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

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

Smoky Ridge Health and Rehabilitation

310 Pensacola Road, Burnsville, NC 287148286829759
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
3/5
Quality
2/5
Beds
140
certified
This facility has been flagged for abuse.
1 fine(s) totaling $59,631

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 140 certified beds with an average of 98.8 residents per day (71% occupancy)

• Last health inspection found 5 deficiencies (inspected Mar 20, 2025)

• Has been fined a total of $59,631 across 1 fine(s)

• Total nursing staff: 3.16 hours per resident per day

• Staff turnover rate: 44.9%

Smoky Ridge Health and Rehabilitation is a 2-star Medicare and Medicaid certified nursing home in Burnsville, North Carolina with 140 certified beds. It has been operating since 1989. The facility scored below average compared to North Carolina facilities.

Beds
140
Avg Residents/Day
98.8
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jun 29, 1989
Sprinklers
Yes
Council
Resident
County
Yancey
Last Inspection
Mar 20, 2025
Deficiencies (Cycle 1)
5
Weighted Score
49.0
Infection Citations
0

Deficiency Citations (22)

F0578Potential for Harm

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey: Mar 20, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Mar 20, 2025Corrected: NoCycle: 1
F0644Potential for Harm

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

Survey: Mar 20, 2025Corrected: NoCycle: 1
F0646Potential for Harm

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Survey: Mar 20, 2025Corrected: NoCycle: 1
F0602Potential for Harm

Protect each resident from the wrongful use of the resident's belongings or money.

Survey: Mar 20, 2025Corrected: NoCycle: 1
F0600Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Mar 20, 2024Corrected: NoCycle: 2
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Dec 1, 2023Corrected: NoCycle: 2
F0584Potential for Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey: Dec 1, 2023Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Dec 1, 2023Corrected: NoCycle: 2
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Dec 1, 2023Corrected: NoCycle: 2
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: Dec 1, 2023Corrected: NoCycle: 2
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Dec 1, 2023Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Dec 1, 2023Corrected: NoCycle: 2
F0711Potential for Harm

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Survey: Dec 1, 2023Corrected: 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: Dec 1, 2023Corrected: NoCycle: 2
F0804Minimal Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Dec 1, 2023Corrected: NoCycle: 2
F0806Potential for Harm

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Survey: Dec 1, 2023Corrected: NoCycle: 2
F0812Potential for Harm

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

Survey: Dec 1, 2023Corrected: NoCycle: 2
F0867Potential for Harm

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey: Dec 1, 2023Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 1, 2023Corrected: NoCycle: 2
F0695Potential for Harm

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

Survey: Jun 27, 2023Corrected: NoCycle: 3
F0578Potential for Harm

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey: Jun 8, 2022Corrected: NoCycle: 3
Total Fines
$59,631
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineMar 20, 2024
$59,631

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

Nurse Aide1.89 hrs
National avg: 2.35 hrs
LPN0.49 hrs
National avg: 0.86 hrs
RN0.78 hrs
National avg: 0.68 hrs
Total Nursing3.16 hrs
National avg: 3.89 hrs
Weekend Total2.82 hrs
National avg: 0.00 hrs
Physical Therapist0.04 hrs
National avg: 0.07 hrs
Total Turnover
44.9%
RN Turnover
23.8%
Administrators Left
0

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

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (3)

NameRoleTypeOwnership %Since
FISCHER, DOVID5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual50%Mar 4, 2022
LEFKOWITZ, ZEV5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual50%Mar 4, 2022
SHADE, CARLAW-2 MANAGING EMPLOYEEIndividualN/AMar 4, 2022

Frequently Asked Questions

What is the CMS rating for Smoky Ridge Health and Rehabilitation?▾
Smoky Ridge Health and Rehabilitation has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 3/5, and quality measures rating of 2/5. This facility is rated below average.
Has Smoky Ridge Health and Rehabilitation had any health inspection violations?▾
Smoky Ridge Health and Rehabilitation had 5 deficiency citations in its most recent health inspection (Mar 20, 2025). The facility has been fined a total of $59,631 across 1 fine(s).
What are the staffing levels at Smoky Ridge Health and Rehabilitation?▾
Smoky Ridge Health and Rehabilitation provides 3.16 total nursing staff hours per resident per day, including 0.78 RN hours, 0.49 LPN hours, and 1.89 nurse aide hours. The total staff turnover rate is 44.9%.
How many beds does Smoky Ridge Health and Rehabilitation have?▾
Smoky Ridge Health and Rehabilitation has 140 certified beds with an average of 98.8 residents per day, resulting in approximately 71% occupancy. The facility is For profit - Limited Liability company owned.