Smoky Ridge Health and Rehabilitation
310 Pensacola Road · Burnsville, NC · 28714 · 8286829759
140 certified beds For profit - Limited Liability company Chain: Brighton Healthcare
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.29 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.79 | 0.55–0.75 |
| Weekend hours / resident-day | 3.01 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | 1 · $59,631 |
Inspection citations (22 in the current record)
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Potential for harm · D March 20, 2025
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.
Corrected April 14, 2025 · Resident Rights
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Potential for harm · D March 20, 2025
Ensure each resident receives an accurate assessment.
Corrected April 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 20, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected April 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 20, 2025
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected April 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 20, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected December 12, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G March 20, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 1, 2023 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected January 1, 2024 · Resident Rights
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Potential for harm · E December 1, 2023 · found via complaint
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.
Corrected January 1, 2024 · Resident Rights
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Potential for harm · D December 1, 2023 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected January 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · E December 1, 2023 · found via complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected January 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 1, 2023 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · E December 1, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 1, 2024 · Quality of Life and Care
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Potential for harm · D December 1, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 1, 2024 · Quality of Life and Care
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Potential for harm · E December 1, 2023 · found via complaint
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected January 1, 2024 · Nursing and Physician Services
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Potential for harm · E December 1, 2023 · found via 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 January 1, 2024 · Pharmacy Service
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Potential for harm · E December 1, 2023 · found via complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected January 1, 2024 · Nutrition and Dietary
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Potential for harm · F December 1, 2023 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 1, 2024 · Nutrition and Dietary
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Potential for harm · F December 1, 2023 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected January 1, 2024 · Administration
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Potential for harm · F December 1, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 1, 2024 · Infection Control
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No harm found · B December 1, 2023 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected January 1, 2024 · Nutrition and Dietary
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Potential for harm · D June 27, 2023 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 30, 2023 · Quality of Life and Care
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Potential for harm · D June 8, 2022
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.
Corrected July 6, 2022 · Resident Rights
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 20, 2024 | Fine | $59,631 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345305 · certified since June 29, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.