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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeNorth CarolinaSkyland Care Center

Skyland Care Center

193 Asheville Highway, Sylva, NC 287798285868935
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
4/5
Quality
3/5
Beds
94
certified
2 fine(s) totaling $15,593

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 94 certified beds with an average of 88.1 residents per day (94% occupancy)

• Last health inspection found 0 deficiencies (inspected Jan 23, 2026)

• Has been fined a total of $15,593 across 2 fine(s)

• Total nursing staff: 3.57 hours per resident per day

• Staff turnover rate: 48.5%

Skyland Care Center is a 2-star Medicare and Medicaid certified nursing home in Sylva, North Carolina with 94 certified beds. It has been operating since 1991. The facility scored below average compared to North Carolina facilities.

Beds
94
Avg Residents/Day
88.1
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Sep 3, 1991
Sprinklers
Yes
Council
Both
County
Jackson
Last Inspection
Jan 23, 2026
Deficiencies (Cycle 1)
0
Weighted Score
48.5
Infection Citations
0

Deficiency Citations (10)

F0602Potential for Harm

Protect each resident from the wrongful use of the resident's belongings or money.

Survey: Nov 21, 2024Corrected: NoCycle: 2
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Nov 21, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 21, 2024Corrected: NoCycle: 2
F0554Potential for Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey: Jun 30, 2023Corrected: NoCycle: 3
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Jun 30, 2023Corrected: NoCycle: 3
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Jun 30, 2023Corrected: NoCycle: 3
F0684Immediate Jeopardy

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Jun 30, 2023Corrected: NoCycle: 3
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jun 30, 2023Corrected: NoCycle: 3
F0808Potential for Harm

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.

Survey: Jun 30, 2023Corrected: NoCycle: 3
F0867Potential for Harm

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey: Jun 30, 2023Corrected: NoCycle: 3
Total Fines
$15,593
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineJun 30, 2023
$7,796
FineJun 30, 2023
$7,797

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.19 hrs
National avg: 2.35 hrs
LPN0.78 hrs
National avg: 0.86 hrs
RN0.60 hrs
National avg: 0.68 hrs
Total Nursing3.57 hrs
National avg: 3.89 hrs
Weekend Total3.03 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
48.5%
RN Turnover
41.2%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (7)

NameRoleTypeOwnership %Since
COOLEY, MISTIE5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual49%Oct 1, 2013
GATEWOOD, THOMAS5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual51%Oct 1, 2016
COOLEY, MISTIEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2013
DILLS, MELISSAOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 16, 2022
VARGAS, CARLOSOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 1, 2012
COOLEY, MISTIECORPORATE OFFICERIndividualN/AOct 1, 2013
GATEWOOD, THOMASCORPORATE OFFICERIndividualN/AOct 1, 2003

Nearby Nursing Homes

All North Carolina facilities

Vero Health & Rehab of Sylva

Sylva, NC · 106 beds

For profit$359,818 in fines
Health
Staffing
Quality
443 ft

Frequently Asked Questions

What is the CMS rating for Skyland Care Center?▾
Skyland Care Center has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 4/5, and quality measures rating of 3/5. This facility is rated below average.
Has Skyland Care Center had any health inspection violations?▾
Skyland Care Center had 0 deficiency citations in its most recent health inspection (Jan 23, 2026). The facility has been fined a total of $15,593 across 2 fine(s).
What are the staffing levels at Skyland Care Center?▾
Skyland Care Center provides 3.57 total nursing staff hours per resident per day, including 0.60 RN hours, 0.78 LPN hours, and 2.19 nurse aide hours. The total staff turnover rate is 48.5%.
How many beds does Skyland Care Center have?▾
Skyland Care Center has 94 certified beds with an average of 88.1 residents per day, resulting in approximately 94% occupancy. The facility is For profit - Corporation owned.
Are there other nursing homes near Skyland Care Center?▾
Yes, there are 1 other nursing home in Sylva, North Carolina with an average rating of 1.5/5. You can compare all facilities on the Sylva nursing homes page.