The nursing home failed to protect residents from abuse and neglect by others. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
Smoky Ridge Health and Rehabilitation
Burnsville, NC · Medicare-certified · 140 beds
In good standing
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
Smoky Ridge Health and Rehabilitation in Burnsville, NC has an overall rating of 2 out of 5 stars, with 2-star health inspection and quality ratings and 3-star staffing. Reported nurse staffing is 3.08 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.0842 hrs/resident/day
Quality measures
Last inspection: March 20, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0842.
Staffing detail
- Registered nurses
- 0.75
- Licensed practical nurses
- 0.54
- Nurse aides
- 1.79
- Weekend nursing
- 2.75
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 13%
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
25.6%28.3%Worsening
Residents with a fall causing major injury
6%11.2%Worsening
Residents with pressure ulcers (bedsores)
5.7%5.3%No change
Residents with a urinary tract infection
5%0%Improving
Residents who lost too much weight
10.1%5.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.3%17.8%Worsening
Residents whose ability to walk got worse
11.2%27.1%Worsening
Long-stay residents on antianxiety or sleep medication
31.9%37.7%Worsening
Short-stay residents newly given an antipsychotic
8.2%5%Improving
Residents with a long-term catheter
0%0.7%Worsening
Residents with new or worsening incontinence
29%23.8%Improving
Residents with depressive symptoms
35.1%23.9%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
—86%—
Long-stay residents given the pneumonia vaccine
84.3%95.5%Improving
Short-stay residents given the seasonal flu vaccine
—53.8%—
Short-stay residents given the pneumonia vaccine
72%72.1%No change
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited December 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited December 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $59,631 in total fines.
- $59,631
Federal fine
Mar 20, 2024
Operator & ownership
Recent ownership change · Mar 4, 2022
Now operated by Smoky Ridge Health and Rehabilitation, previously Smoky Ridge Health & Rehabilitation.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of BRIGHTON HEALTHCARE · 8 homes · 1.5 stars avg
- Occupancy
- 101.1 residents on an average day (72% of 140 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 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.