★★★☆☆CMS 3/550 bedsFor-profitMedicaid
- Nurse hours
- 3.93 /day
- Staff turnover
- 61%
- Serious cites
- 0
Smoky Mountain Health and Rehabilitation Center runs 50 certified beds in Waynesville under corporate for-profit ownership. Nurse staffing sits at 3.93 hours per resident day, just above the national average of 3.86, though weekends drop roughly 7% below the home's own weekday coverage. The bigger concern is turnover: 60.8% annually against a national average of 45.8%, meaning most of the people caring for your relative are likely new to the building. Ten deficiencies appear on the current record, none at harm or jeopardy level, but one is abuse-related. The last inspection was March 19, 2026, and quality and staffing measures both earned 4 stars against a 3-star health inspection.
★★★★☆CMS 4/590 bedsFor-profitMedicaid
- Nurse hours
- 3.39 /day
- Staff turnover
- 53%
- Serious cites
- 0
Skyland Terrace runs 90 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.39 hours per resident day, roughly 12 percent under the national average of 3.86. Weekends get thinner still, about 12 percent below the home's own weekday coverage, and annual turnover of 53.3 percent runs well above the 45.8 percent national figure. The inspection record shows 13 deficiencies, including one at the harm level and two tied to abuse, plus a single fine of $8,512. Its most recent inspection was February 2026, so the picture is current. A 4-star health inspection score sits alongside middling marks for quality measures and staffing, steady state oversight, but leaner day-to-day coverage than most homes.
★☆☆☆☆CMS 1/590 bedsFor-profitMedicaid
- Nurse hours
- 3.43 /day
- Staff turnover
- 70%
- Serious cites
- 0
Autumn Care of Waynesville runs on thinner staffing than most homes: 3.43 nurse hours per resident day against a national average of 3.86, with weekends falling about 11% below its own weekday level. That gap matters, because turnover sits at 69.8%, well above the 45.8% national figure, meaning the aides and nurses on those shifts are frequently new to the building. The inspection record is heavier still: 25 deficiencies, five of them at harm or jeopardy level and five abuse-related, with a $107,387 fine and a May 2025 inspection. This is a for-profit limited liability company, and the pattern across staffing and enforcement is consistent.