nursing home in Waynesville, NC
Smoky Mountain Health and Rehabilitation Center
1349 Crabtree Road, Waynesville, NC 28785 · (828) 454-9260
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★4
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Smoky Mountain Health and Rehabilitation Center at a glance
Smoky Mountain Health and Rehabilitation Center is a 50-bed for-profit nursing home in Waynesville, North Carolina (Haywood County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the North Carolina average of 2.9.
Residents receive about 3.9 hours of nursing care per day (1 of them from registered nurses), close to the state average of 3.9 hours.
Its most recent standard health inspection (March 19, 2026) found 3 health citations. The North Carolina average is 4.7.
It has not received a federal fine in the past three years.
Nursing staff turnover is 60.8% per year (state average 49%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 50
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Principle Long Term Care
- Medicare-certified since
- August 26, 1991
- Resident/family council
- Resident
- County
- Haywood County
- CMS Certification Number
- 345396
Ratings
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.9 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.9 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.93 hrs | 3.85 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 1.04 hrs | 0.62 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.21 hrs | 2.34 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.66 hrs | 3.42 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 60.8% | 49% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 61.5% | 45.6% | 42.9% | Worse |
| 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) | 3 | 5 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 20 | 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) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $36,617 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 50 | 105 | 107 | |
| Average residents per day | 40 | 87 | 86 | |
| Occupancy | 80.2% | 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) | 1.7% | 3.5% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3% | 5.5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 18.9% | 14% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.9% | 2.3% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 28.6% | 15.6% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 30.3% | 18.3% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5.7% | 7.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 7.3% | 5.9% | 12.8% | Better |
| 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) | 30.8% | 21.3% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 11.1% | 20.7% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 94.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 96.6% | 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) | 0.7% | 1.4% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 98.7% | 78.1% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 85.3% | 80.6% | 82% | Average |
Inspection citations
State inspectors cited this home for 10 health deficiencies and 9 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 19, 2026 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 July 31, 2026 |
| March 19, 2026 Standard | 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 | E Potential harm, pattern | Corrected April 11, 2026 |
| March 19, 2026 Standard | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Tag F0847 | D Potential harm, isolated | Corrected April 11, 2026 |
| March 19, 2026 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected April 11, 2026 |
| February 5, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected May 20, 2025 |
| February 5, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected May 20, 2025 |
| February 5, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected May 20, 2025 |
| February 5, 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 May 20, 2025 |
| February 5, 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 May 20, 2025 |
| February 5, 2025 Complaint | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected March 5, 2025 |
| February 5, 2025 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected March 5, 2025 |
| February 5, 2025 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 | D Potential harm, isolated | Corrected March 5, 2025 |
| February 5, 2025 Complaint | 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 March 5, 2025 |
| September 28, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected December 22, 2023 |
| September 28, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected December 22, 2023 |
| September 28, 2023 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected December 22, 2023 |
| September 28, 2023 Complaint | 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. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected October 22, 2023 |
| September 28, 2023 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected October 22, 2023 |
| September 28, 2023 Complaint | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected October 22, 2023 |
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 no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BOICE, GALE Individual | adp of the snf | NOT APPLICABLE | 03/05/2018 |
| DETAR, DEWEY Individual | adp of the snf | NOT APPLICABLE | 06/13/2025 |
| HILL, ROBERT Individual | adp of the snf | NOT APPLICABLE | 01/01/2011 |
| WALTERS, SHAYNA Individual | adp of the snf | NOT APPLICABLE | 06/13/2025 |
| BOICE, GALE Individual | corporate officer | NOT APPLICABLE | 03/05/2018 |
| JOHNSON, DIANNE Individual | corporate officer | NOT APPLICABLE | 01/01/2011 |
| HILL, ROBERT Individual | indirect ownership interest | NOT APPLICABLE | 01/01/2011 |
| BOICE, GALE Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 09/08/2025 |
| DETAR, DEWEY Individual | managing control - governing body | NOT APPLICABLE | 01/05/2023 |
| WALTERS, SHAYNA Individual | managing control - governing body | NOT APPLICABLE | 12/21/2020 |
| BOICE, GALE Individual | operational/managerial control | NOT APPLICABLE | 03/18/2018 |
| HILL, RAYMOND Individual | operational/managerial control | NOT APPLICABLE | 01/01/2011 |
| HILL, STEPHEN Individual | operational/managerial control | NOT APPLICABLE | 01/01/2011 |
| PRINCIPLE LONG TERM CARE, INC. Organization | operational/managerial control | NOT APPLICABLE | 01/01/2011 |
Other nursing homes near Smoky Mountain Health and Rehabilitation Center
Skyland Terrace and Rehabilitation
516 Wall Street, Waynesville, NC 28786 · 3.6 mi
For-profit · 90 beds
★★★★★4Above averageSilver Bluff
100 Silver Bluff Drive, Canton, NC 28716 · 5.9 mi
For-profit · 131 beds · Part of Liberty Senior Living
★★★★★3AverageAutumn Care of Waynesville
360 Old Balsam Road, Waynesville, NC 28786 · 6.4 mi
For-profit · 90 beds · Part of Saber Healthcare Group
★★★★★1Much below averageMaggie Valley Health and Rehabilitation Center
75 Fisher Loop, Maggie Valley, NC 28751 · 8.2 mi
For-profit · 114 beds
★★★★★2Below averagePisgah Manor Health Care Center
104 Holcombe Cove Road, Candler, NC 28715 · 16 mi
For-profit · 118 beds · Part of Liberty Senior Living
★★★★★2Below averageVero Health & Rehab of Sylva
417 Cloverdale Road, Sylva, NC 28779 · 18.3 mi
For-profit · 106 beds · Part of Regional Health Properties
- Special Focus candidate
★★★★★1Much below average
Frequently asked questions
What is Smoky Mountain Health and Rehabilitation Center's rating?
Smoky Mountain Health and Rehabilitation Center has 3 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 Mountain Health and Rehabilitation Center receive?
Its most recent standard health inspection found 3 citations, compared with a North Carolina average of 4.7. Every citation is listed on this page with its severity.
Does Smoky Mountain Health and Rehabilitation Center 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 Mountain Health and Rehabilitation Center?
It is for profit - corporation and part of Principle Long Term Care. The ownership section on this page lists the owners and managers reported to CMS.
Where is Smoky Mountain Health and Rehabilitation Center and how do I contact it?
Smoky Mountain Health and Rehabilitation Center is at 1349 Crabtree Road, Waynesville, NC 28785. Phone: (828) 454-9260.
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.