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Nursing Home · Waynesville, NC
1349 Crabtree Road, Waynesville, NC 28785
Map location from our source data
Medicare overall rating
3 / 5 stars
Inspection records →About this listing
Catalog updated Sep 1, 2026. Current services and availability are unconfirmed.
Monthly cost
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Availability
We don't have live openings. Ask about current availability, waiting lists, and move-in timing.
Reported capacity: 50 beds. This is not the number of openings.
Contact information →Care & support
Provides nursing care and help with daily activities. Some offer short-term rehabilitation.
This describes the care category. Confirm support for your family member's needs.
Understand care types →Payment options
Participation is reported in our source data. Confirm eligibility, covered services, and any private-pay costs.
Medicare participation does not mean all stays or services are covered.
Ask about these reported findings and check the latest official record.
Your next step
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Smoky Mountain Health and Rehabilitation Center has a middle-range Medicare overall rating. Strengths include clean, well-maintained facility. Some reviewers note concerns about chronic understaffing leading to neglect and delayed call light response (mentioned by 7 reviewers). Review the health-inspection, staffing, and quality-measure components separately, then visit in person.
Smoky Mountain Health and Rehabilitation Center receives highly polarized feedback, with many reviewers praising the cleanliness and the dedication of the therapy and nursing teams. However, significant concerns persist regarding chronic understaffing, particularly on weekends, which has led to reports of neglect, poor hygiene, and delayed response times for residents needing assistance.
AI summaries of public opinions. These describe review sentiment, not verified care quality.
While many praise the kindness of staff, multiple reports of neglect and rudeness indicate significant inconsistency.
Families report frustration with being ignored or receiving inaccurate information regarding medical conditions.
Multiple reviewers consistently describe the facility as clean and well-maintained.
Reviews are split, with some calling food excellent and others noting it needs improvement.
Reviewers frequently highlight the activity director and the variety of crafts and exercise classes.
Reports of residents suffering from dehydration and infections suggest gaps in clinical monitoring.
Negative feedback regarding billing practices and administrative incompetence suggests poor value for the cost.
Scores range from 0 (negative) to 10 (positive). They are model interpretations of reviews and are not clinical, safety, or inspection ratings. Unmentioned topics are omitted.
Strengths
Concerns
Rating Trends
Tap a year to see what changed
Distribution · 42 analyzed
Key Review Excerpts
“PT, OT , Social Worker, and activity director were great. But, under staffed and some medical personnel and CNAs acted like they couldn't care less about their patients.”
“My grandfather went here to do rehabilitation, he was supposed to have therapy 6 days a week but on the weekends was left in a diaper all weekend and told just to go in the diaper and they’d clean him up when they could.”
“My grandfather was here for 25 days after major surgery and had to be re-hospitalized for infection, dehydration, and poor nutrition. In my opinion, this facility is not currently equipped to help someone heal after major internal surgery.”
Reported nursing hours are daily averages per resident. They do not describe a specific shift or guarantee one-to-one care.
Per resident, per day
Nurses and aides combined
Reported by Medicare
Registered nurses
Ask during your visit: Who will help my family member during the day and overnight? How do you plan staffing when residents need more support?
EveryPlace uses reference points of 0.75 registered-nurse hours and 4.1 total nursing hours per resident per day. These are comparison targets, not current federal minimum requirements or a determination that a facility meets a resident's needs.
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
4
measures
2
measures
Residents whose walking got worse
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents who lost too much weight
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
This facility shows concerning patterns with families filing complaints that led to 7 deficiencies, most recently in February 2025. The main problem areas are resident assessment and care planning (which appear across all three surveys), building safety issues, and medication management. While the facility reports correcting all violations, the persistence of assessment problems and recent complaints about respiratory care and privacy protection suggest ongoing care quality concerns that warrant careful evaluation during any visit.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
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.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Nutrition and Dietary Deficiencies
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.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Smoky Mountain Health and Rehabilitation Center
for profit
Principle Long Term Care
40 facilities nationwide
Chain avg rating: 3.1/5 · Rank 14 of 44
Owners
Hill, Robert
Owner (parent company)
Boice, Gale
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact the provider directly when you feel ready. Have your questions handy and ask for answers in writing.
Confirm current status with NC Division of Health Service Regulation. A direct record link is not available in this catalog.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
46 reviews from families & visitors
Official Website
Visit smokymountaincare.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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