nursing home in Waynesville, NC
Skyland Terrace and Rehabilitation
516 Wall Street, Waynesville, NC 28786 · (828) 452-3154
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★3
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Skyland Terrace and Rehabilitation at a glance
Skyland Terrace and Rehabilitation is a 90-bed for-profit nursing home in Waynesville, North Carolina (Haywood County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the North Carolina average of 2.9.
Residents receive about 3.4 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (February 19, 2026) found 3 health citations. The North Carolina average is 4.7.
Federal regulators fined it 1 time in the past three years, totaling $8,512.
Nursing staff turnover is 53.3% per year (state average 49%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 90
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- January 24, 1992
- Resident/family council
- Resident
- County
- Haywood County
- CMS Certification Number
- 345411
Ratings
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 2.9 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.9 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 3.4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.39 hrs | 3.85 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.65 hrs | 0.62 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.98 hrs | 2.34 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.00 hrs | 3.42 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 53.3% | 49% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 40% | 45.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 3 | 5 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 18 | 49.2 | 80.6 | Better |
Penalties
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $8,512 | $36,617 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 90 | 105 | 107 | |
| Average residents per day | 83 | 87 | 86 | |
| Occupancy | 92.7% | 83.6% | 80.9% |
Long-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.4% | 3.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 3.8% | 5.5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 11.8% | 14% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.3% | 2.3% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.8% | 0.7% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 23.9% | 15.6% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 14.9% | 18.3% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 9.9% | 7.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 7.3% | 5.9% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 27.6% | 21.3% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 30.1% | 20.7% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 94.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 96.9% | 92% | 93.6% | Average |
Short-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.4% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 66.7% | 78.1% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 68.5% | 80.6% | 82% | Worse |
Inspection citations
State inspectors cited this home for 13 health deficiencies and 6 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| February 19, 2026 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected June 21, 2026 |
| February 19, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected May 11, 2026 |
| February 19, 2026 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | D Potential harm, isolated | Corrected May 13, 2026 |
| February 19, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected May 21, 2026 |
| February 19, 2026 Standard | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected March 4, 2026 |
| February 19, 2026 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected March 4, 2026 |
| February 19, 2026 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected March 4, 2026 |
| April 30, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected May 17, 2025 |
| December 6, 2024 Standard | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Tag F0745 | G Actual harm, isolated | Corrected December 19, 2024 |
| December 6, 2024 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected December 20, 2024 |
| December 6, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected December 11, 2024 |
| December 6, 2024 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected December 11, 2024 |
| July 14, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected October 6, 2023 |
| July 14, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected October 6, 2023 |
| July 14, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected July 31, 2023 |
| July 14, 2023 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected July 31, 2023 |
| July 14, 2023 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | E Potential harm, pattern | Corrected July 31, 2023 |
| July 14, 2023 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected July 31, 2023 |
| July 14, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected July 31, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $8,512 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| December 6, 2024 | Fine | $8,512 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| COOLEY, MISTIE Individual | 5% or greater direct ownership interest | 49% | 10/01/2022 |
| GATEWOOD, THOMAS Individual | 5% or greater direct ownership interest | 51% | 10/01/2022 |
| COOLEY, MISTIE Individual | corporate officer | NOT APPLICABLE | 10/01/2022 |
| GATEWOOD, THOMAS Individual | corporate officer | NOT APPLICABLE | 10/01/2022 |
| COOLEY, MISTIE Individual | managing control - governing body | NOT APPLICABLE | 10/01/2022 |
| COOLEY, MISTIE Individual | operational/managerial control | NOT APPLICABLE | 01/19/2025 |
| GATEWOOD, THOMAS Individual | operational/managerial control | NOT APPLICABLE | 01/19/2025 |
Other nursing homes near Skyland Terrace and Rehabilitation
Autumn Care of Waynesville
360 Old Balsam Road, Waynesville, NC 28786 · 2.9 mi
For-profit · 90 beds · Part of Saber Healthcare Group
★★★★★1Much below averageSmoky Mountain Health and Rehabilitation Center
1349 Crabtree Road, Waynesville, NC 28785 · 3.6 mi
For-profit · 50 beds · Part of Principle Long Term Care
★★★★★3AverageSilver Bluff
100 Silver Bluff Drive, Canton, NC 28716 · 5.8 mi
For-profit · 131 beds · Part of Liberty Senior Living
★★★★★3AverageMaggie Valley Health and Rehabilitation Center
75 Fisher Loop, Maggie Valley, NC 28751 · 6.8 mi
For-profit · 114 beds
★★★★★2Below averageVero Health & Rehab of Sylva
417 Cloverdale Road, Sylva, NC 28779 · 15.2 mi
For-profit · 106 beds · Part of Regional Health Properties
- Special Focus candidate
★★★★★1Much below average- ★★★★★4Above average
Frequently asked questions
What is Skyland Terrace and Rehabilitation's rating?
Skyland Terrace and Rehabilitation has 4 out of 5 stars on the CMS overall star rating. The average for North Carolina nursing homes is 2.9 stars.
How many inspection citations did Skyland Terrace and Rehabilitation receive?
Its most recent standard health inspection found 3 citations, compared with a North Carolina average of 4.7. Every citation is listed on this page with its severity.
Does Skyland Terrace and Rehabilitation accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Skyland Terrace and Rehabilitation?
It is for profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Skyland Terrace and Rehabilitation and how do I contact it?
Skyland Terrace and Rehabilitation is at 516 Wall Street, Waynesville, NC 28786. Phone: (828) 452-3154.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.