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C
Below Standard

Smoky Ridge Health and Rehabilitation

310 Pensacola Road · Burnsville, NC 28714

8286829759 · For profit - Limited Liability company

140 beds98.8 residents243 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
A
Very Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Smoky Ridge Health and Rehabilitation receives an overall staffing grade of C (Below Standard). With 3.1589 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has adequate registered nurse (RN) coverage. It is 0.74 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 14.16% compared to weekdays. The facility relies heavily on temporary agency staff (29.77% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1589 HPRD — needs 0.32 more hours per resident per day.
⚠️29.77% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (2)

✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.1589hrs/resident/day▼ 0.74
CMS benchmark: 3.48
RN HPRD
0.7832hrs/resident/day▲ 0.10
Recommended: 0.75
Weekend Drop-off
14.16%
3.2906 weekday → 2.8247 weekend
Agency Staff
29.77%
12.77% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.7853hrs/resident/day
Direct care aides
LPN HPRD
0.485hrs/resident/day
Licensed practical nurses
Consistency
0.3033std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Yancey County Average+0.00 HPRD
3.16
03.16 HPRD
vs. North Carolina State Average-0.61 HPRD
3.77
03.16 HPRD
vs. National Average-0.74 HPRD
3.90
03.16 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Smoky Ridge Health and Rehabilitation ★
Burnsville · This facility
—
C
3.15890.7832★★☆☆☆
The Greens at Spruce Pines
Spruce Pine
11.4 mi
C
3.45760.5564★★☆☆☆
Madison Health and Rehabilitation
Mars Hill
14.3 mi
B
3.51050.7385★★★☆☆
Highland Farms
Black Mountain
20.8 mi
A
4.77791.2542★★★★☆
Mountain Ridge Health and Rehab
Black Mountain
20.9 mi
F
3.3860.2132★☆☆☆☆
The Greens at Weaverville
Weaverville
20.9 mi
B
3.84311.0505★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
22
Total Deficiencies
$59,631
Fines Assessed
Mar 20, 2025Health
5 deficiencies cited
▼
Mar 20, 2024Health
1 deficiency cited· Includes actual harm
▼
Dec 1, 2023Health
14 deficiencies cited
▼
Jun 27, 2023Health
1 deficiency cited
▼
Jun 8, 2022Health
1 deficiency cited
▼

Penalty History

Mar 20, 2024Fine
$59,631
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.