Smoky Mountain Health and Rehabilitation Center

Name: Smoky Mountain Health and Rehabilitation Center
Address: 1349 Crabtree Road, Waynesville, NC, 28785, US
Telephone: 8284549260

1349 Crabtree Road, Waynesville, NC 28785 · Haywood County · 50 certified beds · avg 40 residents/day · certified since Aug 26, 1991

Part of chain: PRINCIPLE LONG TERM CARE (40 facilities, chain avg rating 3.0★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.67

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (10)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 19, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 19, 2026	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Mar 19, 2026	D · Potential for harm, one-off	The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign.
Feb 5, 2025	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · from a complaint
Feb 5, 2025	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · from a complaint
Feb 5, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint
Feb 5, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Sep 28, 2023	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint
Sep 28, 2023	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential. · from a complaint
Sep 28, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 3).

Year	Citations	Worst severity that year
2023	3	E
2025	4	D
2026	3	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

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

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	North Carolina avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.67	4.01	3.95	top 15% in North Carolina; top 19% in the U.S.
Registered Nurse hours	1.23	0.64	0.69	top 7% in North Carolina; top 9% in the U.S.
Weekend total nurse staffing	4.35	3.56	3.50	top 12% in North Carolina; top 15% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.60	0.41	0.48	top 14% in North Carolina; top 23% in the U.S.
Total nursing staff turnover (%)	60.8	49.0	45.8	bottom 21% in North Carolina; bottom 15% in the U.S.
RN turnover (%)	61.5	45.7	42.9	bottom 26% in North Carolina; bottom 20% in the U.S.

Hours are per resident per day, 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. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 2/5 · short-stay residents: 5/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Hill, Robert	Individual	Indirect Ownership Interest	NOT APPLICABLE	01/01/2011
Boice, Gale	Individual	Corporate Officer	NOT APPLICABLE	03/05/2018
Boice, Gale	Individual	Operational/Managerial Control	NOT APPLICABLE	03/18/2018
Boice, Gale	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	09/08/2025
Boice, Gale	Individual	ADP of the SNF	NOT APPLICABLE	03/05/2018
Detar, Dewey	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/05/2023
Detar, Dewey	Individual	ADP of the SNF	NOT APPLICABLE	06/13/2025
Hill, Raymond	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2011
Hill, Robert	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2011
Hill, Stephen	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2011
Johnson, Dianne	Individual	Corporate Officer	NOT APPLICABLE	01/01/2011
Principle Long Term Care, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2011
Walters, Shayna	Individual	Managing Control - Governing Body	NOT APPLICABLE	12/21/2020
Walters, Shayna	Individual	ADP of the SNF	NOT APPLICABLE	06/13/2025

Questions to ask on your visit

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?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Skyland Terrace and Rehabilitation	3.6 mi	Waynesville, NC	★★★★☆	4/5
Silver Bluff	5.9 mi	Canton, NC	★★★☆☆	3/5
Autumn Care of Waynesville	6.4 mi	Waynesville, NC	★☆☆☆☆	1/5
Maggie Valley Health and Rehabilitation Center	8.2 mi	Maggie Valley, NC	★★☆☆☆	2/5
Pisgah Manor Health Care Center	16.0 mi	Candler, NC	★★☆☆☆	2/5
Vero Health & Rehab of Sylva	18.3 mi	Sylva, NC	★☆☆☆☆	1/5
Skyland Care Center	18.4 mi	Sylva, NC	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Waynesville →

Facility data as of CMS processing date 2026-08-01. CCN 345396.

The Care File

Visit checklist — Smoky Mountain Health and Rehabilitation Center

1349 Crabtree Road, Waynesville, NC 28785 · 8284549260

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "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?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 345396 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)