Smoky Mountain Health and Rehabilitation Center
1349 Crabtree Road, Waynesville, NC 28785
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident Council Active
Active councils indicate resident empowerment and facility transparency.
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Free guide: the exact questions to ask Smoky Mountain Health and Rehabilitation Center, how to pull the public records (ownership, inspections, penalties), and how to request the info that isn't online — like the medical director.
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Care Quality Indicators
Lower is better
Lower is better
Lower is better
Lower is better
How Smoky Mountain Health and Rehabilitation Center Compares
Smoky Mountain Health and Rehabilitation Center is a 50-bed for-profit nursing facility in Waynesville, North Carolina. It holds an overall CMS rating of 3 out of 5 stars, roughly in line with the North Carolina average of 2.9 stars. Its strongest area is staffing, rated 4 stars. Its rate of falls resulting in major injury (1.7%) is below the North Carolina average of 3.5%, a favorable sign for resident care. With 50 certified beds, it maintains moderate occupancy at roughly 80% occupied.
Among the 3 nursing facilities ElderVoice tracks in Waynesville, the local average is 2.7 stars.
By the numbers vs. North Carolina average
- Long-stay antipsychotic medication use: 18.9% — worse than the North Carolina average of 14.0% (36% higher).
- Falls with major injury: 1.7% — better than the North Carolina average of 3.5% (52% lower).
- High-risk pressure ulcers: 3.0% — better than the North Carolina average of 5.5% (46% lower).
- Short-stay rehospitalization: 22.3% — better than the North Carolina average of 22.8%.
Comparisons use CMS Care Compare data (updated September 9, 2026) measured against North Carolina averages across 419 facilities tracked by ElderVoice.
Questions to Ask Smoky Mountain Health and Rehabilitation Center
Use these facility-specific questions when calling admissions, touring the building, or comparing Smoky Mountain Health and Rehabilitation Center with other nursing homes in Waynesville.
What keeps Smoky Mountain Health and Rehabilitation Center's staffing levels rating strong?
This category is rated 4 out of 5 stars. Ask for concrete staffing, training, or care-process examples behind the score.
What is Smoky Mountain Health and Rehabilitation Center doing to reduce long-stay antipsychotic medication use?
Long-stay antipsychotic medication use is 18.9% here versus 14.0% across North Carolina. Lower is generally better for this CMS measure.
What practices help Smoky Mountain Health and Rehabilitation Center keep falls with major injury below the state average?
Falls with major injury is 1.7% here versus 3.5% across North Carolina. Lower is generally better for this CMS measure.
How can a new family connect with existing councils at Smoky Mountain Health and Rehabilitation Center?
Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.
What explains Smoky Mountain Health and Rehabilitation Center's rating advantage in Waynesville?
Its 3-star overall rating is above the local average of 2.7 stars across 3 facilities. Ask which practices families can observe during a tour.
What would the first 30 days look like for a new resident at Smoky Mountain Health and Rehabilitation Center?
Ask who builds the care plan, how medication changes are communicated, how often families receive updates, and who to call after hours.
The Senior Community Around Waynesville
Waynesville sits in Haywood County, where adults 65 and older make up about 24.7% of the population — a higher share of seniors than North Carolina as a whole (16.3% statewide). The area's median household income is consistent with state averages.
- Residents 65+
- 15,298 (24.7%)
- Median age
- 47.7 years
- Median household income
- $51,548
- Median home value
- $185,600
Demographics for Haywood County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Waynesville.
Facility Details
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