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Skyland Terrace and Rehabilitation

All states › North Carolina › Waynesville › Skyland Terrace and Rehabilitation

516 Wall Street Waynesville, NC 28786 · Haywood County

(828) 452-3154

All 3 nursing homes in Waynesville, NC (3 take Medicaid)

Accepts Medicare Accepts Medicaid 90 certified beds For profit

CMS certification number 345411 · 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 Terrace and Rehabilitation 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 Terrace and Rehabilitation as of October 2026.

CMS rates it 4 out of 5 stars overall, above the North Carolina average of 3.0. Inspectors issued 13 citations in the last three years. CMS imposed 1 penalty, including $8,512 in fines, 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 3.27 hours per resident per day at Skyland Terrace and Rehabilitation, below the North Carolina median of 3.57 (US median: 3.72). About 0.80 of those hours are from registered nurses. On weekends it falls to 2.85 hours, 13% below its all-week average. 61.5% of nursing staff left within a year (North Carolina median 48.5%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.

Nursing care per resident per day 3.27 hours
Below the North Carolina median of 3.57 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.80 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.85 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 61.5% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 30% 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 beds90
Residents per day 81 About 90% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceJanuary 1992
Legal business nameCOOLGATE INC

Paying for care at Skyland Terrace and Rehabilitation: Medicare and Medicaid

Skyland Terrace and Rehabilitation 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 February 19, 2026 and found 3 deficiencies. In total, inspectors issued 13 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 13 citations at Skyland Terrace and Rehabilitation across 4 inspection dates, 3 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on December 6, 2024. The most common areas cited were pharmacy service (3) and quality of life and care (3). The most serious was cited under the CMS rule to "provide medically-related social services to help each resident achieve the highest possible quality of life" (tag F0745, level G, December 6, 2024). 2 citations were under CMS's abuse, neglect and exploitation rules.

February 19, 2026 · 3 citations

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Mar 4, 2026)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Mar 4, 2026)

DDevelop and implement policies and procedures for flu and pneumonia vaccinations.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (Mar 4, 2026)

April 30, 2025 · 1 citation · includes complaint inspection

DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (May 17, 2025)

December 6, 2024 · 4 citations, includes actual harm · includes complaint inspection

GProvide medically-related social services to help each resident achieve the highest possible quality of life.

Actual harm · Quality of Life and Care Deficiencies · Tag F0745 · Deficient, Provider has date of correction (Dec 19, 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 · Deficient, Provider has date of correction (Dec 20, 2024)

DProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Complaint inspection · Deficient, Provider has date of correction (Dec 11, 2024)

DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Dec 11, 2024)

July 14, 2023 · 5 citations

EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (Jul 31, 2023)

EEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Deficient, Provider has date of correction (Jul 31, 2023)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jul 31, 2023)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Jul 31, 2023)

DEnsure each resident’s drug regimen must be free from unnecessary drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Deficient, Provider has date of correction (Jul 31, 2023)

Questions to ask on a tour of Skyland Terrace and Rehabilitation

  1. Inspectors cited the home at the actual-harm level on December 6, 2024 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 April 30, 2025. How are staff trained, and how are concerns reported?
  3. Nursing staff turnover was 61.5% a year. How many of the staff come from agencies?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. 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

1 penalty in the last three years, including $8,512 in fines.

DateTypeAmount or length
Dec 6, 2024 Fine $8,512

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 4/5 4/5 3/5 3/5
August 2026 4/5 4/5 3/5 3/5
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Location

Hospitals near Skyland Terrace and Rehabilitation

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

Autumn Care of Waynesville Waynesville · 2.9 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 90 beds · Medicaid
Smoky Mountain Health and Rehabilitation Center Waynesville · 3.6 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 50 beds · Medicaid
Silver Bluff Canton · 5.8 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 131 beds · Medicaid
Maggie Valley Health and Rehabilitation Center Maggie Valley · 6.8 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 114 beds · Medicaid
Vero Health & Rehab of Sylva Sylva · 15.2 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 106 beds · Medicaid

More nursing homes near Skyland Terrace and Rehabilitation ›   All nursing homes in Waynesville ›

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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.

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https://www.nursinghomesineachstate.com/north-carolina/waynesville/skyland-terrace-and-rehabilitation/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.