All states › North Carolina › Sylva › Vero Health & Rehab of Sylva
417 Cloverdale Road Sylva, NC 28779 · Jackson County
All 2 nursing homes in Sylva, NC (2 take Medicaid)
CMS certification number 345302 · See this home on Medicare Care Compare
Is Vero Health & Rehab of Sylva 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 Vero Health & Rehab of Sylva as of October 2026.
CMS rates it 1 out of 5 stars overall, below the North Carolina average of 3.0.
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.
Staffing
Nursing staff spend about 3.79 hours per resident per day at Vero Health & Rehab of Sylva, above the North Carolina median of 3.57 (US median: 3.72). About 0.76 of those hours are from registered nurses. On weekends it falls to 3.24 hours, 14% below its all-week average.
About this nursing home
Paying for care at Vero Health & Rehab of Sylva: Medicare and Medicaid
Vero Health & Rehab of Sylva 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 August 14, 2025 and found 7 deficiencies. In total, inspectors issued 53 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 53 citations at Vero Health & Rehab of Sylva across 7 inspection dates, 43 of them from complaint investigations. 7 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on July 30, 2024 (complaint inspection). The most common areas cited were resident rights (15) and quality of life and care (11). The most serious was cited under the CMS rule to "provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections" (tag F0690, level K, July 30, 2024). 3 citations were under CMS's abuse, neglect and exploitation rules.
August 14, 2025 · 7 citations
FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
DReasonably accommodate the needs and preferences of each resident.
DHonor 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.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
CAssure the security of all personal funds of residents deposited with the facility.
CAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
July 30, 2024 · 17 citations, includes immediate jeopardy · includes complaint inspection
KProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
GHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
FHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
FProvide and implement an infection prevention and control program.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DAllow resident to participate in the development and implementation of his or her person-centered plan of care.
DReasonably accommodate the needs and preferences of each resident.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
CProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
May 22, 2024 · 12 citations, includes immediate jeopardy · includes complaint inspection
JImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
JProvide appropriate treatment and care according to orders, resident’s preferences and goals.
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
JEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
GProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
GEnsure that residents are free from significant medication errors.
FHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
EDesignate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
ESet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
DHonor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
November 30, 2023 · 5 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
DProvide and implement an infection prevention and control program.
November 21, 2023 · 2 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
GProvide safe, appropriate pain management for a resident who requires such services.
October 18, 2023 · 7 citations, includes actual harm · includes complaint inspection
GHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EEnsure medication error rates are not 5 percent or greater.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DEnsure that residents are free from significant medication errors.
DSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
DProvide and implement an infection prevention and control program.
BEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
January 20, 2023 · 3 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
ESet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Questions to ask on a tour of Vero Health & Rehab of Sylva
- Inspectors cited the home at the immediate-jeopardy level on July 30, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on July 30, 2024. How are staff trained, and how are concerns reported?
- There were 5 infection-control citations. Who leads infection prevention, and what is the current outbreak policy?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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
6 penalties in the last three years, including $359,818 in fines.
| Date | Type | Amount or length |
|---|---|---|
| May 22, 2024 | Fine | $325,563 |
| May 22, 2024 | Payment Denial | 67 days of payments denied |
| Oct 18, 2023 | Fine | $7,901 |
| Oct 18, 2023 | Fine | $10,065 |
| Oct 18, 2023 | Fine | $16,289 |
| Oct 18, 2023 | Payment Denial | 1 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 2/5 | 3/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 2/5 |
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Location
Hospitals near Vero Health & Rehab of Sylva
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
0.8 mi
C J Harris Community Hospital SylvaEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 54m for patients treated and sent home
- 0.8 mi
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13.6 mi
Dlp Swain County Hospital LLC Bryson CityEmergency roomMedian ER visit 1h 21m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Higher-rated nursing homes within 10 miles
- Skyland Care Center · Sylva · 4 stars · 0.1 mi
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.