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 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.
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.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Protect each resident from the wrongful use of the resident's belongings or money.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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, 2022 |
| GATEWOOD, THOMAS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 51% | Oct 1, 2022 |
| COOLEY, MISTIE | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Oct 1, 2022 |
| COOLEY, MISTIE | CORPORATE OFFICER | Individual | N/A | Oct 1, 2022 |
| GATEWOOD, THOMAS | CORPORATE OFFICER | Individual | N/A | Oct 1, 2022 |
| COOLEY, MISTIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 19, 2025 |
| GATEWOOD, THOMAS | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 19, 2025 |
Compare CMS ratings and recorded fines for Skyland Terrace and Rehabilitation 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.