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HomeNorth CarolinaSkyland Care Center

Skyland Care Center

193 Asheville Highway, Sylva, NC 287798285868935WebsiteGoogle Maps
3.6on Google(18 reviews)
4/5Above Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
4/5
Staffing
3/5
Quality
3/5
Beds
94
certified

How Skyland Care Center Compares in North Carolina

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.

CMS overall rating
4/5
NC average
2.9/5
Above state average
Health inspection rating
4/5
NC average
2.9/5
Above state average
Staffing rating
3/5
NC average
2.7/5
Above state average
Nursing hours per resident
3.51 hrs/day
NC average
3.82 hrs/day
Below state average
RN hours per resident
0.56 hrs/day
NC average
0.61 hrs/day
Close to state average
Staff turnover
46.0%
NC average
49.1%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 4/5 overall CMS rating is above the North Carolina average of 2.9/5.
Its 4/5 health inspection rating is above the North Carolina average of 2.9/5.
Reported nursing time is 3.51 hours per resident per day, below the state average of 3.82.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
3
deficiency citations
Inspected Nov 21, 2024
Most recent cycle
0
deficiency citations
Inspected Jan 23, 2026
The most recent cycle recorded 3 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$8,122/mo
North Carolina median
Private Room
$9,125/mo
North Carolina median
Jackson County 65+
8,634
20.4% of county
County Population
42,388
Jackson County

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.

Beds
94
Avg Residents/Day
90.4
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
6.0
Infection Citations
0

Deficiency Citations (10)

F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 21, 2024Corrected: NoCycle: 2
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
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
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
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
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

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

Nurse Aide2.20 hrs
National avg: 2.32 hrs
LPN0.75 hrs
National avg: 0.86 hrs
RN0.56 hrs
National avg: 0.69 hrs
Total Nursing3.51 hrs
National avg: 3.86 hrs
Weekend Total2.96 hrs
National avg: 0.00 hrs
Physical Therapist0.13 hrs
National avg: 0.07 hrs
Total Turnover
46.0%
RN Turnover
31.3%
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 (11)

NameRoleTypeOwnership %Since
COOLEY, MISTIE5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual49%Oct 1, 2013
GATEWOOD, THOMAS5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual51%Oct 1, 2016
COOLEY, MISTIEMANAGING CONTROL - GOVERNING BODYIndividualN/AOct 1, 2013
GATEWOOD, THOMASMANAGING CONTROL - GOVERNING BODYIndividualN/AOct 1, 2003
COOLEY, MISTIECORPORATE OFFICERIndividualN/AOct 1, 2013
GATEWOOD, THOMASCORPORATE OFFICERIndividualN/AOct 1, 2003
COOLEY, MISTIEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2013
DILLS, MELISSAOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 16, 2022
VARGAS, CARLOSOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 1, 2012
DILLS, MELISSAADP OF THE SNFIndividualN/ADec 16, 2022
VARGAS, CARLOSADP OF THE SNFIndividualN/AAug 1, 2012

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Skyland Care Center and nearby alternatives.

All North Carolina facilities
Skyland Care Center
Sylva, NCCurrent facility
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: None
Vero Health & Rehab of Sylva
Sylva, NC528 ft
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $359,818
Tsali Care Center
Cherokee, NC9.9 mi
CMS
2/5
Health
1/5
Staffing
5/5
Recorded fines: $157,555
Maggie Valley Health and Rehabilitation Center
Maggie Valley, NC11.6 mi
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: $52,629
Autumn Care of Waynesville
Waynesville, NC12.7 mi
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $107,387
Mountain View Manor Nursing Center
Bryson City, NC14.7 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $14,131
Skyland Terrace and Rehabilitation
Waynesville, NC15.3 mi
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: $8,512
FacilityDistanceCMSHealthStaffingRecorded fines
Skyland Care Center
Sylva, NC · Current facility
—4/54/53/5None recorded
Vero Health & Rehab of Sylva
Sylva, NC
528 ft1/51/52/5$359,818
Tsali Care Center
Cherokee, NC
9.9 mi2/51/55/5$157,555
Maggie Valley Health and Rehabilitation Center
Maggie Valley, NC
11.6 mi2/52/53/5$52,629
Autumn Care of Waynesville
Waynesville, NC
12.7 mi1/51/51/5$107,387
Mountain View Manor Nursing Center
Bryson City, NC
14.7 mi1/52/51/5$14,131
Skyland Terrace and Rehabilitation
Waynesville, NC
15.3 mi4/54/53/5$8,512

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.

Frequently Asked Questions

What is the CMS rating for Skyland Care Center?▾
Skyland Care Center has an overall CMS rating of 4 out of 5 stars, with a health inspection rating of 4/5, staffing rating of 3/5, and quality measures rating of 3/5. This facility is rated above average.
How much does Skyland Care Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in North Carolina is $8,122/month for a semi-private room and $9,125/month for a private room (Genworth/CareScout 2024). Skyland Care Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
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 current CMS dataset records no fines for this facility.
What are the staffing levels at Skyland Care Center?▾
Skyland Care Center provides 3.51 total nursing staff hours per resident per day, including 0.56 RN hours, 0.75 LPN hours, and 2.20 nurse aide hours. The total staff turnover rate is 46.0%.
How many beds does Skyland Care Center have?▾
Skyland Care Center has 94 certified beds with an average of 90.4 residents per day, resulting in approximately 96% occupancy. The facility is For profit - Corporation owned.
Are there other nursing homes near Skyland Care Center?▾
Yes. This page lists 6 nearby nursing homes in North Carolina, including 1 in Sylva. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Skyland Care Center?▾
On Google Maps, Skyland Care Center has a rating of 3.6 out of 5 based on 18 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 4/5.