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
4 of 5 overall
Smoky Mountain Health and Rehabilitation Center has an overall rating of 4 out of 5 stars, with strong quality measures (5 stars) and staffing (4 stars), but a middling health inspection rating (3 stars). Reported nurse staffing is 3.52 hours per resident day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.5152 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 3.5152.
Staffing detail
- Registered nurses
- 0.80
- Licensed practical nurses
- 0.73
- Nurse aides
- 1.99
- Weekend nursing
- 3.08
Hours per resident per day.
Total staff turnover: 69%
Registered nurse turnover: 69%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
19.4%Improving
Residents with a fall causing major injury
2.5%Improving
Residents with pressure ulcers (bedsores)
1.8%Steady
Residents with a urinary tract infection
0.8%Steady
Residents who lost too much weight
5.5%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
25.2%Worsening
Residents whose ability to walk got worse
27.3%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
34.5%Improving
Short-stay residents newly given an antipsychotic
0.7%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
6.1%Worsening
Residents with depressive symptoms
6.1%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
97.5%Worsening
Short-stay residents given the seasonal flu vaccine
98.7%Steady
Short-stay residents given the pneumonia vaccine
89.2%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 · 3.1 stars avg
- Occupancy
- 45.6 residents on an average day (91% 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.