nursing home in Burnsville, NC
Smoky Ridge Health and Rehabilitation
310 Pensacola Road, Burnsville, NC 28714 · (828) 682-9759
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Smoky Ridge Health and Rehabilitation at a glance
Smoky Ridge Health and Rehabilitation is a 140-bed for-profit nursing home in Burnsville, North Carolina (Yancey County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the North Carolina average of 2.9.
Residents receive about 3.1 hours of nursing care per day (0.8 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (June 26, 2026) found 2 health citations. The North Carolina average is 4.7.
Federal regulators fined it 1 time in the past three years, totaling $59,631.
Nursing staff turnover is 51.6% per year (state average 49%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 140
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Brighton Healthcare
- Medicare-certified since
- June 29, 1989
- Resident/family council
- Resident
- County
- Yancey County
- CMS Certification Number
- 345305
Ratings
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.08 hrs | 3.85 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.75 hrs | 0.62 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 1.79 hrs | 2.34 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.75 hrs | 3.42 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 51.6% | 49% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 13.3% | 45.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 2 | 5 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 47 | 49.2 | 80.6 | Better |
Penalties
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $59,631 | $36,617 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 140 | 105 | 107 | |
| Average residents per day | 101 | 87 | 86 | |
| Occupancy | 72.2% | 83.6% | 80.9% |
Long-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 9.5% | 3.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 5.1% | 5.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 26.3% | 14% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.8% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.9% | 0.7% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 20.2% | 15.6% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 22% | 18.3% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5.5% | 7.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 31.8% | 5.9% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 38.2% | 21.3% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 28.7% | 20.7% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 86% | 94.1% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 91.3% | 92% | 93.6% | Average |
Short-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 6% | 1.4% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 53.8% | 78.1% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 70.8% | 80.6% | 82% | Worse |
Inspection citations
State inspectors cited this home for 22 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 26, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected July 17, 2026 |
| June 26, 2026 Standard | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Resident Assessment and Care Planning Deficiencies · Tag F0646 | D Potential harm, isolated | Corrected July 17, 2026 |
| March 20, 2025 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected June 18, 2025 |
| March 20, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected June 18, 2025 |
| March 20, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected June 18, 2025 |
| March 20, 2025 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected December 12, 2024 |
| March 20, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected April 14, 2025 |
| March 20, 2025 Standard | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Resident Assessment and Care Planning Deficiencies · Tag F0646 | D Potential harm, isolated | Corrected April 14, 2025 |
| March 20, 2025 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected April 14, 2025 |
| March 20, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected April 14, 2025 |
| March 20, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected April 5, 2024 |
| March 5, 2024 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | F Potential harm, widespread | Corrected May 6, 2024 |
| December 1, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected January 24, 2024 |
| December 1, 2023 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | D Potential harm, isolated | Corrected January 24, 2024 |
| December 1, 2023 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected January 24, 2024 |
| December 1, 2023 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected January 1, 2024 |
| December 1, 2023 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected January 1, 2024 |
| December 1, 2023 Complaint | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | F Potential harm, widespread | Corrected January 1, 2024 |
| December 1, 2023 Complaint | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Tag F0711 | E Potential harm, pattern | Corrected January 1, 2024 |
| December 1, 2023 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected January 1, 2024 |
| December 1, 2023 Complaint | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | E Potential harm, pattern | Corrected January 1, 2024 |
| December 1, 2023 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected January 1, 2024 |
| December 1, 2023 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected January 1, 2024 |
| December 1, 2023 Complaint | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | E Potential harm, pattern | Corrected January 1, 2024 |
| December 1, 2023 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected January 1, 2024 |
| December 1, 2023 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected January 1, 2024 |
| December 1, 2023 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected January 1, 2024 |
| December 1, 2023 Complaint | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected January 1, 2024 |
| December 1, 2023 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | B No harm, pattern | Corrected January 1, 2024 |
| June 8, 2022 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected August 11, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $59,631 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| March 20, 2024 | Fine | $59,631 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CTNC HOLDINGS LLC Organization | 5% or greater direct ownership interest | 38% | 06/11/2025 |
| FISCHER, DAVID Individual | 5% or greater direct ownership interest | 29% | 06/11/2025 |
| LEFKOWITZ, ZEV Individual | 5% or greater direct ownership interest | 29% | 06/11/2025 |
| TREFF, CYNTHIA Individual | 5% or greater indirect ownership interest | 38% | 06/11/2025 |
| 310 PENSACOLA RD LLC Organization | 5% or greater mortgage interest | NOT APPLICABLE | 03/04/2022 |
| 310 PENSACOLA RD LLC Organization | adp of the snf | NOT APPLICABLE | 03/04/2022 |
| BRIGHTON MANAGEMENT LLC Organization | adp of the snf | NOT APPLICABLE | 03/04/2022 |
| CTNC HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 03/04/2022 |
| FISCHER, DAVID Individual | adp of the snf | NOT APPLICABLE | 03/04/2022 |
| LEFKOWITZ, ZEV Individual | adp of the snf | NOT APPLICABLE | 03/04/2022 |
| SHADE, CARLA Individual | adp of the snf | NOT APPLICABLE | 03/04/2022 |
| TREFF, CYNTHIA Individual | adp of the snf | NOT APPLICABLE | 03/04/2022 |
| TURBETT, TIMOTHY Individual | adp of the snf | NOT APPLICABLE | 03/13/2023 |
| ETNC HOLDINGS LLC Organization | direct ownership interest | NOT APPLICABLE | 06/11/2025 |
| TREFF, ESTHER Individual | indirect ownership interest | NOT APPLICABLE | 06/11/2025 |
| FISCHER, DAVID Individual | managing control - governing body | NOT APPLICABLE | 03/04/2022 |
| FISCHER, DAVID Individual | operational/managerial control | NOT APPLICABLE | 03/04/2022 |
| SHADE, CARLA Individual | operational/managerial control | NOT APPLICABLE | 03/04/2022 |
Other nursing homes near Smoky Ridge Health and Rehabilitation
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★★★★★3AverageMadison Health and Rehabilitation
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★★★★★5Much above averageErwin Health Care Center
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- New owner (last 12 months)
★★★★★2Below average- ★★★★★3Average
Christian Care Center of Unicoi County
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For-profit · 50 beds
★★★★★4Above averageNc State Veterans Home - Black Mountain
62 Lake Eden Road, Black Mountain, NC 28711 · 20.7 mi
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★★★★★5Much above average
Frequently asked questions
What is Smoky Ridge Health and Rehabilitation's rating?
Smoky Ridge Health and Rehabilitation has 2 out of 5 stars on the CMS overall star rating. The average for North Carolina nursing homes is 2.9 stars.
How many inspection citations did Smoky Ridge Health and Rehabilitation receive?
Its most recent standard health inspection found 2 citations, compared with a North Carolina average of 4.7. Every citation is listed on this page with its severity.
Does Smoky Ridge Health and Rehabilitation accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Smoky Ridge Health and Rehabilitation?
It is for profit - limited liability company and part of Brighton Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Smoky Ridge Health and Rehabilitation and how do I contact it?
Smoky Ridge Health and Rehabilitation is at 310 Pensacola Road, Burnsville, NC 28714. Phone: (828) 682-9759.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.