Smoky Ridge Health and Rehabilitation
310 Pensacola Road, Burnsville, NC 28714 · Yancey County · 140 certified beds · avg 101 residents/day · certified since Jun 29, 1989
Part of chain: BRIGHTON HEALTHCARE (8 facilities, chain avg rating 1.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Mar 20, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 5, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (22)
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 |
|---|---|---|
| Jun 26, 2026 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jun 26, 2026 | D · Potential for harm, one-off | The facility did not notify the appropriate authorities when a resident with a mental disorder or intellectual disability had a significant change in condition. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Mar 20, 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. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not notify the appropriate authorities when a resident with a mental disorder or intellectual disability had a significant change in condition. |
| Mar 20, 2024 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Dec 1, 2023 | F · Potential for harm, facility-wide | 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. · from a complaint |
| Dec 1, 2023 | F · Potential for harm, facility-wide | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint |
| Dec 1, 2023 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Dec 1, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Dec 1, 2023 | E · Potential for harm, repeated | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · from a complaint |
| Dec 1, 2023 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Dec 1, 2023 | E · Potential for harm, repeated | The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit. · from a complaint |
| Dec 1, 2023 | E · Potential for harm, repeated | 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 |
| Dec 1, 2023 | E · Potential for harm, repeated | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · from a complaint |
| Dec 1, 2023 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. · from a complaint |
| Dec 1, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| Dec 1, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Dec 1, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Dec 1, 2023 | B · Minimal risk, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 14 | 0 | F |
| 2024 | 1 | 1 | G ▲ |
| 2025 | 5 | 0 | D |
| 2026 | 2 | 0 | 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)
1 fine totaling $59,631.
| Date | Type | Amount / length |
|---|---|---|
| Mar 20, 2024 | Fine | $59,631 |
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) | 2.95 | 4.01 | 3.95 | bottom 5% in North Carolina; bottom 12% in the U.S. |
| Registered Nurse hours | 0.72 | 0.64 | 0.69 | top 25% in North Carolina; top 34% in the U.S. |
| Weekend total nurse staffing | 2.63 | 3.56 | 3.50 | bottom 6% in North Carolina; bottom 13% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.60 | 0.41 | 0.48 | top 15% in North Carolina; top 23% in the U.S. |
| Total nursing staff turnover (%) | 51.6 | 49.0 | 45.8 | bottom 43% in North Carolina; bottom 33% in the U.S. |
| RN turnover (%) | 13.3 | 45.7 | 42.9 | top 6% in North Carolina; top 7% 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 3.08, RN 0.75, weekend 2.75. Staffing rating: 3/5.
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: 2/5 · long-stay residents: 2/5 · short-stay residents: 1/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| CTNC Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 38% | 06/11/2025 |
| Etnc Holdings LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 06/11/2025 |
| Fischer, David | Individual | 5% or Greater Direct Ownership Interest | 29% | 06/11/2025 |
| Lefkowitz, Zev | Individual | 5% or Greater Direct Ownership Interest | 29% | 06/11/2025 |
| Treff, Cynthia | Individual | 5% or Greater Indirect Ownership Interest | 38% | 06/11/2025 |
| Treff, Esther | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/11/2025 |
| 310 Pensacola Rd LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 03/04/2022 |
| 310 Pensacola Rd LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/04/2022 |
| Brighton Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/04/2022 |
| CTNC Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/04/2022 |
| Fischer, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/04/2022 |
| Fischer, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/04/2022 |
| Fischer, David | Individual | ADP of the SNF | NOT APPLICABLE | 03/04/2022 |
| Lefkowitz, Zev | Individual | ADP of the SNF | NOT APPLICABLE | 03/04/2022 |
| Shade, Carla | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/04/2022 |
| Shade, Carla | Individual | ADP of the SNF | NOT APPLICABLE | 03/04/2022 |
| Treff, Cynthia | Individual | ADP of the SNF | NOT APPLICABLE | 03/04/2022 |
| Turbett, Timothy | Individual | ADP of the SNF | NOT APPLICABLE | 03/13/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you coordinate with state agencies for residents with mental health conditions or intellectual disabilities?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "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 | Flags |
|---|---|---|---|---|---|
| The Greens at Spruce Pines | 11.4 mi | Spruce Pine, NC | ★★★☆☆ | 3/5 | |
| Madison Health and Rehabilitation | 14.3 mi | Mars Hill, NC | ★★★☆☆ | 2/5 | abuse |
| Erwin Health Care Center | 16.7 mi | Erwin, TN | ★★☆☆☆ | 2/5 | |
| Center on Aging and Health | 16.8 mi | Erwin, TN | ★★★☆☆ | 3/5 | |
| Christian Care Center of Unicoi County | 16.8 mi | Erwin, TN | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 345305.