Skyland Care Center
193 Asheville Highway, Sylva, NC 28779
Skyland Care Center, a 94-bed for profit - corporation nursing facility in Sylva, NC, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #124 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 8285868935
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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- #124 of 415
- In-state rank among rated NC homes
- 3.51
- Below average · nurse hrs/day · nat'l 3.86
- 10
- Inspection findings · 2 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
Skyland Care Center, a 94-bed for profit - corporation nursing facility in Sylva, NC, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #124 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.
- 4 / 5
- CMS overall · national 3.0
- #124 of 415
- In-state rank among rated NC homes
- 3.51
- Nurse hrs/resident-day · national 3.86
- 10
- Inspection findings · 2 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 419 NC nursing homes split by ownership sector
This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 345400
- Ownership
- For profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 94
- Residents
- 90
- In Hospital
- No
- County
- Jackson
- Last Inspection
- Jan 23, 2026
Staffing Data
How the 3.51 total nursing hours per resident-day are staffed:
- RN Hours
- 0.56 (nat'l avg: 0.69)
- LPN Hours
- 0.75
- CNA Hours
- 2.20
- Total Nursing Hours
- 3.51 (nat'l avg: 3.86)
- PT Hours
- 0.13
- Nursing Turnover
- 46.0%
- RN Turnover
- 31.3%
What the CMS Record Reveals About Skyland Care Center
According to CMS Nursing Home Compare, Skyland Care Center ranks #124 of 415 rated nursing homes in NC on overall stars (tie-broken by health+staffing+quality, then fewer fines). Skyland Care Center operates 94 certified beds in Sylva, NC with approximately 90 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 3★ · quality 3★).
The inspection file contains 10 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider. Per resident day, this facility reports 3.51 total nursing hours (national average 3.86) and 0.56 RN hours.
Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Skyland Care Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 46.0% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (10 most recent)
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Dec 4, 2024
Protect each resident from the wrongful use of the resident's belongings or money.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Mar 31, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Dec 6, 2024
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Category: Administration Deficiencies
Corrected: Jul 18, 2023
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.
Category: Nutrition and Dietary Deficiencies
Corrected: Jul 18, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jul 18, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jul 18, 2023
Allow residents to self-administer drugs if determined clinically appropriate.
Category: Resident Rights Deficiencies
Corrected: Jul 18, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 18, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 18, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 31.7% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.8% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 5.6% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.8% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 21.2% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.1% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.0% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 10.0% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.0% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 94.2% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 15.4% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 97.6% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 23.8% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 62.6% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 82.6% | No |
Penalty History
No penalties on record.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Skyland Care Center, both outside NC so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside NC (94 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside NC (3.47 here).
Nearby Nursing Homes in NC
418 other nursing homes are on record in NC; 6 are shown here.
Abbotts Creek Center
Lexington, NC
Abernathy Laurels
Newton, NC
Accordius Health at Gastonia
Gastonia, NC
Accordius Health at Rose Manor LLC
Durham, NC
Adams Farm Living & Rehabilitation
Jamestown, NC
Ahoskie Health and Rehabilitation Center
Ahoskie, NC
Understanding Nursing Home Data
What the CMS records show for Skyland Care Center
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The NC registry aggregates state averages and the highest-rated homes in this cohort. View NC registry
- Peer homes near 94 beds show how CMS stars vary at a similar scale in NC. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Skyland Care Center?
Where does Skyland Care Center rank among nursing homes in NC?
What are the staffing levels at Skyland Care Center?
How many beds does Skyland Care Center have?
Does Skyland Care Center have any deficiencies on record?
Has Skyland Care Center received any fines or penalties?
Who owns Skyland Care Center?
When was Skyland Care Center last inspected?
What quality measures are tracked for Skyland Care Center?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
