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Smoky Ridge Health and Rehabilitation

All states › North Carolina › Burnsville › Smoky Ridge Health and Rehabilitation

310 Pensacola Road Burnsville, NC 28714 · Yancey County

(828) 682-9759

Accepts Medicare Accepts Medicaid 140 certified beds For profit

CMS certification number 345305 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Smoky Ridge Health and Rehabilitation a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Smoky Ridge Health and Rehabilitation as of October 2026.

CMS rates it 2 out of 5 stars overall, below the North Carolina average of 3.0. Inspectors issued 22 citations in the last three years. CMS imposed 1 penalty, including $59,631 in fines, in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 1 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.25 hours per resident per day at Smoky Ridge Health and Rehabilitation, below the North Carolina median of 3.57 (US median: 3.72). About 0.81 of those hours are from registered nurses. On weekends it falls to 2.88 hours, 11% below its all-week average. 61.3% of nursing staff left within a year (North Carolina median 48.5%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.

Nursing care per resident per day 3.25 hours
Below the North Carolina median of 3.57 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.81 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.88 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 61.3% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 33.3% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds140
Residents per day 103 About 73% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceJune 1989
Part of a chainBrighton Healthcare
Legal business nameSMOKEY RIDGE HEALTH AND REHABILITATION SNF LLC

Paying for care at Smoky Ridge Health and Rehabilitation: Medicare and Medicaid

Smoky Ridge Health and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Carolina's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on June 26, 2026 and found 2 deficiencies. In total, inspectors issued 22 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 22 citations at Smoky Ridge Health and Rehabilitation across 4 inspection dates, 16 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on March 20, 2024. The most common areas cited were resident assessment and care planning (8) and nutrition and dietary (3). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level G, March 20, 2024). 2 citations were under CMS's abuse, neglect and exploitation rules.

June 26, 2026 · 2 citations

EEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Jul 17, 2026)

DNotify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0646 · Deficient, Provider has date of correction (Jul 17, 2026)

March 20, 2025 · 5 citations · includes complaint inspection

DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Apr 14, 2025)

DProtect each resident from the wrongful use of the resident's belongings or money.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 · Complaint inspection · Past Non-Compliance (Dec 12, 2024)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Apr 14, 2025)

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Deficient, Provider has date of correction (Apr 14, 2025)

DNotify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0646 · Deficient, Provider has date of correction (Apr 14, 2025)

March 20, 2024 · 1 citation, includes actual harm · includes complaint inspection

GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Apr 5, 2024)

December 1, 2023 · 14 citations · includes complaint inspection

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Complaint inspection · Deficient, Provider has date of correction (Jan 1, 2024)

FSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Potential for more than minimal harm · Administration Deficiencies · Tag F0867 · Complaint inspection · Deficient, Provider has date of correction (Jan 1, 2024)

FProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Jan 1, 2024)

EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Complaint inspection · Deficient, Provider has date of correction (Jan 1, 2024)

EPASARR screening for Mental disorders or Intellectual Disabilities

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0645 · Complaint inspection · Deficient, Provider has date of correction (Jan 1, 2024)

EProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Jan 1, 2024)

EEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0711 · Complaint inspection · Deficient, Provider has date of correction (Jan 1, 2024)

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Complaint inspection · Deficient, Provider has date of correction (Jan 1, 2024)

EEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0806 · Complaint inspection · Deficient, Provider has date of correction (Jan 1, 2024)

DKeep residents' personal and medical records private and confidential.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0583 · Complaint inspection · Deficient, Provider has date of correction (Jan 1, 2024)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Complaint inspection · Deficient, Provider has date of correction (Jan 1, 2024)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Jan 1, 2024)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jan 1, 2024)

BEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Complaint inspection · Deficient, Provider has date of correction (Jan 1, 2024)

Questions to ask on a tour of Smoky Ridge Health and Rehabilitation

  1. Inspectors cited the home at the actual-harm level on March 20, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on March 20, 2025. How are staff trained, and how are concerns reported?
  3. Nursing staff turnover was 61.3% a year. How many of the staff come from agencies?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $59,631 in fines.

DateTypeAmount or length
Mar 20, 2024 Fine $59,631

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 2/5 3/5 2/5
August 2026 2/5 2/5 3/5 2/5
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Location

Hospitals near Smoky Ridge Health and Rehabilitation

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

The Greens at Spruce Pines Spruce Pine · 11.4 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 127 beds · Medicaid
Madison Health and Rehabilitation Mars Hill · 14.3 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 100 beds · Medicaid
NC State Veterans Home - Black Mountain Black Mountain · 20.7 mi away ★★★★★ Inspection 3/5 · Staffing 5/5 100 beds · Medicaid
Highland Farms Black Mountain · 20.8 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 60 beds · Medicaid
Black Mountain Neuro-Medical Treatment Center Black Mountain · 20.9 mi away ★★★★★ Inspection 5/5 · Staffing — 163 beds · Medicaid

More nursing homes near Smoky Ridge Health and Rehabilitation ›   All nursing homes in Burnsville ›

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Other Brighton Healthcare nursing homes in North Carolina

Affiliation comes from CMS's affiliated-entity data, October 2026. All 8 Brighton Healthcare nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/north-carolina/burnsville/smoky-ridge-health-and-rehabilitation/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.