Smoky Mountain Health and Rehabilitation Center: Staffing, Turnover, and Inspection Record
Smoky Mountain Health and Rehabilitation Center is a 50-bed for-profit nursing home in Waynesville, North Carolina, part of Principle Long Term Care. In the CMS August 2026 release it reported 2.21 nurse aide hours per resident per day, 6% below the North Carolina average of 2.34, and 60.8% nursing staff turnover (North Carolina average 49.0%).
Smoky Mountain Health and Rehabilitation Center
1349 Crabtree RoadWaynesville, NC 28785
Haywood County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Smoky Mountain Health and Rehabilitation Center, nurse aides logged 2.21 hours per resident per day, 6% below the North Carolina average. With about 40 residents a day, that works out to roughly 89 aide hours a day, or about 11 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 7% below the all-days figure.
| Hours per resident per day | This home | North Carolina avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.21 | 2.34 | 2.32 |
| Licensed practical nurses | 0.68 | 0.89 | 0.86 |
| Registered nurses | 1.04 | 0.61 | 0.69 |
| All nursing staff | 3.93 | 3.83 | 3.86 |
| All nursing staff, weekends | 3.66 | 3.40 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
60.8% of nursing staff at Smoky Mountain Health and Rehabilitation Center left over the year CMS measured, against a North Carolina average of 49.0% and a US average of 45.8%. Registered nurse turnover was 61.5%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 19, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 3 health deficiencies (North Carolina average 4.8). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Smoky Mountain Health and Rehabilitation Center holds 3 of 5 overall; the North Carolina average is 2.9.
About Smoky Mountain Health and Rehabilitation Center
- Ownership: For profit - Corporation
- Chain: Principle Long Term Care, 40 homes
- Legal name: Snowshoe LTC Group, LLC
- Medicare and Medicaid certified since: Aug 26, 1991
- Councils: resident council
- Area: rural
Nursing homes near Smoky Mountain Health and Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Skyland Terrace and Rehabilitation Waynesville | 3.6 | 90 | 1.98 | 3.39 | 53.3% | 4 | $8,512 |
| Silver Bluff Canton | 5.9 | 131 | 2.31 | 3.25 | 51.4% | 3 | None |
| Autumn Care of Waynesville Waynesville | 6.4 | 90 | 2.12 | 3.43 | 69.8% | 1 | $107,387 |
| Maggie Valley Health and Rehabilitation Center Maggie Valley | 8.2 | 114 | 1.83 | 3.05 | 31.8% | 2 | $51,012 |
| Pisgah Manor Health Care Center Candler | 16.0 | 118 | 1.65 | 2.86 | 59.1% | 2 | $59,391 |
| Vero Health & Rehab of Sylva Sylva | 18.3 | 106 | 2.27 | 3.74 | — | 1 | $359,818 |
| Skyland Care Center Sylva | 18.4 | 94 | 2.20 | 3.51 | 46.0% | 4 | None |
| Aston Park Health Care Center Asheville | 20.3 | 120 | 2.01 | 3.67 | 39.5% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.