Smoky Mountain Health and Rehabilitation Center
Strong Medicare quality ratings; families often praise clean, well-maintained facility. Still worth an in-person visit.
based on 46 Google reviews
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What this means for your family
While the facility is praised for its clean environment and effective therapy team, the recurring reports of weekend understaffing and neglect are serious red flags. If you choose this facility, ensure you have a family member present frequently, especially on weekends, to monitor hygiene and hydration.
Google Reviews
Google Reviews
46 reviews on Google“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.”
Quality Themes
Tap a score for detailsStrengths
- Clean, well-maintained facility
- Effective physical and occupational therapy teams
- Friendly and compassionate frontline nursing staff
- Engaging activity programs
Concerns
- Chronic understaffing leading to neglect and delayed call light response (mentioned by 7 reviewers)
- Poor hygiene and lack of assistance with toileting/bathing (mentioned by 4 reviewers)
- Inadequate communication regarding medical status and dehydration (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 42 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given the feedback regarding response times, what is your current protocol for ensuring call lights are addressed promptly, especially during shift changes?
- 2With the facility's strong reputation for physical and occupational therapy, how do you integrate these services into a resident's daily routine to maintain their independence?
- 3I noticed the staffing rating is a 3/5; how do you manage staff-to-resident ratios to ensure that personal care needs, like bathing and toileting assistance, are consistently met?
- 4How does your team proactively communicate changes in a resident's medical status or hydration levels to family members to ensure we are always kept in the loop?
- 5Could you walk me through your current process for medication management to ensure accuracy and timely administration for residents?
- 6The activity programs here are highly praised; what are some of the most popular social events or outings that residents look forward to each week?
Personalized based on this facility's data
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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
4
measures
2
measures
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
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
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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.
Mar 19, 2026Routine3
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.
Feb 5, 2025Complaint4
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.
Feb 5, 2025Routine5
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.
Sep 28, 2023Complaint3
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.
Sep 28, 2023Routine3
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.
Mar 8, 2022Routine2
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
Install an approved automatic sprinkler system.
Ownership & Operations
Who Operates This Facility
Smoky Mountain Health and Rehabilitation Center
for profit
Chain Affiliation
Principle Long Term Care
44 facilities nationwide
Chain avg rating: 3.1/5 · Rank 14 of 44
Ownership & Management
Owners
Hill, Robert
Owner (parent company)
Boice, Gale
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
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References & Resources
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
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