CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in North Carolina. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Skyland Care Center is a 4-star Medicare and Medicaid certified nursing home in Sylva, North Carolina with 94 certified beds. It has been operating since 1991. Its overall CMS rating is 4 out of 5.
Protect each resident from the wrongful use of the resident's belongings or money.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Allow residents to self-administer drugs if determined clinically appropriate.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| COOLEY, MISTIE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 49% | Oct 1, 2013 |
| GATEWOOD, THOMAS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 51% | Oct 1, 2016 |
| COOLEY, MISTIE | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Oct 1, 2013 |
| GATEWOOD, THOMAS | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Oct 1, 2003 |
| COOLEY, MISTIE | CORPORATE OFFICER | Individual | N/A | Oct 1, 2013 |
| GATEWOOD, THOMAS | CORPORATE OFFICER | Individual | N/A | Oct 1, 2003 |
| COOLEY, MISTIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 1, 2013 |
| DILLS, MELISSA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 16, 2022 |
| VARGAS, CARLOS | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Aug 1, 2012 |
| DILLS, MELISSA | ADP OF THE SNF | Individual | N/A | Dec 16, 2022 |
| VARGAS, CARLOS | ADP OF THE SNF | Individual | N/A | Aug 1, 2012 |
Compare CMS ratings and recorded fines for Skyland Care Center and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.