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Nursing homeFAID #9140

Smoky Mountain Health and Rehabilitation Center

1349 CRABTREE ROAD, WAYNESVILLE, NC, 28785
(828) 454-9260
50 licensed beds
★★★★★3/5CMS Five-Star overall3/5 health inspections4/5 staffing4/5 quality measuresSource: CMS Care Compare

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Public record summary

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Bed capacity
50
CMS facility ID
345396
Care type
Nursing home
County
Haywood
Facility name
Smoky Mountain Health and Rehabilitation Center
Street address
1349 CRABTREE ROAD
City / state / ZIP
Waynesville, NC 28785
Phone
(828) 454-9260

About this facility — Smoky Mountain Health and Rehabilitation Center

Smoky Mountain Health and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Waynesville, North Carolina. It is licensed for 50 beds — well below the median for skilled nursing facilities in North Carolina (102 beds).

It is one of 19 senior care facilities in Waynesville and 420 skilled nursing facilities across North Carolina. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Smoky Mountain Health and Rehabilitation Center 19 times across 8 inspections in the last three years, including 2 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Principle Long Term Care
Ownership type
For profit - Corporation

Registered owners & officers

Boice, Gale
Officer · Operational control · Owner of a disclosable party · Additional disclosable party — since 2018
Detar, Dewey
Governing body · Additional disclosable party — since 2023
Hill, Raymond
Operational control — since 2011
Hill, Robert
Indirect owner · Additional disclosable party — since 2011
Hill, Stephen
Operational control — since 2011
Johnson, Dianne
Officer — since 2011
Principle Long Term Care, Inc.
Operational control — since 2011
Walters, Shayna
Governing body · Additional disclosable party — since 2020

Regulatory standing

Federal court records
5 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1991-08-26
CMS overall rating
3 of 5 stars
Health deficiencies
3 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-03-19
Nurse staffing
3.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$372 per day (≈ $11,310/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
50% Medicaid · 21% Medicare · 30% private/other
Occupancy
74% (fiscal year 2023)
Vs. state median
right at the NC median of $373/day — full state cost breakdown

Services & coverage

Licensed beds
50
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-03-19Health inspection3 citations
F-0605
D · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-04-11
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-04-11
F-0847
D · No harm found
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2026-04-11
2025-02-05Health inspectionComplaint-triggered4 citations
F-0636
D · No harm foundFrom a complaint
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-03-05
F-0644
D · No harm foundFrom a complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-03-05
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-03-05
F-0761
D · No harm foundFrom a complaint
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.
Corrected 2025-03-05
4 earlier / fire-safety inspections (12 citations)
2023-09-28Health inspectionComplaint-triggered3 citations
F-0583
D · No harm foundFrom a complaint
Keep residents' personal and medical records private and confidential.
Corrected 2023-10-22
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-10-22
F-0803
E · No harm foundFood safetyFrom a complaint
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.
Corrected 2023-10-22
2026-03-19Fire-safety inspection1 citation
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
2025-02-05Fire-safety inspection5 citations
K-0222
D · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-05-20
K-0345
D · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-05-20
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-20
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2025-05-20
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-20
2023-09-28Fire-safety inspection3 citations
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-12-22
K-0521
D · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-12-22
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2023-12-22
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 345396.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 19 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered