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 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. Its overall CMS rating is 2 out of 5.
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.
Protect each resident from the wrongful use of the resident's belongings or money.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
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 each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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.
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 |
|---|---|---|---|---|
| CTNC HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 38% | Jun 11, 2025 |
| FISCHER, DAVID | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 29% | Jun 11, 2025 |
| LEFKOWITZ, ZEV | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 29% | Jun 11, 2025 |
| ETNC HOLDINGS LLC | DIRECT OWNERSHIP INTEREST | Organization | N/A | Jun 11, 2025 |
| TREFF, CYNTHIA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 38% | Jun 11, 2025 |
| TREFF, ESTHER | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Jun 11, 2025 |
| 310 PENSACOLA RD LLC | 5% OR GREATER MORTGAGE INTEREST | Organization | N/A | Mar 4, 2022 |
| FISCHER, DAVID | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Mar 4, 2022 |
| FISCHER, DAVID | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Mar 4, 2022 |
| SHADE, CARLA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Mar 4, 2022 |
| 310 PENSACOLA RD LLC | ADP OF THE SNF | Organization | N/A | Mar 4, 2022 |
| BRIGHTON MANAGEMENT LLC | ADP OF THE SNF | Organization | N/A | Mar 4, 2022 |
| CTNC HOLDINGS LLC | ADP OF THE SNF | Organization | N/A | Mar 4, 2022 |
| FISCHER, DAVID | ADP OF THE SNF | Individual | N/A | Mar 4, 2022 |
| LEFKOWITZ, ZEV | ADP OF THE SNF | Individual | N/A | Mar 4, 2022 |
| SHADE, CARLA | ADP OF THE SNF | Individual | N/A | Mar 4, 2022 |
| TREFF, CYNTHIA | ADP OF THE SNF | Individual | N/A | Mar 4, 2022 |
| TURBETT, TIMOTHY | ADP OF THE SNF | Individual | N/A | Mar 13, 2023 |
Compare CMS ratings and recorded fines for Smoky Ridge Health and Rehabilitation 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 8 facilities. View all →