Smoky Mountain Health and Rehabilitation Center
Nursing home in Waynesville, NC
Medicare & Medicaid certified3★ overall (CMS)
Public-record details
- Address
- 1349 Crabtree Road, Waynesville, NC 28785
- Phone
- (828) 454-9260
- Listed under
- For-profit, No fines in 3 years
- Medicare CCN
- 345396
- Overall star rating
- 3 of 5 ★★★☆☆
- Health inspection rating
- 3 of 5
- Staffing rating
- 4 of 5
- Quality measures rating
- 4 of 5
- Certified beds
- 50
- Average residents per day
- 40
- Ownership
- For-profit, corporation
- Legal business name
- Snowshoe LTC Group, LLC
- Chain
- Principle Long Term Care (40 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Aug 26, 1991
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Mar 19, 2026. CMS lists 10 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 28, 2023 to Mar 19, 2026): 7 from complaint inspections, 0 at the “actual harm” level or higher.
| Inspection | Citation | Severity |
|---|---|---|
| Mar 19, 2026 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D |
| Mar 19, 2026 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D |
| Mar 19, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| Feb 5, 2025 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D |
| Feb 5, 2025 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D |
| Feb 5, 2025 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| Feb 5, 2025 | 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… | D |
| Sep 28, 2023 | Keep residents' personal and medical records private and confidential. | D |
| Sep 28, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| Sep 28, 2023 | 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. | E |
Fines and payment denials
CMS records no fines or payment denials for this facility in the last three years.
Staffing
- Total nurse staffing per resident per day
- 3.93 hours
- Registered nurse (RN) time per resident per day
- 1.04 hours
- Nurse aide time per resident per day
- 2.21 hours
- Total nurse staffing on weekends
- 3.66 hours
- Nursing staff turnover (yearly)
- 61%
- RN turnover (yearly)
- 62%
- Administrators who left in the past year
- 0
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.