Smoky Mountain Health And Rehabilitation Center
Waynesville, Haywood County, North Carolina · CCN 345396 · For-profit (Corporation) · part of Principle Long Term Care (40 facilities, chain average 3 stars)
CMS rates Smoky Mountain Health And Rehabilitation Center 3 of 5 overall as of August 2026. 50 certified beds, 40 residents a day on average. 10 citations on record from the current inspection cycles; no fines on record.
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 | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 2 / 5 of 5 |
Staffing
| Total nurse staffing | 3.93045 hours per resident per day |
|---|---|
| Registered nurses | 1.03891 hours per resident per day |
| Weekend total | 3.6558 hours per resident per day |
| Nursing staff turnover | 60.8% (registered nurses 61.5%) |
| 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 |
|---|---|---|---|
| 2026-03-19 | 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-04-11 |
| 2026-03-19 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0605 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-11 |
| 2026-03-19 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · tag F0847 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-11 |
| 2025-02-05 complaint survey |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · tag F0636 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-05 |
| 2025-02-05 complaint survey |
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 2025-03-05 |
| 2025-02-05 complaint survey |
Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-05 |
| 2025-02-05 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-05 |
| 2023-09-28 complaint survey |
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. Nutrition and Dietary Deficiencies · tag F0803 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-10-22 |
| 2023-09-28 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 2023-10-22 |
| 2023-09-28 complaint survey |
Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-22 |
Fines and payment denials
No fines or payment denials on record since 2023.
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 |
|---|---|---|---|
| Principle Long Term Care, Inc. Organization | operational/managerial control | — | 2011-01-01 |
| Boice, Gale Individual | adp of the snf | — | 2018-03-05 |
| Detar, Dewey Individual | adp of the snf | — | 2025-06-13 |
| Hill, Robert Individual | adp of the snf | — | 2011-01-01 |
| Walters, Shayna Individual | adp of the snf | — | 2025-06-13 |
| Boice, Gale Individual | corporate officer | — | 2018-03-05 |
| Johnson, Dianne Individual | corporate officer | — | 2011-01-01 |
| Hill, Robert Individual | indirect ownership interest | — | 2011-01-01 |
| Boice, Gale Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-09-08 |
| Detar, Dewey Individual | managing control - governing body | — | 2023-01-05 |
| Walters, Shayna Individual | managing control - governing body | — | 2020-12-21 |
| Boice, Gale Individual | operational/managerial control | — | 2018-03-18 |
| Hill, Raymond Individual | operational/managerial control | — | 2011-01-01 |
| Hill, Stephen Individual | operational/managerial control | — | 2011-01-01 |
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 Mountain Health And Rehabilitation Center.
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 Haywood County.