NursingHomes.us
StatesRankingsCompare

Browse

  • All States
  • Rankings
  • Compare

Resources

  • About Us
  • Data Sources
  • Contact

About

  • About Us
  • Data Sources
  • Contact
  • Privacy Policy
  • Terms of Use

Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeNorth CarolinaSmoky Mountain Health and Rehabilitation Center

Smoky Mountain Health and Rehabilitation Center

1349 Crabtree Road, Waynesville, NC 287858284549260
4/5Above Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
4/5
Staffing
3/5
Quality
4/5
Beds
50
certified

Key Findings

• 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.

Beds
50
Avg Residents/Day
46.6
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
Feb 5, 2025
Deficiencies (Cycle 1)
4
Weighted Score
16.0
Infection Citations
0

Deficiency Citations (13)

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: 1
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: 1
F0695Potential for Harm

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

Survey: Feb 5, 2025Corrected: NoCycle: 1
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: 1
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Sep 28, 2023Corrected: NoCycle: 2
F0677Potential for Harm

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

Survey: Sep 28, 2023Corrected: 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: 2
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Mar 8, 2022Corrected: NoCycle: 3
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Mar 8, 2022Corrected: NoCycle: 3
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Mar 8, 2022Corrected: NoCycle: 3
F0661Minimal Harm

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Survey: Mar 8, 2022Corrected: NoCycle: 3
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: Mar 8, 2022Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 8, 2022Corrected: 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 Aide1.88 hrs
National avg: 2.35 hrs
LPN0.68 hrs
National avg: 0.86 hrs
RN0.79 hrs
National avg: 0.68 hrs
Total Nursing3.34 hrs
National avg: 3.89 hrs
Weekend Total2.92 hrs
National avg: 0.00 hrs
Physical Therapist0.08 hrs
National avg: 0.07 hrs
Total Turnover
72.2%
RN Turnover
66.7%
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 (11)

NameRoleTypeOwnership %Since
PRINCIPLE IT SERVICES, INC.5% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationN/AJan 1, 2011
PRINCIPLE LONG TERM CARE, INC.5% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationN/AJan 1, 2011
HILL, RAYMOND5% OR GREATER DIRECT OWNERSHIP INTERESTIndividualN/AJan 28, 2011
HILL, ROBERT5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual21%Jan 28, 2011
HILL, STEPHEN5% OR GREATER DIRECT OWNERSHIP INTERESTIndividualN/AJan 28, 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, GALECORPORATE OFFICERIndividualN/AMar 5, 2018
JOHNSON, DIANNECORPORATE OFFICERIndividualN/AJan 1, 2011

Nearby Nursing Homes

All North Carolina facilities

Skyland Terrace and Rehabilitation

Waynesville, NC · 90 beds

For profit$8,512 in fines
Health
Staffing
Quality
3.6 mi

Autumn Care of Waynesville

Waynesville, NC · 90 beds

For profit$107,387 in finesAbuse
Health
Staffing
Quality
6.4 mi

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 4 out of 5 stars, with a health inspection rating of 4/5, staffing rating of 3/5, and quality measures rating of 4/5. This facility is rated above average.
Has Smoky Mountain Health and Rehabilitation Center had any health inspection violations?▾
Smoky Mountain Health and Rehabilitation Center had 4 deficiency citations in its most recent health inspection (Feb 5, 2025). The facility has no fines on record.
What are the staffing levels at Smoky Mountain Health and Rehabilitation Center?▾
Smoky Mountain Health and Rehabilitation Center provides 3.34 total nursing staff hours per resident per day, including 0.79 RN hours, 0.68 LPN hours, and 1.88 nurse aide hours. The total staff turnover rate is 72.2%.
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 46.6 residents per day, resulting in approximately 93% 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, there are 2 other nursing homes in Waynesville, North Carolina with an average rating of 2.7/5. You can compare all facilities on the Waynesville nursing homes page.

Part of Principle Long Term Care

This chain operates 44 facilities. View all →