With a score of 76/100 and a B grade, Smoky Mountain Health And Rehabilitation Center is a well-regarded option in Waynesville, North Carolina. The facility performs above average in most CMS categories, placing it in the 80th percentile statewide.
Staffing levels are a potential concern at Smoky Mountain Health And Rehabilitation Center, with 3.34 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent inspections identified 13 deficiencies at Smoky Mountain Health And Rehabilitation Center. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.34 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.79 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.68 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 1.88 | 2.4 | Below Average |
| Weekend Total Nursing | 2.92 | 3.8 | Below Average |
| Weekend RN Hours | 0.44 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0636 Severity DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Feb 4, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0644 Severity DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Feb 4, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0695 Severity DProvide safe and appropriate respiratory care for a resident when needed.Feb 4, 2025 · Quality of Life and Care Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiFeb 4, 2025 · Pharmacy Service Deficiencies
- Tag 0803 Severity EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the neeSep 27, 2023 · Nutrition and Dietary Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.5% | 4.5% | Better |
| Falls with major injury | 3.3% | 3.0% | Average |
| On antipsychotic medication | 19.2% | 14.5% | Worse |
| Urinary tract infections | 0.8% | 2.5% | Better |
| ADL decline (daily activities) | 24.8% | 14.0% | Worse |
| Excessive weight loss | 2.7% | 7.5% | Better |
| New/worsened incontinence | 3.7% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of B is based on a score of 76 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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