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HomeNorth CarolinaSkyland Terrace and Rehabilitation

Skyland Terrace and Rehabilitation

516 Wall Street, Waynesville, NC 287868284523154WebsiteGoogle Maps
4.0on Google(35 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
90
certified
1 fine(s) totaling $8,512

How Skyland Terrace and Rehabilitation 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
3.39 hrs/day
NC average
3.82 hrs/day
Below state average
RN hours per resident
0.65 hrs/day
NC average
0.61 hrs/day
Close to state average
Staff turnover
53.3%
NC average
49.1%
Higher 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 3.39 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
5
deficiency citations
Inspected Dec 6, 2024
Most recent cycle
3
deficiency citations
Inspected Feb 19, 2026
The most recent cycle recorded 2 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
Haywood County 65+
15,580
25.1% of county
County Population
62,152
Haywood 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 Terrace and Rehabilitation is a 4-star Medicare and Medicaid certified nursing home in Waynesville, North Carolina with 90 certified beds. It has been operating since 1992. Its overall CMS rating is 4 out of 5.

Beds
90
Avg Residents/Day
83.4
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 24, 1992
Sprinklers
Yes
Council
Resident
County
Haywood
Last Inspection
Feb 19, 2026
Deficiencies (Cycle 1)
3
Weighted Score
18.0
Infection Citations
0

Deficiency Citations (13)

F0578Potential for Harm

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey: Feb 19, 2026Corrected: NoCycle: 1
F0684Potential for Harm

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

Survey: Feb 19, 2026Corrected: NoCycle: 1
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Feb 19, 2026Corrected: NoCycle: 1
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Apr 30, 2025Corrected: NoCycle: 2
F0745Actual Harm

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Survey: Dec 6, 2024Corrected: NoCycle: 2
F0602Potential for Harm

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

Survey: Dec 6, 2024Corrected: NoCycle: 2
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Dec 6, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Dec 6, 2024Corrected: NoCycle: 2
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Jul 14, 2023Corrected: NoCycle: 3
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Jul 14, 2023Corrected: NoCycle: 3
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jul 14, 2023Corrected: NoCycle: 3
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jul 14, 2023Corrected: NoCycle: 3
F0757Potential for Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey: Jul 14, 2023Corrected: NoCycle: 3
Total Fines
$8,512
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineDec 6, 2024
$8,512

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

Nurse Aide1.98 hrs
National avg: 2.32 hrs
LPN0.77 hrs
National avg: 0.86 hrs
RN0.65 hrs
National avg: 0.69 hrs
Total Nursing3.39 hrs
National avg: 3.86 hrs
Weekend Total3.00 hrs
National avg: 0.00 hrs
Physical Therapist0.07 hrs
National avg: 0.07 hrs
Total Turnover
53.3%
RN Turnover
40.0%
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, 2022
GATEWOOD, THOMAS5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual51%Oct 1, 2022
COOLEY, MISTIEMANAGING CONTROL - GOVERNING BODYIndividualN/AOct 1, 2022
COOLEY, MISTIECORPORATE OFFICERIndividualN/AOct 1, 2022
GATEWOOD, THOMASCORPORATE OFFICERIndividualN/AOct 1, 2022
COOLEY, MISTIEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 19, 2025
GATEWOOD, THOMASOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 19, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Skyland Terrace and Rehabilitation and nearby alternatives.

All North Carolina facilities
Skyland Terrace and Rehabilitation
Waynesville, NCCurrent facility
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: $8,512
Autumn Care of Waynesville
Waynesville, NC2.9 mi
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $107,387
Smoky Mountain Health and Rehabilitation Center
Waynesville, NC3.6 mi
CMS
3/5
Health
3/5
Staffing
4/5
Recorded fines: None
Silver Bluff
Canton, NC5.8 mi
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: None
Maggie Valley Health and Rehabilitation Center
Maggie Valley, NC6.8 mi
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: $52,629
Vero Health & Rehab of Sylva
Sylva, NC15.2 mi
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $359,818
Skyland Care Center
Sylva, NC15.3 mi
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Skyland Terrace and Rehabilitation
Waynesville, NC · Current facility
—4/54/53/5$8,512
Autumn Care of Waynesville
Waynesville, NC
2.9 mi1/51/51/5$107,387
Smoky Mountain Health and Rehabilitation Center
Waynesville, NC
3.6 mi3/53/54/5None recorded
Silver Bluff
Canton, NC
5.8 mi3/53/52/5None recorded
Maggie Valley Health and Rehabilitation Center
Maggie Valley, NC
6.8 mi2/52/53/5$52,629
Vero Health & Rehab of Sylva
Sylva, NC
15.2 mi1/51/52/5$359,818
Skyland Care Center
Sylva, NC
15.3 mi4/54/53/5None recorded

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 Terrace and Rehabilitation?▾
Skyland Terrace and Rehabilitation 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 Terrace and Rehabilitation 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 Terrace and Rehabilitation participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Skyland Terrace and Rehabilitation had any health inspection violations?▾
Skyland Terrace and Rehabilitation had 3 deficiency citations in its most recent health inspection (Feb 19, 2026). The current CMS dataset records 1 fine(s) totaling $8,512.
What are the staffing levels at Skyland Terrace and Rehabilitation?▾
Skyland Terrace and Rehabilitation provides 3.39 total nursing staff hours per resident per day, including 0.65 RN hours, 0.77 LPN hours, and 1.98 nurse aide hours. The total staff turnover rate is 53.3%.
How many beds does Skyland Terrace and Rehabilitation have?▾
Skyland Terrace and Rehabilitation has 90 certified beds with an average of 83.4 residents per day, resulting in approximately 93% occupancy. The facility is For profit - Corporation owned.
Are there other nursing homes near Skyland Terrace and Rehabilitation?▾
Yes. This page lists 6 nearby nursing homes in North Carolina, including 2 in Waynesville. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Skyland Terrace and Rehabilitation?▾
On Google Maps, Skyland Terrace and Rehabilitation has a rating of 4.0 out of 5 based on 35 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 4/5.