5, and quality measures rating of 4/5. This facility is rated average.
How much does Smoky Mountain Health and Rehabilitation Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in North Carolina is $8,122/month for a semi-private room and $9,125/month for a private room (Genworth/CareScout 2024). Smoky Mountain Health and Rehabilitation Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Smoky Mountain Health and Rehabilitation Center had any health inspection violations?▾
Smoky Mountain Health and Rehabilitation Center had 3 deficiency citations in its most recent health inspection (Mar 19, 2026). The current CMS dataset records no fines for this facility.
What are the staffing levels at Smoky Mountain Health and Rehabilitation Center?▾
Smoky Mountain Health and Rehabilitation Center provides 3.93 total nursing staff hours per resident per day, including 1.04 RN hours, 0.68 LPN hours, and 2.21 nurse aide hours. The total staff turnover rate is 60.8%.
How many beds does Smoky Mountain Health and Rehabilitation Center have?▾
Smoky Mountain Health and Rehabilitation Center has 50 certified beds with an average of 40.1 residents per day, resulting in approximately 80% occupancy. The facility is For profit - Corporation owned and is part of the Principle Long Term Care chain.
Are there other nursing homes near Smoky Mountain Health and Rehabilitation Center?▾
Yes. This page lists 6 nearby nursing homes in North Carolina, including 2 in Waynesville. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Smoky Mountain Health and Rehabilitation Center?▾
On Google Maps, Smoky Mountain Health and Rehabilitation Center has a rating of 3.9 out of 5 based on 43 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 3/5.

Part of Principle Long Term Care

This chain operates 44 facilities. View all →