Smoky Ridge Health and Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 28 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (2/5 stars)
- Above-median deficiencies (5 vs median 4.0)
Below average in NC · Meets national RN staffing standard · $59,631 in fines · Abuse citation
What this means for your family
While many families report excellent end-of-life and therapy care, recent reviews highlight significant concerns regarding hygiene and responsiveness. When touring, we strongly recommend checking the cleanliness of resident bathrooms and asking for a clear explanation of how the facility ensures call lights are answered promptly during all shifts.
Google Reviews
Google Reviews
28 reviews on Google“Smoky Ridge Health and Rehabilitation receives highly polarized feedback, with many families praising the compassionate, family-like atmosphere and dedicated nursing staff during end-of-life care. However, other reviewers report significant concerns regarding poor facility cleanliness, slow response times for call lights, and inconsistent staff behavior. Families considering this facility should weigh the strong reports of emotional support against the serious allegations of neglect and hygiene issues.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate end-of-life and palliative care
- Dedicated and loving nursing/CNA staff
- Effective physical and occupational therapy
- Strong administrative support during admissions
Concerns
- Slow response times to call lights and requests (mentioned by 2 reviewers)
- Poor facility hygiene and cleanliness (mentioned by 2 reviewers)
- Inconsistent or rude staff behavior (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 36 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1I noticed that the facility has a 2-star CMS rating for health inspections; what specific improvements or changes have been implemented recently to address those findings?
- 2Some families have mentioned concerns regarding the speed of response to call lights; what is your current protocol for ensuring residents receive timely assistance when they need it?
- 3Given the feedback regarding facility cleanliness, could you walk me through your daily housekeeping schedule and how you ensure high-traffic areas remain sanitary?
- 4I see that your team is highly regarded for compassionate end-of-life and palliative care; how do you ensure that same level of dedicated support is provided to residents receiving long-term rehabilitative care?
- 5What does the daily activity calendar look like for residents, and how do you encourage social engagement among those who might be hesitant to participate?
- 6I noticed your administration is active in responding to feedback online; how do you use that family input to adjust your daily operations or improve the dining experience?
Personalized based on this facility's data
Key Review Excerpts
“The nursing team at Smoky Ridge was phenomenal! A huge thanks to the therapy department for getting her up and walking again independently and also transportation for making her dialysis treatments their priority!”
“There is no perfect home nor perfect employees.... But my wife has been there with Lewy Body dementia going on 3 months now. They have been exceptional in their care and their compassion”
“They have now been there a couple weeks, the least they have waited for a call to be answered is an hour and a half, the place smells like urine, most of the staff is extremely rude and the food is horrible!!!!!”
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
2
measures
11
measures
4
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents vaccinated for the flu
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
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
Smoky Ridge has significant ongoing problems with families filing 18 complaints triggering federal investigations, including serious issues with resident protection from abuse and neglect. The facility repeatedly struggles with resident care planning, safety hazards, and food service quality, with some safety system deficiencies (fire alarms, emergency power) recurring across multiple surveys, suggesting persistent operational challenges that families should carefully consider.
Mar 20, 2025Routine7
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
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.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Mar 20, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Mar 20, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Mar 5, 2024Complaint1
Construction Deficiencies
Use approved construction type or materials.
Dec 1, 2023Complaint14
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nursing and Physician Services Deficiencies
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
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.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Dec 1, 2023Routine3
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Federal Penalties
Fine
Mar 20, 2024
$59,631
Ownership & Operations
Who Operates This Facility
Smoky Ridge Health and Rehabilitation
for profit
Chain Affiliation
Brighton Healthcare
8 facilities nationwide
Ownership & Management
Owners
Ctnc Holdings LLC
Owner · Organization
Fischer, David
Owner
Lefkowitz, Zev
Owner
Etnc Holdings LLC
Owner · Organization
Treff, Cynthia
Owner (parent company)
Treff, Esther
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
28 reviews from families & visitors
Official Website
Visit smokyridgehc.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.