Smoky Ridge Health and Rehabilitation
310 Pensacola Road, Burnsville, NC, 28714
Yes. Federal inspectors cited 5 deficiencies against Smoky Ridge Health and Rehabilitation in Burnsville, North Carolina at its most recent standard inspection on 2025-03-20, 1 of them arising from complaints. 1 finding has been recorded at the actual-harm level. Medicare has fined it 1 time, totalling $59,631. Medicare rates it 2 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
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.
Resident Rights Deficiencies · F0578 · 2025-03-20 · standard survey · No actual harm, potential for more than minimal harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0602 · 2025-03-20 · from a complaint · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2025-03-20 · standard survey · No actual harm, potential for more than minimal harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · F0644 · 2025-03-20 · standard survey · No actual harm, potential for more than minimal harm
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Resident Assessment and Care Planning Deficiencies · F0646 · 2025-03-20 · standard survey · No actual harm, potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2024-03-20 · from a complaint · Actual harm to a resident
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2023-12-01 · from a complaint · No actual harm, potential for more than minimal harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · F0867 · 2023-12-01 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2023-12-01 · from a complaint · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0584 · 2023-12-01 · from a complaint · No actual harm, potential for more than minimal harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · F0645 · 2023-12-01 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2023-12-01 · from a complaint · No actual harm, potential for more than minimal harm
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Nursing and Physician Services Deficiencies · F0711 · 2023-12-01 · from a complaint · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0761 · 2023-12-01 · from a complaint · No actual harm, potential for more than minimal harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · F0806 · 2023-12-01 · from a complaint · No actual harm, potential for more than minimal harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · F0583 · 2023-12-01 · from a complaint · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2023-12-01 · from a complaint · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2023-12-01 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2023-12-01 · from a complaint · No actual harm, potential for more than minimal harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · F0804 · 2023-12-01 · from a complaint · No actual harm, potential for minimal harm
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
What Medicare has fined this home
Who owns Smoky Ridge Health and Rehabilitation
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| CTNC HOLDINGS LLC | Organization | 38% | since 06/11/2025 |
| FISCHER, DAVID | Individual | 29% | since 06/11/2025 |
| LEFKOWITZ, ZEV | Individual | 29% | since 06/11/2025 |
| ETNC HOLDINGS LLC | Organization | NOT APPLICABLE | since 06/11/2025 |
| TREFF, CYNTHIA | Individual | 38% | since 06/11/2025 |
| TREFF, ESTHER | Individual | NOT APPLICABLE | since 06/11/2025 |
| 310 PENSACOLA RD LLC | Organization | NOT APPLICABLE | since 03/04/2022 |
| FISCHER, DAVID | Individual | NOT APPLICABLE | since 03/04/2022 |
| FISCHER, DAVID | Individual | NOT APPLICABLE | since 03/04/2022 |
| SHADE, CARLA | Individual | NOT APPLICABLE | since 03/04/2022 |
| 310 PENSACOLA RD LLC | Organization | NOT APPLICABLE | since 03/04/2022 |
| BRIGHTON MANAGEMENT LLC | Organization | NOT APPLICABLE | since 03/04/2022 |
Part of the BRIGHTON HEALTHCARE group.
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 345305.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction