Nursing home
Smoky Mountain Health and Rehabilitation Center
1349 Crabtree Road, Waynesville, NC 28785 · Map
For profit - Corporation · Part of Principle Long Term Care (44 facilities) · 50 certified beds
Smoky Mountain Health and Rehabilitation Center is a Medicare-certified nursing home in Waynesville, North Carolina. CMS rates it 4 out of 5 stars overall (3/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.34 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on Feb 5, 2025 cited 4 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Smoky Mountain Health and Rehabilitation Center compares
This facility vs. the North Carolina and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Carolina avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.34 | 3.78 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.79 | 0.59 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.88 | 2.33 | 2.34 | below avg |
| Nursing staff turnover | 72.2% | 50.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 4.0 | 5.6 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the March 19, 2026 inspection was corrected by April 11, 2026
What inspectors found at Smoky Mountain Health and Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 19, 2026 · Full report (PDF) - Potential for harm
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration Deficiencies · Mar 19, 2026 · Full report (PDF) - Potential for harm
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 · Mar 19, 2026 · Full report (PDF) - Potential 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.
Pharmacy Service Deficiencies · Feb 5, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Feb 5, 2025 · Full report (PDF)
Show all 10 deficiencies
- Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Feb 5, 2025 · Full report (PDF) - Potential for harm
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 · Feb 5, 2025 · Full report (PDF) - Potential for harm
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 · Sep 28, 2023 - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Sep 28, 2023 - Potential for harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Sep 28, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1349 Crabtree Road
Waynesville, NC 28785 - CMS certification #
- 345396
- Ownership
- For profit - Corporation
- Certified beds
- 50
- Avg residents/day
- 46.6
- Provider type
- Medicare and Medicaid
- First certified
- 1991-08-26
- Chain
- Principle Long Term Care (44 facilities)
- Setting
- Rural
Part of Principle Long Term Care
Principle Long Term Care operates 44 nursing facilities across the United States. View all Principle Long Term Care facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Smoky Mountain Health and Rehabilitation Center using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2024, 4 violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Jun 26, 2024: programmed (planned) inspection, complete (safety). Case closed Sep 10, 2024. 4 violations cited (4 other). Penalties: $750 proposed, $750 now. OSHA record. OSHA recorded the employer as 156981 - Principle Long Term Care, INC. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Other than serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(c)(1)(iv)). Penalty $750 proposed, $750 now. To be fixed by Sep 18, 2024.
- Other than serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(c)(2)(i)). Penalty $0 proposed, $0 now. To be fixed by Sep 18, 2024.
- Other than serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(h)(2)(i)(d)). Penalty $0 proposed, $0 now. To be fixed by Aug 5, 2024.
- Other than serious: Hazard communication (chemical labels, safety data sheets, training) (1910.1200(g)(8)). Penalty $0 proposed, $0 now. To be fixed by Aug 5, 2024.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Haywood Regional Medical Center, Clyde. 1.3 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Skyland Terrace and Rehabilitation, Waynesville. 3.6 miles away, straight line.
- Nearest home health agency office
- Home Care Services Of Haywood Regional Medical Center, Waynesville. 0.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Rite Aid. 16.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 28785 as micropolitan (micropolitan high commuting).
- Dialysis within 15 miles
- Davita Waynesville Dialysis Center, Clyde, 1.6 miles away, straight line (CMS rating 5 of 5 stars)
- Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 28785.
Haywood Hospice And Palliative Care, office in Waynesville, 0.9 miles away, straight line (CMS family survey rating 4 of 5 stars)
Carepartners Hospice & Palliative Care Services, office in Asheville, 23.8 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Golnosh Sharafsaleh, MD, Asheville. 24.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively high, wildfire very low, tornado relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Smoky Mountain Health and Rehabilitation Center a good nursing home?
CMS gives Smoky Mountain Health and Rehabilitation Center an overall rating of 4 out of 5 stars, including 3/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Smoky Mountain Health and Rehabilitation Center staffed?
Smoky Mountain Health and Rehabilitation Center reports 3.34 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Smoky Mountain Health and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 4 deficiencies.
How many beds does Smoky Mountain Health and Rehabilitation Center have?
Smoky Mountain Health and Rehabilitation Center is certified for 50 beds.