Home / North Carolina / Waynesville
1349 Crabtree Road, Waynesville, NC 28785 · Haywood County · (828) 454-9260
50 certified beds, about 40 residents a day · For profit - Corporation · Medicare and Medicaid since 1991
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345396 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 19, 2026, inspectors cited 3 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
None of its 10 health citations since September 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.93 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 1.04 of those hours.
60.8% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Principle Long Term Care, an affiliated group of 40 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.
Inspectors wroteBased on observations and staff interviews, the facility failed to dispose of food stored past the use by date in 1 of 1 dry food storage area, failed to keep beverages off the floor and failed to clean 1 of 1 walk-in refrigerator for food storage. The deficient practice had the potential to affect food served to residents. Findings Included a. On 3/16/26 at 10:40 AM, an observation of the walk-in refrigerator was conducted with the Dietary Manager. The floor under the food storage racks contained a buildup of grey white debris that crumbled when touched. Several areas of the floor were raised, white, and fuzzy in appearance. The food storage racks also had a thick, grey, sticky substance on the metal shelving. During the observation, the Dietary Manager stated that the food storage racks were last cleaned in January of the current year. [...]
Inspectors wroteBased on record reviews and interviews with resident, staff and the Medical Director, the facility failed to ensure an as needed (PRN) psychotropic medication, Clonazepam (a medication primarily used for panic disorder), had a stop date of 14 days for 1 of 5 residents reviewed for unnecessary medications (Resident #44).
Inspectors wroteBased on record review and interviews with residents, Responsible Party and staff the facility failed to explain the arbitration agreement document in a manner understood by residents and their Responsible Parties. This was for 3 of 3 residents reviewed for arbitration agreement (Resident #1, Resident #3, Resident #4).
Inspectors wroteBased on record review and staff interviews, the facility failed to complete the Care Area Assessment (CAA) comprehensively to address the underlying causes and contributing factors of the triggered areas for 2 of 5 sampled residents reviewed for unnecessary medications (Residents #10 and Resident #11).
Inspectors wroteBased on record review and staff interviews, the facility failed to ensure a Preadmission Screening and Resident Review (PASRR) application was completed for a resident who had a new psychiatric diagnosis for 1 of 1 resident (Resident #10) reviewed for PASRR.
Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to post cautionary and safety signage outside a resident's room that indicated the use of oxygen for 1 of 1 resident reviewed for respiratory care (Resident #239).
Inspectors wroteBased on observations, staff interviews and record review, the facility failed to remove expired medication in accordance with manufacturer's expiration date and failed to date a time sensitive eye drops after it was opened and stored at room temperature for 1 or 2 medications carts observed during medication storage checks (Medication Cart #1).
Inspectors wroteBased on a lunch meal tray line observation, record review, and staff interviews the facility failed to serve cod in a three-ounce portion per the menu. This failure had the potential to affect 15 residents with orders for mechanical soft diet texture.
Inspectors wroteBased on observations, record review, and staff interviews the facility failed to maintain a resident's privacy by checking her fingerstick blood glucose in the dining room in the presence of other residents and a visitor for 1 of 1 resident (Resident #17). The reasonable person concept was applied to this deficiency and a reasonable person would expect privacy when their fingerstick blood sugar was checked.
Inspectors wroteBased on record review, observations, and interviews with staff, the facility failed to ensure personal and oral hygiene was provided for a resident dependent on staff to trim and clean visibly dirty fingernails and brush and clean visibly dirty dentures for 1 of 2 residents reviewed for activities of daily living (Resident #35).
9 fire safety citations on file: 1 on March 19, 2026, 5 on February 5, 2025, 3 on September 28, 2023.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.93 | 3.85 | 3.86 |
| Registered nurses | 1.04 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.66 | 3.42 | 3.42 |
| Nurse aides | 2.21 | ||
| Licensed practical nurses | 0.68 | ||
| Nursing staff turnover (share who left in a year) | 60.8% | 49.0% | 45.8% |
| Registered nurse turnover | 61.5% | 45.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.23 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.04 on weekdays and 3.66 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.35 in April to June 2025 to 3.93 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.93 | 1.04 | 4.04 | 3.66 | 2.6% | 0 of 90 | 40 |
| Oct to Dec 2025 | 3.52 | 0.80 | 3.69 | 3.08 | 17.8% | 0 of 92 | 46 |
| Jul to Sep 2025 | 3.34 | 0.79 | 3.51 | 2.92 | 30.1% | 0 of 92 | 47 |
| Apr to Jun 2025 | 3.35 | 0.72 | 3.55 | 2.87 | 18.0% | 0 of 91 | 45 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| North Carolina, all employers | |||
| CNAs (nursing assistants) | $18.49 | $17.28 to $21.08 | 64,010 |
| LPNs and LVNs | $30.42 | $28.50 to $33.51 | 18,010 |
| Registered nurses | $40.56 | $37.87 to $49.06 | 111,120 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 28.6 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.7 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.7 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 30.3 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.0 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 18.9 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.3 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.7 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Smoky Mountain Health and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (47.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
47.6% this home
No different from the national rate
US median of homes 51.5% · North Carolina: 93 better, 25 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 93 eligible stays.
9.9% this home
No different from the national rate
US median of homes 10.7% · North Carolina: 1 better, 4 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 93 eligible stays.
8.3% this home
No different from the national rate
US median of homes 7.1% · North Carolina: 1 better, 3 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 61 eligible stays.
69.7% this home
Median of homes: North Carolina54.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 66 residents counted.
5.3% this home
Median of homes: North Carolina0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 76 residents counted.
1.6% this home
Median of homes: North Carolina2.5% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 76 residents counted.
97.9% this home
Median of homes: North Carolina97.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 47 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: SNOWSHOE LTC GROUP, LLC. CMS links this home to Principle Long Term Care, a group of 40 nursing homes averaging 3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Hill, Robert | Indirect ownership interest | Individual | 01/01/2011 | |
| Detar, Dewey | Managing control - governing body | Individual | 01/05/2023 | |
| Walters, Shayna | Managing control - governing body | Individual | 12/21/2020 | |
| Boice, Gale | Corporate officer | Individual | 03/05/2018 | |
| Johnson, Dianne | Corporate officer | Individual | 01/01/2011 | |
| Principle Long Term Care, Inc. | Operational/managerial control | Organization | 01/01/2011 | |
| Boice, Gale | Operational/managerial control | Individual | 03/18/2018 | |
| Hill, Raymond | Operational/managerial control | Individual | 01/01/2011 | |
| Hill, Stephen | Operational/managerial control | Individual | 01/01/2011 | |
| Boice, Gale | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 09/08/2025 | |
| Boice, Gale | Adp of the SNF | Individual | 03/05/2018 | |
| Detar, Dewey | Adp of the SNF | Individual | 06/13/2025 | |
| Hill, Robert | Adp of the SNF | Individual | 01/01/2011 | |
| Walters, Shayna | Adp of the SNF | Individual | 06/13/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.