Smoky Ridge Health and Rehabilitation
310 Pensacola Road, Burnsville, NC 28714
Smoky Ridge Health and Rehabilitation is a nursing home in Burnsville, North Carolina. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating2 of 5
- Last standard health inspectionJune 26, 2026 (4 months ago)
- Health citations since December 1, 202322 (North Carolina average 18)
- Fines in the past three years1, $59,631 in total
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
Health inspection on June 26, 2026
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation F0641. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on July 17, 2026.
CMS has cited this home for F0641 3 times since 2023.
Citation F0646. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
CMS lists it as corrected on July 17, 2026.
CMS has cited this home for F0646 2 times since 2025.
CMS update of April 29, 2026
CMS abuse icon
CMS removed its abuse icon from this home.
Ownership
CMS lists this home under a new chain.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of May 28, 2025
CMS abuse icon
CMS added its abuse icon to this home.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
CMS abuse icon
CMS removed its abuse icon from this home.
Health inspection on March 20, 2025
5 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 5 citations
Citation F0578. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on April 14, 2025.
Citation F0602. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from the wrongful use of the resident's belongings or money.
CMS lists it as corrected on December 12, 2024.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on April 14, 2025.
Citation F0644. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS lists it as corrected on April 14, 2025.
Citation F0646. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
CMS lists it as corrected on April 14, 2025.
Fire safety inspection on March 20, 2025
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0222. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
CMS lists it as corrected on June 18, 2025.
CMS has cited this home for K0222 2 times since 2022.
Citation K0345. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on June 18, 2025.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on June 18, 2025.
CMS has cited this home for K0918 2 times since 2023.
CMS update of February 26, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of May 29, 2024
CMS abuse icon
CMS added its abuse icon to this home.
Health inspection on March 20, 2024
1 citationCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
76 of 419 North Carolina homes (18%) got a citation at the actual harm level in 2024.
CMS fine of $59,631 on March 20, 2024.
Show the 1 citation
Citation F0600. Severity G: actual harm, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on April 5, 2024.
Fire safety inspection on March 5, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation K0161. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Use approved construction type or materials.
CMS lists it as corrected on May 6, 2024.
CMS update of February 29, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 2 of 5.
Health inspection on December 1, 2023
14 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 14 citations
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on January 1, 2024.
Citation F0867. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS lists it as corrected on January 1, 2024.
Citation F0880. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on January 1, 2024.
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on January 1, 2024.
Citation F0645. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
PASARR screening for Mental disorders or Intellectual Disabilities
CMS lists it as corrected on January 1, 2024.
Citation F0684. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on January 1, 2024.
Citation F0711. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
CMS lists it as corrected on January 1, 2024.
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on January 1, 2024.
Citation F0806. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
CMS lists it as corrected on January 1, 2024.
Citation F0583. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep residents' personal and medical records private and confidential.
CMS lists it as corrected on January 1, 2024.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on January 1, 2024.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on January 1, 2024.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on January 1, 2024.
Citation F0804. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS lists it as corrected on January 1, 2024.
Fire safety inspection on December 1, 2023
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0341. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install a fire alarm system that can be heard throughout the facility.
CMS lists it as corrected on January 24, 2024.
Citation K0741. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
CMS lists it as corrected on January 24, 2024.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on January 24, 2024.
Fire safety inspection on June 8, 2022
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0222. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
CMS lists it as corrected on August 11, 2022.
CMS star ratings
- 2 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 3 of 5CMS staffing star rating
- 2 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (828) 682-9759
- Last standard health inspection
- June 26, 2026 (4 months ago)
- Certified beds
- 140
- Residents per day, on average
- 102.7
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Smokey Ridge Health and Rehabilitation SNF LLC
- Chain
- Brighton Healthcare
- Takes part in
- Medicare and Medicaid
More health citations than the North Carolina average (22 vs 18).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- CTNC HOLDINGS LLC5% or greater direct ownership interest · 38% · since 06/11/2025
- FISCHER, DAVID5% or greater direct ownership interest · 29% · since 06/11/2025
- LEFKOWITZ, ZEV5% or greater direct ownership interest · 29% · since 06/11/2025
- ETNC HOLDINGS LLCDirect ownership interest · not applicable · since 06/11/2025
- TREFF, CYNTHIA5% or greater indirect ownership interest · 38% · since 06/11/2025
Show 3 more
- TREFF, ESTHERIndirect ownership interest · not applicable · since 06/11/2025
- FISCHER, DAVIDOperational/managerial control · not applicable · since 03/04/2022
- SHADE, CARLAOperational/managerial control · not applicable · since 03/04/2022
Questions
When was Smoky Ridge Health and Rehabilitation last inspected?
CMS lists June 26, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Smoky Ridge Health and Rehabilitation have?
CMS lists 22 health citations since December 1, 2023. CMS also calls these deficiencies.
Has Smoky Ridge Health and Rehabilitation been fined?
CMS lists 1 fine in the past three years, $59,631 in total.
What is the CMS star rating of Smoky Ridge Health and Rehabilitation?
Its CMS overall star rating is 2 of 5.
Is Smoky Ridge Health and Rehabilitation a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.