CMS data snapshot: July 2026
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.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
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.
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.
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.
Provide care and assistance to perform activities of daily living for any resident who is unable.
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 |
|---|---|---|---|---|
| HILL, ROBERT | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Jan 1, 2011 |
| DETAR, DEWEY | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Jan 5, 2023 |
| WALTERS, SHAYNA | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Dec 21, 2020 |
| BOICE, GALE | CORPORATE OFFICER | Individual | N/A | Mar 5, 2018 |
| JOHNSON, DIANNE | CORPORATE OFFICER | Individual | N/A | Jan 1, 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 | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | N/A | Sep 8, 2025 |
| BOICE, GALE | ADP OF THE SNF | Individual | N/A | Mar 5, 2018 |
| DETAR, DEWEY | ADP OF THE SNF | Individual | N/A | Jun 13, 2025 |
| HILL, ROBERT | ADP OF THE SNF | Individual | N/A | Jan 1, 2011 |
| WALTERS, SHAYNA | ADP OF THE SNF | Individual | N/A | Jun 13, 2025 |
Compare CMS ratings and recorded fines for Smoky Mountain Health and Rehabilitation Center and nearby alternatives.
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.
This chain operates 44 facilities. View all →