North Carolina › Jackson County › Sylva
Skyland Care Center
193 Asheville Highway, Sylva, NC 28779
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Skyland Care Center is a For-profit, corporation nursing home in Sylva, North Carolina, certified for 94 beds and caring for about 90 residents a day.
CMS gives it 4 of 5 stars overall, above the North Carolina median of 3; the health inspection rating is 4, staffing 3 and quality measures 3.
Inspectors recorded 10 health deficiencies across the three most recent survey cycles (0, 3, 7 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 10.6 per 100 beds, fewer than the state median of 15.6.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.5 hours per resident per day (0.6 RN), close to the North Carolina median of 3.5; nursing staff turnover is 46.0%.
Compared with county, state and nation
| Measure | This facility | Jackson Co. median | North Carolina median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 10 | 53 | 16 | 28.7 |
| Citations per 100 beds | 10.6 | 50.0 | 15.6 | 26.8 |
| Total nurse hours per resident day | 3.5 | 3.7 | 3.5 | 3.9 |
| RN hours per resident day | 0.6 | 0.9 | 0.5 | 0.7 |
| Nursing staff turnover | 46.0% | 46.0% | 48.6% | 45.8% |
| Fines listed | $0 | $359,818 | $8,512 | — |
County and state figures are medians across facilities (2 in the county, 419 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: North Carolina average per facility for the same cycle, as published by CMS. Standard health survey dates: 23 Jan 2026, 21 Nov 2024.
Severity mix: J ×2 D ×7 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 21 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 6 Dec 2024 |
| 21 Nov 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 31 Mar 2024 |
| 21 Nov 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 4 Dec 2024 |
| 30 Jun 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Standard survey | 18 Jul 2023 |
| 30 Jun 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 18 Jul 2023 |
| 30 Jun 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 18 Jul 2023 |
| 30 Jun 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 18 Jul 2023 |
| 30 Jun 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 18 Jul 2023 |
| 30 Jun 2023 | F0808 | Ensure 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. | D | Standard survey | 18 Jul 2023 |
| 30 Jun 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard survey | 18 Jul 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Carolina average. Turnover: nursing staff 46.0%, RNs 31.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 31.7% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.8% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 5.6% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.8% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 21.2% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.1% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.0% | 13.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Bt2, Inc..
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Jackson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Vero Health & Rehab of Sylva | Sylva | 106 | 1 | 1 | 2 | 53 | 50.0 | $360K | 14 Aug 2025 |
All 2 facilities in Jackson County
Questions and answers
How many deficiencies has Skyland Care Center been cited for?
10 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The North Carolina median is 16 per facility.
Has Skyland Care Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Skyland Care Center compare?
Reported total nurse staffing is 3.5 hours per resident per day against a North Carolina median of 3.5 and a national average of 3.9.
Who operates Skyland Care Center?
Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.
When was Skyland Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 21 Nov 2024; the most recent standard health survey was 23 Jan 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.