Smoky Mountain Health and Rehabilitation Center
1349 Crabtree Road, Waynesville, NC 28785 · (828) 454-9260
For profit - Corporation · 50 certified beds
Smoky Mountain Health and Rehabilitation Center has a 3-star overall rating from Medicare, out of 5. Its last standard inspection, in March 2026, found 3 citations (the North Carolina average is 4.7). It hasn't been fined in the last three years.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 3 out of 5 stars · Average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 3 out of 5 stars · Average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 4 out of 5 stars · Above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on March 19, 2026 found 3 citations. What an inspection citation means
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.March 19, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.March 19, 2026 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.March 19, 2026 · F0847 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 4 citations.
- Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.February 5, 2025 · F0636 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.February 5, 2025 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.February 5, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.February 5, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
No fines or payment denials in the last three years.
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | North Carolina average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.93 | 3.85 | 3.86 |
| Registered nurses (RN) | 1.04 | 0.62 | 0.69 |
| Licensed practical nurses (LPN) | 0.68 | 0.89 | 0.86 |
| Nurse aides | 2.21 | 2.34 | 2.32 |
| Total nursing staff turnover | 60.8% | 49% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 50 |
| Average residents per day | 40.1 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Skyland Terrace and Rehabilitation Waynesville · ★★★★★ 4 out of 5 stars
- Autumn Care of Waynesville Waynesville · ★★★★★ 1 out of 5 stars
- Silver Bluff Canton · ★★★★★ 3 out of 5 stars
- Maggie Valley Health and Rehabilitation Center Maggie Valley · ★★★★★ 2 out of 5 stars
Compare every nursing home in Waynesville, NC · Nursing homes in North Carolina
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Data from Medicare (CMS), updated October 2026, from Smoky Mountain Health and Rehabilitation Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.