Nursing homes › North Carolina › Smoky Mountain Health and Rehabilitation Center
1349 Crabtree Road, Waynesville, NC 28785 · (828) 454-9260 · 50 certified beds
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Open your comparisonCMS overall star rating: this provider 3/5; median among 415 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with Principle Long Term Care, a group operating 40 facilities in 3 states. Group record: average rating 3.0/5, 4 abuse citation icons, 0 facilities on the Special Focus list, $1,019,343 in federal fines. This facility rates above its group average (3.0/5).
Total nurse staffing: 3.93 (North Carolina median: 3.53). RN hours: 1.04. Weekend total: 3.66. Nursing staff turnover: 61%.
In the downloaded CMS dataset: 10 deficiency citations. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-04-11 |
| 2026-03-19 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2026-04-11 |
| 2026-03-19 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Health | corrected 2026-04-11 |
| 2025-02-05 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | complaint | corrected 2025-03-05 |
| 2025-02-05 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | complaint | corrected 2025-03-05 |
| 2025-02-05 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2025-03-05 |
| 2025-02-05 | 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. | D | complaint | corrected 2025-03-05 |
| 2023-09-28 | Ensure 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. | E | complaint | corrected 2023-10-22 |
| 2023-09-28 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2023-10-22 |
| 2023-09-28 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2023-10-22 |
No federal fines or payment denials in this downloaded dataset.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| HILL, ROBERT | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 01/01/2011 |
| DETAR, DEWEY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/05/2023 |
| WALTERS, SHAYNA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 12/21/2020 |
| BOICE, GALE | Corporate Officer | Individual | NOT APPLICABLE | since 03/05/2018 |
| JOHNSON, DIANNE | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2011 |
| PRINCIPLE LONG TERM CARE, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2011 |
| BOICE, GALE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/18/2018 |
| HILL, RAYMOND | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2011 |
| HILL, STEPHEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2011 |
How to cite this page: CareRecords, “Smoky Mountain Health and Rehabilitation Center — compliance, penalty and ownership record” (CCN 345396), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/smoky-mountain-health-and-rehabilitation-center-waynesville-nc/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 345396. Corrections: data@carerecords.org.