Nursing homes › North Carolina › Smoky Ridge Health and Rehabilitation
310 Pensacola Road, Burnsville, NC 28714 · 8286829759 · 140 certified beds
Per CMS filings, this facility is affiliated with Brighton Healthcare, a group operating 8 facilities in 2 states. Group record: average rating 1.5/5, 3 abuse citation icons, 2 facilities on the Special Focus list, $743,716 in federal fines. This facility rates above its group average (1.5/5).
Total nurse staffing: 3.08 (North Carolina median: 3.53). RN hours: 0.75. Weekend total: 2.75. Nursing staff turnover: 52%.
All-time on record: 21 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-03-20 | Honor 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. | D | Health | corrected 2025-04-14 |
| 2025-03-20 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2024-12-12 |
| 2025-03-20 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-04-14 |
| 2025-03-20 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2025-04-14 |
| 2025-03-20 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Health | corrected 2025-04-14 |
| 2024-03-20 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2024-04-05 |
| 2023-12-01 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | complaint | corrected 2024-01-01 |
| 2023-12-01 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | complaint | corrected 2024-01-01 |
| 2023-12-01 | Provide and implement an infection prevention and control program. | F | complaint | corrected 2024-01-01 |
| 2023-12-01 | Honor 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. | E | complaint | corrected 2024-01-01 |
| 2023-12-01 | PASARR screening for Mental disorders or Intellectual Disabilities | E | complaint | corrected 2024-01-01 |
| 2023-12-01 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2024-01-01 |
| 2023-12-01 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | complaint | corrected 2024-01-01 |
| 2023-12-01 | 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. | E | complaint | corrected 2024-01-01 |
| 2023-12-01 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | complaint | corrected 2024-01-01 |
| 2023-12-01 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2024-01-01 |
| 2023-12-01 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2024-01-01 |
| 2023-12-01 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-01-01 |
| 2023-12-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-01-01 |
| 2023-12-01 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | B | complaint | corrected 2024-01-01 |
| Date | Type | Amount |
|---|---|---|
| 2024-03-20 | Fine | $59,631 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CTNC HOLDINGS LLC | 5% Or Greater Direct Ownership Interest | Organization | 38% | since 06/11/2025 |
| FISCHER, DAVID | 5% Or Greater Direct Ownership Interest | Individual | 29% | since 06/11/2025 |
| LEFKOWITZ, ZEV | 5% Or Greater Direct Ownership Interest | Individual | 29% | since 06/11/2025 |
| ETNC HOLDINGS LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 06/11/2025 |
| TREFF, CYNTHIA | 5% Or Greater Indirect Ownership Interest | Individual | 38% | since 06/11/2025 |
| TREFF, ESTHER | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 06/11/2025 |
| FISCHER, DAVID | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 03/04/2022 |
| FISCHER, DAVID | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/04/2022 |
| SHADE, CARLA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/04/2022 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 345305. Corrections: data@carerecords.org.