facebook tracking Skyland Care Center, Sylva NC: CMS Ratings & Inspections
Skip to content
Nursing homes near meNear me

Skyland Care Center

All states › North Carolina › Sylva › Skyland Care Center

193 Asheville Highway Sylva, NC 28779 · Jackson County

(828) 586-8935

All 2 nursing homes in Sylva, NC (2 take Medicaid)

Accepts Medicare Accepts Medicaid 94 certified beds For profit

CMS certification number 345400 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Skyland Care Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Skyland Care Center as of October 2026.

CMS rates it 4 out of 5 stars overall, above the North Carolina average of 3.0. Inspectors issued 10 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 4 out of 5; for long-term residents, 2 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Next steps

Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.62 hours per resident per day at Skyland Care Center, about the same as the North Carolina median of 3.57 (US median: 3.72). About 0.57 of those hours are from registered nurses. On weekends it falls to 3.23 hours, 11% below its all-week average. 41.3% of nursing staff left within a year (North Carolina median 48.5%).

Nursing care per resident per day 3.62 hours
About the North Carolina median Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.57 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.23 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 41.3% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 14.3% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds94
Residents per day 90 About 96% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceSeptember 1991
Legal business nameBT2, INC.

Paying for care at Skyland Care Center: Medicare and Medicaid

Skyland Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Carolina's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on January 23, 2026 and found 0 deficiencies. In total, inspectors issued 10 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: 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.

What the inspections found

Over the last three years, inspectors issued 10 citations at Skyland Care Center across 2 inspection dates, 3 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on June 30, 2023. The most common areas cited were resident assessment and care planning (3) and quality of life and care (2). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level J, June 30, 2023). 1 citation was under CMS's abuse, neglect and exploitation rules.

November 21, 2024 · 3 citations · includes complaint inspection

FProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Dec 6, 2024)

DProtect each resident from the wrongful use of the resident's belongings or money.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 · Complaint inspection · Past Non-Compliance (Mar 31, 2024)

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Complaint inspection · Deficient, Provider has date of correction (Dec 4, 2024)

June 30, 2023 · 7 citations, includes immediate jeopardy

JProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Jul 18, 2023)

JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Jul 18, 2023)

DAllow residents to self-administer drugs if determined clinically appropriate.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0554 · Deficient, Provider has date of correction (Jul 18, 2023)

DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Jul 18, 2023)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Jul 18, 2023)

DEnsure 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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0808 · Deficient, Provider has date of correction (Jul 18, 2023)

DSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Potential for more than minimal harm · Administration Deficiencies · Tag F0867 · Deficient, Provider has date of correction (Jul 18, 2023)

Questions to ask on a tour of Skyland Care Center

  1. Inspectors cited the home at the immediate-jeopardy level on June 30, 2023 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on November 21, 2024. How are staff trained, and how are concerns reported?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 4/5 4/5 3/5 3/5
August 2026 4/5 4/5 3/5 3/5
Add this rating badge to your websiteFree. Shows Skyland Care Center's Medicare star rating and updates itself.

Size and colour

Preview

Skyland Care Center Medicare star rating badge

Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.

Examples, sizes and help on the badge page ›

Location

Hospitals near Skyland Care Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Vero Health & Rehab of Sylva Sylva · 0.1 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 106 beds · Medicaid
Tsali Care Center Cherokee · 9.9 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 5/5 100 beds · Medicaid
Maggie Valley Health and Rehabilitation Center Maggie Valley · 11.6 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 114 beds · Medicaid
Autumn Care of Waynesville Waynesville · 12.7 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 90 beds · Medicaid
Mountain View Manor Nursing Center Bryson City · 14.7 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 120 beds · Medicaid

More nursing homes near Skyland Care Center ›   All nursing homes in Sylva ›

Compare Skyland Care Center with the 3 closest homes side by side ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

Compare

https://www.nursinghomesineachstate.com/north-carolina/sylva/skyland-care-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.