Nursing home
Smoky Ridge Health and Rehabilitation
310 Pensacola Road, Burnsville, NC 28714 · Map
For profit - Limited Liability company · 140 certified beds
Smoky Ridge Health and Rehabilitation is a Medicare-certified nursing home in Burnsville, North Carolina. CMS rates it 2 out of 5 stars overall (3/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.16 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on Mar 20, 2025 cited 5 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- 1 fine totaling $59,631In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Smoky Ridge Health and Rehabilitation 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) | 3.16 | 3.78 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.78 | 0.59 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.89 | 2.33 | 2.34 | below avg |
| Nursing staff turnover | 44.9% | 50.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 5.0 | 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.
Penalties in CMS records: 1 fine totaling $59,631, 1 total penalty.
What inspectors found at Smoky Ridge Health and Rehabilitation
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
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 20, 2025 · Full report (PDF) - Potential for harm
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Resident Assessment and Care Planning Deficiencies · Mar 20, 2025 · Full report (PDF) - 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 · Mar 20, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Mar 20, 2025 · Full report (PDF) - Potential for harm
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 · Mar 20, 2025 · Full report (PDF)
Show all 12 deficiencies
- Actual harm
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 · Mar 20, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 1, 2023 · Full report (PDF) - Potential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Dec 1, 2023 · Full report (PDF) - 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 · Dec 1, 2023 · Full report (PDF) - Potential for harm
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 · Dec 1, 2023 · 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 · Dec 1, 2023 · Full report (PDF) - Potential for harm
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 · Dec 1, 2023 · Full report (PDF)
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
- 310 Pensacola Road
Burnsville, NC 28714 - CMS certification #
- 345305
- Ownership
- For profit - Limited Liability company
- Certified beds
- 140
- Avg residents/day
- 98.8
- Provider type
- Medicare and Medicaid
- First certified
- 1989-06-29
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Smoky Ridge Health and Rehabilitation using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Blue Ridge Regional Hospital, Spruce Pine. 12.8 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- The Greens at Spruce Pines, Spruce Pine. 11.4 miles away, straight line.
- Nearest home health agency office
- Pruitthealth At Home - Yancey, Burnsville. 2.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Pharmacy. 0.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 28714 as rural (rural area).
- Dialysis within 15 miles
- Davita Mayland Dialysis Center, Spruce Pine, 12.8 miles away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 7 Medicare hospices tell CMS they serve ZIP code 28714.
Hospice Of Yancey County, office in Burnsville, 1.9 miles away, straight line (CMS family survey rating 5 of 5 stars)
Hospice & Palliative Care Of The Blue Ridge, Inc, office in Spruce Pine, 12.9 miles away, straight line (CMS family survey rating 5 of 5 stars)
Medi Home Hospice, office in Newland, 21.0 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Nm Pacs 2 LLC, Weaverville. 20.9 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 relatively 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 | Nothing on record |
| 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 relatively 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 |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Smoky Ridge Health and Rehabilitation a good nursing home?
CMS gives Smoky Ridge Health and Rehabilitation an overall rating of 2 out of 5 stars, including 3/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Smoky Ridge Health and Rehabilitation staffed?
Smoky Ridge Health and Rehabilitation reports 3.16 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Smoky Ridge Health and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does Smoky Ridge Health and Rehabilitation have?
Smoky Ridge Health and Rehabilitation is certified for 140 beds.