The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Nursing home report
Smoky Mountain Health and Rehabilitation Center
Waynesville, NC · Medicare-certified · 50 beds
In good standing
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
Smoky Mountain Health and Rehabilitation Center has an overall rating of 3 out of 5 stars, with 3-star health inspections and stronger 4-star staffing and quality measures. Reported nurse staffing is 3.93 hours per resident day, slightly below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.9305 hrs/resident/day
Quality measures
Last inspection: March 19, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9305.
Staffing detail
- Registered nurses
- 1.04
- Licensed practical nurses
- 0.68
- Nurse aides
- 2.21
- Weekend nursing
- 3.66
Hours per resident per day.
Total staff turnover: 61%
Registered nurse turnover: 62%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
20%19%Improving
Residents with a fall causing major injury
3.7%0%Improving
Residents with pressure ulcers (bedsores)
0%8.2%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
3.7%8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
37%11.5%Improving
Residents whose ability to walk got worse
—30.3%—
Long-stay residents on antianxiety or sleep medication
37%23.1%Improving
Short-stay residents newly given an antipsychotic
1.7%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
3.3%18.6%Worsening
Residents with depressive symptoms
7.7%3.7%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
96.3%96.8%No change
Short-stay residents given the seasonal flu vaccine
—98.7%—
Short-stay residents given the pneumonia vaccine
95.7%81%Worsening
What the inspectors found
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited September 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: E
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 605 — 42 CFR §483.12 — S/S: D
The home failed to clearly tell residents or their representatives that they could refuse a binding arbitration agreement. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 847 — 42 CFR §483.70 — S/S: D
The nursing home failed to fully assess a resident promptly on admission and then keep that assessment updated regularly. Cited February 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 636 — 42 CFR §483.20 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of PRINCIPLE LONG TERM CARE · 44 homes · 3 stars avg
- Occupancy
- 40.1 residents on an average day (80% of 50 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 34 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.