Smoky Ridge Health And Rehabilitation
Burnsville, Yancey County, North Carolina · CCN 345305 · For-profit (LLC) · part of Brighton Healthcare (8 facilities, chain average 1.5 stars)
CMS rates Smoky Ridge Health And Rehabilitation 2 of 5 overall as of August 2026. 140 certified beds, 101 residents a day on average. 22 citations on record from the current inspection cycles, 1 involving actual harm; 1 fine totalling $59,631.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 2 / 1 of 5 |
Staffing
| Total nurse staffing | 3.08416 hours per resident per day |
|---|---|
| Registered nurses | 0.75284 hours per resident per day |
| Weekend total | 2.74522 hours per resident per day |
| Nursing staff turnover | 51.6% (registered nurses 13.3%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-06-26 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-07-17 |
| 2026-06-26 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Resident Assessment and Care Planning Deficiencies · tag F0646 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-07-17 |
| 2025-03-20 | 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. Resident Rights Deficiencies · tag F0578 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-14 |
| 2025-03-20 complaint survey |
Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2024-12-12 |
| 2025-03-20 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-14 |
| 2025-03-20 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-14 |
| 2025-03-20 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Resident Assessment and Care Planning Deficiencies · tag F0646 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-14 |
| 2024-03-20 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-04-05 |
| 2023-12-01 complaint survey |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-01-01 |
| 2023-12-01 complaint survey |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-01-01 |
| 2023-12-01 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-01-01 |
| 2023-12-01 complaint survey |
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. Resident Rights Deficiencies · tag F0584 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-01-01 |
| 2023-12-01 complaint survey |
PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-01-01 |
| 2023-12-01 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-01-01 |
| 2023-12-01 complaint survey |
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · tag F0711 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-01-01 |
| 2023-12-01 complaint survey |
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. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-01-01 |
| 2023-12-01 complaint survey |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · tag F0806 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-01-01 |
| 2023-12-01 complaint survey |
Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-01 |
| 2023-12-01 complaint survey |
Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-01 |
| 2023-12-01 complaint survey |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-01 |
| 2023-12-01 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-01 |
| 2023-12-01 complaint survey |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has date of correction 2024-01-01 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-03-20 | Fine | $59,631 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Ctnc Holdings LLC Organization | 5% or greater direct ownership interest | 38% | 2025-06-11 |
| 310 Pensacola Rd LLC Organization | 5% or greater mortgage interest | — | 2022-03-04 |
| 310 Pensacola Rd LLC Organization | adp of the snf | — | 2022-03-04 |
| Brighton Management LLC Organization | adp of the snf | — | 2022-03-04 |
| Ctnc Holdings LLC Organization | adp of the snf | — | 2022-03-04 |
| Etnc Holdings LLC Organization | direct ownership interest | — | 2025-06-11 |
| Fischer, David Individual | 5% or greater direct ownership interest | 29% | 2025-06-11 |
| Lefkowitz, Zev Individual | 5% or greater direct ownership interest | 29% | 2025-06-11 |
| Treff, Cynthia Individual | 5% or greater indirect ownership interest | 38% | 2025-06-11 |
| Fischer, David Individual | adp of the snf | — | 2022-03-04 |
| Lefkowitz, Zev Individual | adp of the snf | — | 2022-03-04 |
| Shade, Carla Individual | adp of the snf | — | 2022-03-04 |
| Treff, Cynthia Individual | adp of the snf | — | 2022-03-04 |
| Turbett, Timothy Individual | adp of the snf | — | 2023-03-13 |
| Treff, Esther Individual | indirect ownership interest | — | 2025-06-11 |
| Fischer, David Individual | managing control - governing body | — | 2022-03-04 |
| Fischer, David Individual | operational/managerial control | — | 2022-03-04 |
| Shade, Carla Individual | operational/managerial control | — | 2022-03-04 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Smoky Ridge Health And Rehabilitation.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Yancey County.