Nursing homeActive
Smoky Ridge Health and Rehabilitation
310 Pensacola Road, Burnsville, NC 287148286829759140 certified beds · 101 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
22
● 1● 20● 1
Penalties · 3 yrs
$59,631
1 fine
Last survey
2026-06-26
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 3
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · North Carolina Division of Health Service Regulation · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-06-26 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2025-03-20 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2024-03-20 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2023-12-01 | Standard | 1130 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · North Carolina Division of Health Service Regulation publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-17Record 345305-20260626-F641
F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-17Record 345305-20260626-F646
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-14Record 345305-20250320-F578
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-12Record 345305-20250320-F602
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-14Record 345305-20250320-F641
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-14Record 345305-20250320-F644
F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-14Record 345305-20250320-F646
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-04-05Record 345305-20240320-F600
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345305-20231201-F583
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345305-20231201-F584
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345305-20231201-F641
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345305-20231201-F645
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345305-20231201-F656
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345305-20231201-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345305-20231201-F689
F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345305-20231201-F711
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345305-20231201-F761
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345305-20231201-F806
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345305-20231201-F812
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345305-20231201-F867
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345305-20231201-F880
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity BPaperwork
Food & nutrition
Pattern; potential for minimal harm.Corrected 2024-01-01Record 345305-20231201-F804
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-03-20 | Civil money penalty | $59,631 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.75
Facility
North Carolina
National
North Carolina 0.61 · National 0.69
Total nurse hours per resident day3.08
Facility
North Carolina
National
North Carolina 3.83 · National 3.86
Weekend total nurse hours2.75
Facility
North Carolina
National
North Carolina 3.40 · National 3.42
Total nursing staff turnover52%
Facility
North Carolina
National
North Carolina 49% · National 46%
Registered nurse turnover13%
Facility
North Carolina
National
North Carolina 46% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | North Carolina | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.1% | 5.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 9.5% | 3.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 26.3% | 14.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.8% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 20.2% | 15.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.5% | 7.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 38.2% | 21.3% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Ctnc Holdings LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 38% | — | — |
| Fischer, David Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 29% | — | — |
| Lefkowitz, Zev Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 29% | — | — |
| Treff, Cynthia Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 38% | — | — |
| Fischer, David Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Shade, Carla Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| 310 Pensacola Rd LLC Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| 310 Pensacola Rd LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Brighton Management LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ctnc Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Etnc Holdings LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Fischer, David Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Fischer, David Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lefkowitz, Zev Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shade, Carla Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Treff, Cynthia Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Treff, Esther Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Turbett, Timothy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Brighton Healthcare — 8 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or North Carolina.
No county cost figures on file for Yancey.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| The Greens at Spruce Pines Spruce Pine | 11.4 mi | 2026-05-14 | 0111 |
| Madison Health and Rehabilitation Mars Hill | 14.3 mi | 2026-02-11 | 021 |
| Center On Aging And Health Erwin | 16.8 mi | 2026-04-15 | 060 |
| Christian Care Center Of Unicoi County Erwin | 16.8 mi | 2026-04-15 | 020 |
| Erwin Health Care Center Erwin | 16.7 mi | 2025-03-19 | 042 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |