Smoky Mountain Health and Rehabilitation Center

1349 Crabtree Road, Waynesville, NC 28785 · CCN 345396 · 50 certified beds · Data as of 2026-07-01

CMS overall3 of 5CMS inspections3 of 5CMS staffing4 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

No immediate-jeopardy or actual-harm citations, and no CMS enforcement fines, appear in this facility's current record.

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Serious inspection findings

No citations at CMS's actual-harm or immediate-jeopardy levels appear in this facility's current record.

Staffing, from payroll records

Nursing hours / resident / day

3.20

state median 3.11

Weekend staffing gap

+7%

more nursing hours on weekends · state median −7%

RN hours / resident / day

0.50

registered nurses only

Contract (agency) staff

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

61%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

CMS records no penalties for this facility.

Ownership

Ownership type: For profit - Corporation. Part of the PRINCIPLE LONG TERM CARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Somerwoods Rehabilitation and Healthcare Center (Somerset, KY) — CMS overall1 of 5
Greenwood Rehabilitation and Healthcare Center (Bowling Green, KY) — CMS overall2 of 5
Mountain View Rehabilitation and Healthcare Center (Pineville, KY) — CMS overall4 of 5
Lake Way Rehabilitation and Healthcare Center (Benton, KY) — CMS overall4 of 5
Rivers Edge Rehabilitation and Healthcare Center (Prospect, KY) — CMS overall3 of 5
Essex Rehabilitation and Healthcare Center (Louisville, KY) — CMS overall2 of 5
Tri Cities Rehabilitation and Healthcare Center (Cumberland, KY) — CMS overall2 of 5
Jacob's Creek Nursing and Rehabilitation Center (Madison, NC) — CMS overall5 of 5

Full citation history

By severity: Potential for more than minimal harm: 10

Survey date	Tag	Category	Severity	Corrected
2026-03-19	F0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-03-19	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2026-03-19	F0847	Administration Deficiencies	D	not recorded
2025-02-05	F0636	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-02-05	F0644	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-02-05	F0695	Quality of Life and Care Deficiencies	D	not recorded
2025-02-05	F0761	Pharmacy Service Deficiencies	D	not recorded
2023-09-28	F0583	Resident Rights Deficiencies	D	not recorded
2023-09-28	F0677	Quality of Life and Care Deficiencies	D	not recorded
2023-09-28	F0803	Nutrition and Dietary Deficiencies	E	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Smoky Mountain Health and Rehabilitation Center, Waynesville” at medicare.gov/care-compare.