Nursing homeActive
Skyland Terrace and Rehabilitation
516 Wall Street, Waynesville, NC 28786828452315490 certified beds · 83 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
13
● 0● 12● 1
Penalties · 3 yrs
$8,512
1 fine
Last survey
2026-02-19
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 |
|---|---|---|---|---|
| 2026-02-19 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2025-04-30 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-12-06 | Standard | 031 | CMS-2567 (Care Compare) | — |
| 2023-07-14 | Standard | 050 | 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.
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-04Record 345411-20260219-F578
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-04Record 345411-20260219-F684
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-04Record 345411-20260219-F883
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-17Record 345411-20250430-F600
F745Provide medically-related social services to help each resident achieve the highest possible quality of life.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-12-19Record 345411-20241206-F745
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 2024-12-20Record 345411-20241206-F602
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-11Record 345411-20241206-F686
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-11Record 345411-20241206-F812
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-31Record 345411-20230714-F641
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-31Record 345411-20230714-F756
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-31Record 345411-20230714-F757
F760Ensure that residents are free from significant medication errors.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-31Record 345411-20230714-F760
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-31Record 345411-20230714-F812
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-12-06 | Civil money penalty | $8,512 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.65
Facility
North Carolina
National
North Carolina 0.61 · National 0.69
Total nurse hours per resident day3.39
Facility
North Carolina
National
North Carolina 3.83 · National 3.86
Weekend total nurse hours3.00
Facility
North Carolina
National
North Carolina 3.40 · National 3.42
Total nursing staff turnover53%
Facility
North Carolina
National
North Carolina 49% · National 46%
Registered nurse turnover40%
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 | 3.8% | 5.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.4% | 3.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 11.8% | 14.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.3% | 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 | 23.9% | 15.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 9.9% | 7.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 27.6% | 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 | — | — |
| Gatewood, Thomas Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cooley, Mistie Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Cooley, Mistie Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Gatewood, Thomas Individual | CORPORATE OFFICER | 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 Haywood.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Autumn Care of Waynesville Waynesville | 2.9 mi | 2026-06-04 | 2245 |
| Smoky Mountain Health and Rehabilitation Center Waynesville | 3.6 mi | 2026-03-19 | 0100 |
| Silver Bluff Canton | 5.8 mi | 2026-01-08 | 080 |
| Maggie Valley Health and Rehabilitation Center Maggie Valley | 6.8 mi | 2026-03-19 | 092 |
| Vero Health & Rehab of Sylva Sylva | 15.2 mi | 2025-08-14 | 43313 |
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 |