310 Pensacola Road, Burnsville, NC 28714 (opens Google Maps) · Yancey County · (828) 682-9759· 140 certified beds · avg 101 residents/day · certified since Jun 29, 1989 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: BRIGHTON HEALTHCARE (8 facilities, chain avg rating 1.5★)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →
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 quality measures from resident assessments and claims.
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Apr 5, 2024 (Deficient, Provider has date of correction)
Showing the latest 3 of 22 inspection findings. Open the full record below to read every finding.
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641
The facility did not notify the appropriate authorities when a resident with a mental disorder or intellectual disability had a significant change in condition. F-0646
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. F-0578
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 26, 2026 | E · Potential for more than minimal harm, pattern | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Jun 26, 2026 | D · Potential for more than minimal harm, isolated | The facility did not notify the appropriate authorities when a resident with a mental disorder or intellectual disability had a significant change in condition. · F-0646 |
| Mar 20, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| Mar 20, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0602 |
| Mar 20, 2025 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Mar 20, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0644 |
| Mar 20, 2025 | D · Potential for more than minimal harm, isolated | The facility did not notify the appropriate authorities when a resident with a mental disorder or intellectual disability had a significant change in condition. · F-0646 |
| Mar 20, 2024 | ▲ G · Actual harm, isolated | 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 · F-0600 |
| Dec 1, 2023 | F · Potential for more than minimal harm, widespread | 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 · F-0812 |
| Dec 1, 2023 | F · Potential for more than minimal harm, widespread | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint · F-0867 |
| Dec 1, 2023 | F · Potential for more than minimal harm, widespread | 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 · F-0880 |
| Dec 1, 2023 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584 |
| Dec 1, 2023 | E · Potential for more than minimal harm, pattern | 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 · F-0645 |
| Dec 1, 2023 | E · Potential for more than minimal harm, pattern | 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 · F-0684 |
| Dec 1, 2023 | E · Potential for more than minimal harm, pattern | 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 · F-0711 |
| Dec 1, 2023 | E · Potential for more than minimal harm, pattern | 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 · F-0761 |
| Dec 1, 2023 | E · Potential for more than minimal harm, pattern | 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 · F-0806 |
| Dec 1, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' personal and medical information private and confidential. · from a complaint · F-0583 |
| Dec 1, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0641 |
| Dec 1, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0656 |
| Dec 1, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0689 |
| Dec 1, 2023 | B · Potential for minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint · F-0804 |
Citations from standard inspections decreased between the last two inspection cycles (5 → 2).
All bars start at zero. Exact values and supporting details remain below.
| 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.
How to file a complaint about care →
1 fine totaling $59,631.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Mar 20, 2024 | Fine | $59,631 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 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 3.08, RN 0.75, weekend 2.75.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.08 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 1/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Smoky Ridge Health and Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 - 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 |
All 18 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Brighton Healthcare — 8 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.
Listed by state, then facility name — not a ranking.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 345305.
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