CCN 345305 · Yancey County, North Carolina
Smoky Ridge Health and Rehabilitation
310 Pensacola Road, Burnsville, NC 28714
Smoky Ridge Health and Rehabilitation is a 140-bed for-profit nursing home in Burnsville, North Carolina, first certified for Medicare or Medicaid in 1989. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 101.1 residents a day, about 72% of its certified beds. It has an active FHA-insured Section 232 loan: $20.6 million originally, at 5.72%, with $20.6 million outstanding as of September 30, 2026 and maturity in July 2061.
Facility facts
- Certified beds
- 140
- Average residents per day
- 101.1 (72.2% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Smokey Ridge Health and Rehabilitation SNF LLC
- Certified since
- Jun 29, 1989
- Chain or affiliated group
- Brighton Healthcare (8 facilities, chain average 1.4 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | North Carolina median | US median |
|---|---|---|---|
| Overall rating | 2 of 5 | State spread: 91 at 1, 83 at 2, 85 at 3, 75 at 4, 81 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 2 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 3.08 | 3.53 | 3.68 |
| RN hours per resident per day | 0.75 | 0.51 | 0.58 |
| Weekend nurse hours per resident per day | 2.75 | ||
| Nursing staff turnover | 51.6% | 48.6% | 44.9% |
| Occupancy (residents / beds) | 72.2% | 87.4% | 85.7% |
| Fines reported by CMS | 1 totaling $59,631 | ||
| Health deficiencies, latest standard survey | 2 (Jun 26, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Smoky Ridge Health and Rehabilitation meets that part today: 2 stars overall, 2 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Ctnc Holdings LLCOrganization | Direct Ownership Interest | 38% | 06/11/2025 |
| Fischer, DavidIndividual | Direct Ownership Interest | 29% | 06/11/2025 |
| Lefkowitz, ZevIndividual | Direct Ownership Interest | 29% | 06/11/2025 |
| Treff, CynthiaIndividual | Indirect Ownership Interest | 38% | 06/11/2025 |
| 310 Pensacola Rd LLCOrganization | Mortgage Interest | n/a | 03/04/2022 |
| Fischer, DavidIndividual | Operational / Managerial Control | n/a | 03/04/2022 |
| Shade, CarlaIndividual | Operational / Managerial Control | n/a | 03/04/2022 |
Holders of a 5% or greater mortgage interest reported in the enrollment record: 310 Pensacola Rd LLC.
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Mar 4, 2022 | Smokey Ridge Health and Rehabilitation SNF LLC | Senior Care Group of Yancey LLC |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Jun 25, 2026 | 232/ 223(f)/Pur/Refin/ Nursing HmsHUD project name: Smoky Ridge Health and Rehabilitation, 59 beds | $20,581,100 | Active: 5.72%, $20,550,219 balanceMatures Jul 1, 2061. Servicer: Dwight Capital LLC | 05322292 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.