Smoky Ridge Health and Rehabilitation: Staffing, Turnover, and Inspection Record
Smoky Ridge Health and Rehabilitation is a 140-bed for-profit nursing home in Burnsville, North Carolina, part of Brighton Healthcare. In the CMS August 2026 release it reported 1.79 nurse aide hours per resident per day, 23% below the North Carolina average of 2.34, and 51.6% nursing staff turnover (North Carolina average 49.0%).
Smoky Ridge Health and Rehabilitation
310 Pensacola RoadBurnsville, NC 28714
Yancey 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 Ridge Health and Rehabilitation, nurse aides logged 1.79 hours per resident per day, 23% below the North Carolina average. With about 101 residents a day, that works out to roughly 181 aide hours a day, or about 23 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | North Carolina avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.79 | 2.34 | 2.32 |
| Licensed practical nurses | 0.54 | 0.89 | 0.86 |
| Registered nurses | 0.75 | 0.61 | 0.69 |
| All nursing staff | 3.08 | 3.83 | 3.86 |
| All nursing staff, weekends | 2.75 | 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
51.6% of nursing staff at Smoky Ridge Health and Rehabilitation 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 13.3%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 26, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 2 health deficiencies (North Carolina average 4.8). CMS lists 1 fine totaling $59,631 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Mar 20, 2024 | Fine | $59,631 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Smoky Ridge Health and Rehabilitation holds 2 of 5 overall; the North Carolina average is 2.9.
About Smoky Ridge Health and Rehabilitation
- Ownership: For profit - Limited Liability company
- Chain: Brighton Healthcare, 8 homes
- Legal name: Smokey Ridge Health and Rehabilitation SNF LLC
- Medicare and Medicaid certified since: Jun 29, 1989
- Councils: resident council
- Area: rural
Nursing homes near Smoky Ridge Health and Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| The Greens at Spruce Pines Spruce Pine | 11.4 | 127 | 2.09 | 3.47 | 62.8% | 3 | $153,439 |
| Madison Health and Rehabilitation Mars Hill · abuse citation | 14.3 | 100 | 2.44 | 3.60 | 37.9% | 3 | $9,110 |
| Erwin Health Care Center Erwin | 16.7 | 125 | 1.97 | 3.40 | — | 2 | $10,024 |
| Center on Aging and Health Erwin | 16.8 | 120 | 2.41 | 4.29 | 43.1% | 3 | None |
| Christian Care Center of Unicoi County Erwin | 16.8 | 50 | 2.23 | 4.37 | 29.2% | 4 | None |
| NC State Veterans Home - Black Mountain Black Mountain | 20.7 | 100 | 3.20 | 5.43 | 45.3% | 5 | $12,759 |
| Highland Farms Black Mountain | 20.8 | 60 | 2.86 | 4.92 | 28.1% | 5 | $4,271 |
| Black Mountain Neuro-Medical Treatment Center Black Mountain | 20.9 | 163 | — | — | — | 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.