Smoky Mountain Health And Rehabilitation Center
1349 Crabtree Road, Waynesville, NC, 28785
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Order the reportFederal 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.
CMS Star Ratings
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 departed — near 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
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
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.
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.
Order the full background report — $249Where 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.