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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 Terrace and Rehabilitation

Skyland Terrace and Rehabilitation

516 Wall Street, Waynesville, NC 287868284523154
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
3/5
Staffing
4/5
Quality
3/5
Beds
90
certified
1 fine(s) totaling $8,512

Key Findings

• CMS rates this facility 3/5 stars (average)

• Has 90 certified beds with an average of 82.9 residents per day (92% occupancy)

• Last health inspection found 5 deficiencies (inspected Dec 6, 2024)

• Has been fined a total of $8,512 across 1 fine(s)

• Total nursing staff: 3.68 hours per resident per day

• Staff turnover rate: 56.7% (high)

Skyland Terrace and Rehabilitation is a 3-star Medicare and Medicaid certified nursing home in Waynesville, North Carolina with 90 certified beds. It has been operating since 1992. The facility scored at average compared to North Carolina facilities.

Beds
90
Avg Residents/Day
82.9
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
Dec 6, 2024
Deficiencies (Cycle 1)
5
Weighted Score
35.0
Infection Citations
0

Deficiency Citations (16)

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: 1
F0745Actual Harm

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

Survey: Dec 6, 2024Corrected: NoCycle: 1
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: 1
F0602Potential for Harm

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

Survey: Dec 6, 2024Corrected: NoCycle: 1
F0686Potential for Harm

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

Survey: Dec 6, 2024Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jul 14, 2023Corrected: 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: 2
F0757Potential for Harm

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

Survey: Jul 14, 2023Corrected: NoCycle: 2
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Jul 14, 2023Corrected: 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: Jul 14, 2023Corrected: NoCycle: 2
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: Dec 16, 2021Corrected: NoCycle: 3
F0689Actual Harm

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

Survey: Dec 16, 2021Corrected: NoCycle: 3
F0726Potential for Harm

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Survey: Dec 16, 2021Corrected: NoCycle: 3
F0761Potential for Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey: Dec 16, 2021Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 16, 2021Corrected: NoCycle: 3
F0887Potential for Harm

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Survey: Dec 16, 2021Corrected: 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 Aide2.36 hrs
National avg: 2.35 hrs
LPN0.78 hrs
National avg: 0.86 hrs
RN0.53 hrs
National avg: 0.68 hrs
Total Nursing3.68 hrs
National avg: 3.89 hrs
Weekend Total3.36 hrs
National avg: 0.00 hrs
Physical Therapist0.12 hrs
National avg: 0.07 hrs
Total Turnover
56.7%
RN Turnover
30.8%
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 (6)

NameRoleTypeOwnership %Since
COOLEY, MISTIE5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual49%Oct 1, 2022
GATEWOOD, THOMAS5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual51%Oct 1, 2022
COOLEY, MISTIEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 19, 2025
GATEWOOD, THOMASOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 19, 2025
COOLEY, MISTIECORPORATE OFFICERIndividualN/AOct 1, 2022
GATEWOOD, THOMASCORPORATE OFFICERIndividualN/AOct 1, 2022

Nearby Nursing Homes

All North Carolina facilities

Autumn Care of Waynesville

Waynesville, NC · 90 beds

For profit$107,387 in finesAbuse
Health
Staffing
Quality
2.9 mi

Smoky Mountain Health and Rehabilitation Center

Waynesville, NC · 50 beds

For profit
Health
Staffing
Quality
3.6 mi

Frequently Asked Questions

What is the CMS rating for Skyland Terrace and Rehabilitation?▾
Skyland Terrace and Rehabilitation has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 4/5, and quality measures rating of 3/5. This facility is rated average.
Has Skyland Terrace and Rehabilitation had any health inspection violations?▾
Skyland Terrace and Rehabilitation had 5 deficiency citations in its most recent health inspection (Dec 6, 2024). The facility has been fined a total of $8,512 across 1 fine(s).
What are the staffing levels at Skyland Terrace and Rehabilitation?▾
Skyland Terrace and Rehabilitation provides 3.68 total nursing staff hours per resident per day, including 0.53 RN hours, 0.78 LPN hours, and 2.36 nurse aide hours. The total staff turnover rate is 56.7%.
How many beds does Skyland Terrace and Rehabilitation have?▾
Skyland Terrace and Rehabilitation has 90 certified beds with an average of 82.9 residents per day, resulting in approximately 92% occupancy. The facility is For profit - Corporation owned.
Are there other nursing homes near Skyland Terrace and Rehabilitation?▾
Yes, there are 2 other nursing homes in Waynesville, North Carolina with an average rating of 2.7/5. You can compare all facilities on the Waynesville nursing homes page.