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Public Record

Smoky Mountain Health and Rehabilitation Center

Nursing HomeWaynesville, NCCMS 345396
26 citations on record

From CMS

Facility profile

CMS overall rating
4 / 5

*CMS Five-Star

Certified beds
50

*CMS

Avg. residents per day
45.6

*CMS

Inspection record

On record from CMS

Citations on record
26

*CMS

Inspections on file
6

*CMS

Last inspection
2026-03-19

*CMS

Citations

26 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0812Generalpotential for harm

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

  • 0605Generalpotential for harm

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

  • 0847Generalpotential for harm

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

  • 0345Generalpotential for harm

    Have approved installation, maintenance and testing program for fire alarm systems.

  • 0511Generalpotential for harm

    Have properly installed electrical wiring and gas equipment.

  • 0918Generalpotential for harm

    Have generator or other power source capable of supplying service within 10 seconds.

  • 0636Generalpotential for harm

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

  • 0644Generalpotential for harm

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

  • 0695Generalpotential for harm

    Provide safe and appropriate respiratory care for a resident when needed.

  • 0761Generalpotential for harm

    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.

  • 0222Generalpotential for harm

    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.

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0923Generalpotential for harm

    Have proper medical gas storage and administration areas.

  • 0677Generalpotential for harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • 0803Generalpotential for harm

    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.

  • 0521Generalpotential for harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  • 0363Generalpotential for harm

    Install corridor and hallway doors that block smoke.

  • 0583Generalpotential for harm

    Keep residents' personal and medical records private and confidential.

  • 0351Generalpotential for harm

    Install an approved automatic sprinkler system.

  • 0761Generalpotential for harm

    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.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0656Generalpotential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • 0607Generalpotential for harm

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  • 0641Generalpotential for harm

    Ensure each resident receives an accurate assessment.

  • 0222Generalpotential for harm

    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.

  • 0661Generalno actual harm

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

FAQ

Questions and answers

What is Smoky Mountain Health and Rehabilitation Center?
Smoky Mountain Health and Rehabilitation Center is a Medicare- and Medicaid-certified nursing home in Waynesville, NC, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 345396.
What is the CMS rating for Smoky Mountain Health and Rehabilitation Center?
Smoky Mountain Health and Rehabilitation Center has a CMS overall rating of 4 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does Smoky Mountain Health and Rehabilitation Center have?
Smoky Mountain Health and Rehabilitation Center is certified for 50 beds. It serves an average of 45.6 residents per day.
How many citations does Smoky Mountain Health and Rehabilitation Center have?
Smoky Mountain Health and Rehabilitation Center has 26 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Smoky Mountain Health and Rehabilitation Center last inspected?
Smoky Mountain Health and Rehabilitation Center was last inspected on March 19, 2026. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

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