Smoky Mountain Health and Rehabilitation Center

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

What these staffing numbers mean →

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.93, RN 1.04, weekend 3.66.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.93 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

All 14 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Principle Long Term Care — 40 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

• Springbrook Nursing and Rehabilitation Center — Clayton, NC · overall 3/5
• Tower Nursing and Rehabilitation Center — Raleigh, NC · overall 2/5
• University Place Nursing and Rehabilitation Center — Charlotte, NC · overall 1/5
• Westwood Hills Nursing and Rehabilitation Center — Wilkesboro, NC · overall 2/5abuse
• Willow Creek Nursing and Rehabilitation Center — Goldsboro, NC · overall 2/5
• Wilson Pines Nursing and Rehabilitation Center — Wilson, NC · overall 4/5
• Wayland Nursing and Rehabilitation Center — Keysville, VA · overall 4/5
• Greenwood Rehabilitation and Healthcare Center — Bowling Green, KY · overall 2/5

Listed by state, then facility name — not a ranking. Showing 8 of the 39 others, continuing from this facility's own place in that list.

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

• "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
• "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
• "Is signing an arbitration agreement required for admission, and can we refuse it without affecting my family member's care?"
• "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
• "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
• "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
• "Can you show me how medications are stored and secured on the units, including controlled drugs?"
• "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"

Also worth asking anywhere

• "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
• "Can I see the plan of correction for the findings in your most recent state inspection?"
• "CMS reports 61% total nursing staff turnover here — who on the care team has been with you longest?"
• "The ownership record on file lists 14 owning or managing parties — who makes the decisions about staffing levels?"
• "Can I visit again unannounced, at a mealtime or on a weekend?"

Compare this facility with the 3 closest →

All facilities in Waynesville →