CareWitness
Federal record · CMS Care Compare · CCN 345396 · Processed JUN 1 2026
CareWitnessNorth CarolinaWaynesvilleNursing HomesSmoky Mountain Health And Rehabilitation Center

Smoky Mountain Health And Rehabilitation Center

1349 Crabtree Road, Waynesville, NC, 28785

Type
Nursing home
Medicare/Medicaid certified · CCN 345396

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Federal Quality Data

Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.

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CMS Star Ratings

Overall4 / 5
Health inspections3 / 5
Staffing4 / 5
Quality measures5 / 5

Facility & Staffing

Ownership
For profit - Corporation · Chain: Principle Long Term Care
Certified beds
50 · avg 46 residents/day
Total nursing staff turnover
68.8%higher than most North Carolina nursing homesNorth Carolina avg: 49.6% · National avg: 46.1% · per CMS Care Compare
RN turnover
69.2%higher than most North Carolina nursing homesNorth Carolina avg: 46.6% · National avg: 43.3% · per CMS Care Compare
Administrators who left
0 departednear the North Carolina averageNorth Carolina avg: 0.7 · National avg: 0.5 · per CMS Care Compare

Medicare certification

CMS Certification Number
345396
Certified beds
50 beds · avg 46 residents/day
Ownership type
For profit - Corporation
Continuing-care community
No

CMS Care Compare, processing date June 1, 2026

Ownership & operations

Legal business name
Snowshoe Ltc Group, Llc
Chain affiliation
Principle Long Term Care

CMS Care Compare, processing date June 1, 2026

Federal ownership record

For-profitLlc

Chain affiliation

Part of the Principle Long Term Care chain — 44 facilities across 3 states. Chain-wide average overall rating 3.1 / 5.

Disclosed owners (9 on record)

  • Dewey Todd Detar

    Adp of The Snf · since 2025

  • Shayna Walters

    Adp of The Snf · since 2025

  • Gale r Boice

    Operational/managerial Control · since 2018

  • Raymond Gregg Hill

    5% or Greater Direct Ownership Interest · since 2011

  • Robert O'neil Hill

    5% or Greater Direct Ownership Interest · 21% · since 2011

  • Stephen Britt Hill

    5% or Greater Direct Ownership Interest · since 2011

+ 3 additional owners on the federal record.

Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.

Federal inspection record

10 health citations on file7 from complaints

Recent health-deficiency citations (most recent 8 of 10)

  • D0847·Mar 19, 2026

    Administration Deficiencies

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

  • E0812·Mar 19, 2026

    Nutrition and Dietary Deficiencies

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

  • D0605·Mar 19, 2026

    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.

  • D0761·Feb 5, 2025Complaint

    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.

  • D0695·Feb 5, 2025Complaint

    Quality of Life and Care Deficiencies

    Provide safe and appropriate respiratory care for a resident when needed.

  • D0644·Feb 5, 2025Complaint

    Resident Assessment and Care Planning Deficiencies

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

  • D0636·Feb 5, 2025Complaint

    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.

  • E0803·Sep 28, 2023Complaint

    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.

View the full inspection history on CMS Care Compare →

Fire-safety citations

10 Life-Safety-Code citations on file. Most recent: Feb 5, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.

Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.

Facility background report

The entire federal paper trail on this facility, in one report.

We compile everything the government publishes about Smoky Mountain Health And Rehabilitation Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.

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Where this information comes from

  • Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.

Data comes unaltered from the federal files. See every source we publish from.