Nursing homeActive
Skyland Care Center
193 Asheville Highway, Sylva, NC 28779828586893594 certified beds · 90 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
10
● 0● 8● 2
Penalties · 3 yrs
—
none on file
Last survey
2026-01-23
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 3
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · North Carolina Division of Health Service Regulation · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-01-23 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2024-11-21 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2023-06-30 | Standard | 052 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · North Carolina Division of Health Service Regulation publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-31Record 345400-20241121-F602
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-04Record 345400-20241121-F644
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-12-06Record 345400-20241121-F880
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-07-18Record 345400-20230630-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-07-18Record 345400-20230630-F689
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-18Record 345400-20230630-F554
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-18Record 345400-20230630-F655
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-18Record 345400-20230630-F658
F808Ensure 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.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-18Record 345400-20230630-F808
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-18Record 345400-20230630-F867
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.56
Facility
North Carolina
National
North Carolina 0.61 · National 0.69
Total nurse hours per resident day3.51
Facility
North Carolina
National
North Carolina 3.83 · National 3.86
Weekend total nurse hours2.96
Facility
North Carolina
National
North Carolina 3.40 · National 3.42
Total nursing staff turnover46%
Facility
North Carolina
National
North Carolina 49% · National 46%
Registered nurse turnover31%
Facility
North Carolina
National
North Carolina 46% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | North Carolina | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.1% | 5.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 6.8% | 3.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 11.0% | 14.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 5.6% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 31.7% | 15.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 10.0% | 7.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 15.4% | 21.3% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Cooley, Mistie Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 49% | — | — |
| Gatewood, Thomas Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 51% | — | — |
| Cooley, Mistie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dills, Melissa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Vargas, Carlos Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cooley, Mistie Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Cooley, Mistie Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Dills, Melissa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gatewood, Thomas Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Gatewood, Thomas Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Vargas, Carlos Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or North Carolina.
No county cost figures on file for Jackson.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Vero Health & Rehab of Sylva Sylva | 0.1 mi | 2025-08-14 | 43313 |
| Tsali Care Center Cherokee | 9.9 mi | 2025-08-01 | 0623 |
| Maggie Valley Health and Rehabilitation Center Maggie Valley | 11.6 mi | 2026-03-19 | 092 |
| Autumn Care of Waynesville Waynesville | 12.7 mi | 2026-06-04 | 2245 |
| Mountain View Manor Nursing Center Bryson City | 14.7 mi | 2026-07-09 | 3331 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |