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Smoky Mountain Health and Rehabilitation Center

All states › North Carolina › Waynesville › Smoky Mountain Health and Rehabilitation Center

1349 Crabtree Road Waynesville, NC 28785 · Haywood County

(828) 454-9260

All 3 nursing homes in Waynesville, NC (3 take Medicaid)

Accepts Medicare Accepts Medicaid 50 certified beds For profit

CMS certification number 345396 · 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 Mountain Health and Rehabilitation Center 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 Mountain Health and Rehabilitation Center as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the North Carolina average of 3.0. Inspectors issued 10 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 4 out of 5; for long-term residents, 3 out of 5.

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.

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Staffing

Nursing staff spend about 4.03 hours per resident per day at Smoky Mountain Health and Rehabilitation Center, above the North Carolina median of 3.57 (US median: 3.72). About 0.99 of those hours are from registered nurses. On weekends it falls to 3.54 hours, 12% below its all-week average. 69.8% 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 4.03 hours
Above the North Carolina median of 3.57 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.99 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.54 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 69.8% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 75% 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 beds50
Residents per day 41 About 82% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceAugust 1991
Part of a chainPrinciple Long Term Care
Legal business nameSNOWSHOE LTC GROUP, LLC

Paying for care at Smoky Mountain Health and Rehabilitation Center: Medicare and Medicaid

Smoky Mountain Health and Rehabilitation Center 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 March 19, 2026 and found 3 deficiencies. In total, inspectors issued 10 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 10 citations at Smoky Mountain Health and Rehabilitation Center across 3 inspection dates, 4 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 10 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were nutrition and dietary (2) and quality of life and care (2). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level E, March 19, 2026). 1 citation was under CMS's abuse, neglect and exploitation rules.

March 19, 2026 · 3 citations

EProcure 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 · Deficient, Provider has date of correction (Apr 11, 2026)

DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 · Deficient, Provider has date of correction (Apr 11, 2026)

DInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Potential for more than minimal harm · Administration Deficiencies · Tag F0847 · Deficient, Provider has date of correction (Apr 11, 2026)

February 5, 2025 · 4 citations · includes complaint inspection

DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0636 · Complaint inspection · Deficient, Provider has date of correction (Mar 5, 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 · Complaint inspection · Deficient, Provider has date of correction (Mar 5, 2025)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Complaint inspection · Deficient, Provider has date of correction (Mar 5, 2025)

DEnsure 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 (Mar 5, 2025)

September 28, 2023 · 3 citations

EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0803 · Deficient, Provider has date of correction (Oct 22, 2023)

DKeep residents' personal and medical records private and confidential.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0583 · Deficient, Provider has date of correction (Oct 22, 2023)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Oct 22, 2023)

Questions to ask on a tour of Smoky Mountain Health and Rehabilitation Center

  1. CMS cited the home under its abuse and neglect rules on March 19, 2026. How are staff trained, and how are concerns reported?
  2. Nursing staff turnover was 69.8% a year. How many of the staff come from agencies?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. 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

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 3/5 4/5 4/5
August 2026 3/5 3/5 4/5 4/5
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Location

Hospitals near Smoky Mountain Health and Rehabilitation Center

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

Skyland Terrace and Rehabilitation Waynesville · 3.6 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 90 beds · Medicaid
Silver Bluff Canton · 5.9 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 131 beds · Medicaid
Autumn Care of Waynesville Waynesville · 6.4 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 90 beds · Medicaid
Maggie Valley Health and Rehabilitation Center Maggie Valley · 8.2 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 114 beds · Medicaid
Pisgah Manor Health Care Center Candler · 16.0 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 118 beds · Medicaid

More nursing homes near Smoky Mountain Health and Rehabilitation Center ›   All nursing homes in Waynesville ›

Compare Smoky Mountain Health and Rehabilitation Center with the 3 closest homes side by side ›

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Other Principle Long Term Care nursing homes in North Carolina

Affiliation comes from CMS's affiliated-entity data, October 2026. All 37 Principle Long Term Care 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/waynesville/smoky-mountain-health-and-rehabilitation-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.