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Nursing HomeMedicaid Investigative

Smoky Ridge Health and Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

310 Pensacola Road, Burnsville, NC 28714140 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 28 Google reviews

5
4
3
2
1
Smoky Ridge Health and Rehabilitation Nursing Home in Burnsville, NC — Street View
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5/ 10
high Risk

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

Source: Medicare data

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 details
Food1.0Staff7.0Clean3.0ActivitiesN/AMedsN/AMemory8.0Comms5.0ValueN/A

Strengths

  • 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

2344.02019(4)3.02021(2)5.02022(4)4.02023(4)4.62024(11)3.32025(8)2.72026(3)

Distribution · 36 analyzed

5
26
4
0
3
0
2
3
1
7

How They Respond to Reviews

11%response rate

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!

Long-term resident's family · 2024★★★★★

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

Memory care family member · 2022★★★★★

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!!!!!

Family member · 2025☆☆☆☆
Source: 28 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.79hrs
OK
Registered nurses for medical care
Total Nursing
3.29hrs
80%
All nurses + aides combined
Staff Turnover
48%
Lower is better (< 30% = good)
RN Turnover
19%
Lower is better (< 30% = good)

Total 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

Medicare Rating
2/ 5
Better Than Avg

2

measures

Worse Than Avg

11

measures

Mixed Results

4

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility30.2%
Worse than Avg
Here
30.2%
US
12.1%
NC
5.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility36.1%
Worse than Avg
Here
36.1%
US
19.5%
NC
21.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility24.5%
Worse than Avg
Here
24.5%
US
15.5%
NC
14.1%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility86.0%
Worse than Avg
Here
86.0%
US
95.5%
NC
94.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility28.6%
Worse than Avg
Here
28.6%
US
19.4%
NC
21.0%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility20.1%
Worse than Avg
Here
20.1%
US
14.4%
NC
16.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility53.8%
Worse than Avg
Here
53.8%
US
79.8%
NC
78.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility68.9%
Worse than Avg
Here
68.9%
US
81.8%
NC
80.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility5.4%
Worse than Avg
Here
5.4%
US
1.6%
NC
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
1penalties
Near state avg (5.6)
18 complaint-triggered
$59,631 in fines

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, 2025Routine
7
0578Potential for harm · IsolatedCorrected

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0646Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

0222Potential for harm · IsolatedCorrected

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.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Mar 20, 2025Complaint
1
0602Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Mar 20, 2024Complaint
1
0600Actual harm · IsolatedCorrected

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, 2024Complaint
1
0161Potential for harm · WidespreadCorrected

Construction Deficiencies

Use approved construction type or materials.

Dec 1, 2023Complaint
14
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0867Potential for harm · WidespreadCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0584Potential for harm · PatternCorrected

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.

0645Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0711Potential for harm · PatternCorrected

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.

0761Potential for harm · PatternCorrected

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.

0806Potential for harm · PatternCorrected

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.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

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.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0804Minimal · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Dec 1, 2023Routine
3
0341Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0918Potential for harm · IsolatedCorrected

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

Owner / Operator

Smoky Ridge Health and Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

Brighton Healthcare

Chain Size

8 facilities nationwide

Ownership & Management

Owners

Ctnc Holdings LLC

Owner · Organization

38%

Fischer, David

Owner

29%

Lefkowitz, Zev

Owner

29%

Etnc Holdings LLC

Owner · Organization

Treff, Cynthia

Owner (parent company)

38%

Treff, Esther

Owner (parent company)

Key personnel

310 Pensacola Rd LLC5% or Greater Mortgage InterestFischer, DavidManaging Control - Governing BodyFischer, DavidManagerShade, CarlaManager310 Pensacola Rd LLCAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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. 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.

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.

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