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Smoky Mountain Healthcare and Rehabilitation Center

Nursing Home Facility

1349 Crabtree Road, Waynesville, NC 28785

Nursing Home Care Senior Living
Smoky Mountain Healthcare and Rehabilitation Center

Smoky Mountain Healthcare & Rehabilitation Center is a beautiful new facility located in the Smoky Mountain setting of Waynesville, NC.

Operated by Principle Long Term Care, which runs 32 communities in our directory.

Employer rating 3.5 out of 5 778 reviews from their own employees on Indeed. See what they say.

Smoky Mountain Healthcare and Rehabilitation Center is licensed for 50 beds, about typical for the area, where senior care communities in Waynesville average about 43 beds.

Federal reporting puts occupancy at about 80% of its licensed beds. That is below the Waynesville average of roughly 89%.

Medicare rates this community 3 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in March 2026 and recorded 3 deficiencies.

Residents receive about 3.9 hours of nursing care per day on average, including 1.0 hours from a registered nurse. Nursing staff turnover over the past year was about 61%, which is high and can affect continuity of care.

The community is located in Haywood County, NC.

Medicare five-star ratings

  • Overall ★★★★★ 3/5
  • Health inspections ★★★★★ 3/5
  • Staffing ★★★★★ 4/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 10 problems at Smoky Mountain Healthcare and Rehabilitation Center. None of them caused harm to a resident. 7 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

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

    Inspected March 2026. Corrected by April 11, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Inspected March 2026. Corrected by April 11, 2026.

  • Could cause more than minimal harm, one or a few residents Administration

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

    Inspected March 2026. Corrected by April 11, 2026.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Smoky Mountain Healthcare and Rehabilitation Center offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 50
  • Occupancy 80%
  • Nursing hours per resident/day 3.9
  • Annual staff turnover 61%
  • Last health inspection March 2026

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