Smoky Ridge Health and RehabilitationCMS ratings, inspections and fines
- Address
- 310 Pensacola Road, Burnsville, NC 28714
- CCN
- 345305
- Ownership type
- For-profit, limited liability company
- Certified beds
- 140
- Chain
- Brighton Healthcare
- Residents per day
- 101
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Smoky Ridge Health and Rehabilitation an overall rating of 2 of 5 stars. The last standard survey was on 26 Jun 2026. The latest survey cycle has 2 health citations. The median for nursing homes in North Carolina is 3. CMS lists 1 fine of $59,631 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in North Carolina (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | North Carolina median | US average (CMS) |
|---|---|---|---|
| Overall rating | 2 | 3.0 | 3.0 |
| Health inspection rating | 2 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 2.9 |
| Quality measure rating | 2 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 419 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | North Carolina median |
|---|---|---|---|
| Cycle 1 (latest) | 26 Jun 2026 | 2 | 3 |
| Cycle 2 | 20 Mar 2025 | 5 | 5 |
| Cycle 3 | No date | 15 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 2 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Jun 2026 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 17 Jul 2026 |
| 26 Jun 2026 | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Standard survey | 17 Jul 2026 |
Survey cycle 2: 5 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 20 Mar 2025 | F0578 | 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. | D | Standard survey | 14 Apr 2025 |
| 20 Mar 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 12 Dec 2024 |
| 20 Mar 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 14 Apr 2025 |
| 20 Mar 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 14 Apr 2025 |
| 20 Mar 2025 | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Standard survey | 14 Apr 2025 |
Survey cycle 3: 15 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 20 Mar 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 5 Apr 2024 |
| 1 Dec 2023 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 1 Jan 2024 |
| 1 Dec 2023 | F0584 | 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. | E | Complaint investigation | 1 Jan 2024 |
| 1 Dec 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 1 Jan 2024 |
| 1 Dec 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Complaint investigation | 1 Jan 2024 |
| 1 Dec 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 1 Jan 2024 |
| 1 Dec 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 1 Jan 2024 |
| 1 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 1 Jan 2024 |
| 1 Dec 2023 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | Complaint investigation | 1 Jan 2024 |
| 1 Dec 2023 | F0761 | 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. | E | Complaint investigation | 1 Jan 2024 |
| 1 Dec 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | B | Complaint investigation | 1 Jan 2024 |
| 1 Dec 2023 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Complaint investigation | 1 Jan 2024 |
| 1 Dec 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 1 Jan 2024 |
| 1 Dec 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Complaint investigation | 1 Jan 2024 |
| 1 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 1 Jan 2024 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 20 Mar 2024 | Fine | $59,631 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | North Carolina median | North Carolina average (CMS) |
|---|---|---|---|
| All nurse staff | 3.08 | 3.50 | 3.83 |
| Registered nurses (RN) | 0.75 | 0.50 | 0.61 |
| Licensed practical nurses (LPN) | 0.54 | 0.89 | |
| Nurse aides | 1.79 | 2.34 | |
| All nurse staff, weekends | 2.75 | 3.10 | 3.40 |
- Nurse staff turnover in a year
- 51.6%
- Nurse staff turnover, North Carolina median
- 48.6%
- RN turnover in a year
- 13.3%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.2% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.9% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.8% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 9.5% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 6.0% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.0% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.1% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.3% | 13.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Smokey Ridge Health and Rehabilitation SNF LLC
- Chain
- Brighton Healthcare (8 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| CTNC Holdings LLC | 5% or greater direct ownership interest | 38% | 11 Jun 2025 |
| Etnc Holdings LLC | Direct ownership interest | 11 Jun 2025 | |
| 310 Pensacola Rd LLC | 5% or greater mortgage interest | 4 Mar 2022 | |
| 310 Pensacola Rd LLC | Adp of the snf | 4 Mar 2022 | |
| Brighton Management LLC | Adp of the snf | 4 Mar 2022 | |
| CTNC Holdings LLC | Adp of the snf | 4 Mar 2022 |
The site shows organisations only. It does not show the names of persons.
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Smoky Ridge Health and Rehabilitation (CCN 345305). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/smoky-ridge-health-and-rehabilitation-burnsville-nc-345305/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Smoky Ridge Health and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 26 Jun 2026. It was a standard survey. It gave 2 citations. The standard survey before the last one was on 20 Mar 2025.
- Who operates Smoky Ridge Health and Rehabilitation?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Brighton Healthcare. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Smoky Ridge Health and Rehabilitation a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in North Carolina as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.