Nursing homeActive
Smoky Mountain Health and Rehabilitation Center
1349 Crabtree Road, Waynesville, NC 28785828454926050 certified beds · 40 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
10
● 0● 10● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-03-19
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 4
Quality 4
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 |
|---|---|---|---|---|
| 2026-03-19 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2025-02-05 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2023-09-28 | Standard | 030 | 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.
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-11Record 345396-20260319-F605
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-11Record 345396-20260319-F812
F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-11Record 345396-20260319-F847
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-05Record 345396-20250205-F636
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 2025-03-05Record 345396-20250205-F644
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-05Record 345396-20250205-F695
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 DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-05Record 345396-20250205-F761
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 2023-10-22Record 345396-20230928-F583
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-22Record 345396-20230928-F677
F803Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-22Record 345396-20230928-F803
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.04
Facility
North Carolina
National
North Carolina 0.61 · National 0.69
Total nurse hours per resident day3.93
Facility
North Carolina
National
North Carolina 3.83 · National 3.86
Weekend total nurse hours3.66
Facility
North Carolina
National
North Carolina 3.40 · National 3.42
Total nursing staff turnover61%
Facility
North Carolina
National
North Carolina 49% · National 46%
Registered nurse turnover62%
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 | 3.0% | 5.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.7% | 3.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 18.9% | 14.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.9% | 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 | 28.6% | 15.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.7% | 7.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 30.8% | 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 |
|---|---|---|---|---|
| Boice, Gale Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hill, Raymond Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hill, Stephen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Principle Long Term Care, Inc. Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Boice, Gale Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Boice, Gale Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Boice, Gale Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Detar, Dewey Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Detar, Dewey Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hill, Robert Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hill, Robert Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Johnson, Dianne Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Walters, Shayna Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Walters, Shayna Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
Part of a chain
Principle Long Term Care — 40 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 Haywood.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Skyland Terrace and Rehabilitation Waynesville | 3.6 mi | 2026-02-19 | 071 |
| Silver Bluff Canton | 5.9 mi | 2026-01-08 | 080 |
| Autumn Care of Waynesville Waynesville | 6.4 mi | 2026-06-04 | 2245 |
| Maggie Valley Health and Rehabilitation Center Maggie Valley | 8.2 mi | 2026-03-19 | 092 |
| Pisgah Manor Health Care Center Candler | 16.0 mi | 2026-05-20 | 0111 |
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 |