We chose this campground specifically for the elevation, knowing we would be camping in late August and wanting an escape from the heat. It definitely delivered--at over 5300' elevation, it is much, much cooler at the campground than many of the trails lower in the Smokies. It is also extremely foggy--we did not spend much time here during the day as we were hiking, but both morning and nights we were there, clouds settled in over the entire campground, creating a very cool effect. (It also rained on us both nights, so make sure your tent is properly sealed against water!)
We stayed in sites 38 and 39, which had been booked in advance by the friends we went with. These are very close to the entrance, to other sites, to the bathrooms, the campground hosts, and the dishwashing station, and they are right on the road. It made these sites very convenient, but not the best for us as we had 5 small children with us. The tent pad at site 38 was also a little too small for our 6 person Coleman Evanston—one corner was hanging off the wooden platform.
While our campsite was not as private as we normally would choose for ourselves, the campground itself was very quiet and very peaceful, and nowhere near full occupancy, despite the crowds on the trails below us. It is very wet, so if you want a campfire be sure to buy some of the heat-treated wood available for purchase down the mountain, and be prepared to secure anything you don't want to get wet in your cars overnight.
My only complaint here was the interaction the campground hosts had with our children--a bear had been seen at the entrance to the campground our first night there, and one of the hosts attempted to scare one of our toddlers into staying close to her mom, which is a decision I found highly inappropriate, and the hosts in general acted annoyed anytime our children wanted to play more than a few feet away from the adults. However that is not a fault of the campground itself, and I think if we had not been so close to the host site that would not have been an issue, and would have made this a very family-friendly place to go--provided you prepare for temperatures 10-20 degrees cooler than it is at lower elevations!
**Other things of note with this campground: **
-For privacy, sites 32-37 looked to be the best, although they require a couple of steps down from the car so are not ADA compliant. These sites are very grassy, with a lot of room for kids and dogs to run around without being right on the road. Site 23 was also very private compared to the others, although small; I don’t think anything larger than a 4 person tent would fit here.
-The tent-only sites, 26-31, are clustered together and very open to each other, but offer privacy from the road and the other sites in the campground, and are considered the "walk-in" sites. The walk is very short, and I did see bear boxes to store food, as proper food storage is extremely important in the Smokies--within a few miles of the campsite we saw elk, bears, wild turkey, and deer.
-There is a dishwashing station behind site 38, with two sinks. There was some dish soap in there on our trip, but as always, be prepared with your own, and the water was cold water only.
-Site 38 is next to an open field rolling down the mountain; the hosts told us there is a bear family that likes to cross the campsite between sites 7 and 38, so be prepared to see one if you choose a site near this crossing!
-There is a trail along the edge of this campground that is supposed to have wonderful sunset views, although we did not get to take advantage of this due to the fog.
-Because of the high elevation, Balsam Mountain has a shorter operating season that the other GSMNP campgrounds; plan your trip accordingly.
-There are no electric or water hook-ups here, although RVs and campers may park at the sites.
-The bathrooms have solar-powered lights for nighttime, but they are very dim, so flashlights/headlamps are encouraged.
