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Nursing Home · Sylva, NC
193 Asheville Highway, Sylva, NC 28779
Map location from our source data
Medicare overall rating
4 / 5 stars
Inspection records →About this listing
Catalog updated Sep 1, 2026. Current services and availability are unconfirmed.
Monthly cost
Ask for the full monthly cost, including care fees and one-time charges.
Availability
We don't have live openings. Ask about current availability, waiting lists, and move-in timing.
Reported capacity: 94 beds. This is not the number of openings.
Contact information →Care & support
Provides nursing care and help with daily activities. Some offer short-term rehabilitation.
This describes the care category. Confirm support for your family member's needs.
Understand care types →Payment options
Participation is reported in our source data. Confirm eligibility, covered services, and any private-pay costs.
Medicare participation does not mean all stays or services are covered.
Your next step
You don't need to know everything. Start with these questions.
Skyland Care Center has a strong overall Medicare rating. Medicare reports an average of 0.56 registered-nurse hours per resident per day. Ask how coverage varies across shifts. Public Google reviews average 3.6 out of 5. Read both positive and critical feedback, and ask how concerns are handled. Review the component ratings and current source records before deciding.
Skyland Care Center receives polarized feedback, with some families praising the facility for its cleanliness and effective rehabilitation services, while others report significant concerns regarding neglect and poor communication. While some residents experience compassionate care, multiple reviewers have highlighted serious issues with staff responsiveness and the consistency of medical oversight.
AI summaries of public opinions. These describe review sentiment, not verified care quality.
Reviews are split between praise for compassionate care and reports of inconsiderate, unresponsive staff.
Families reported frustration with unmet promises regarding medical equipment and care protocols.
Multiple reviewers consistently describe the facility as clean and well-maintained.
One reviewer noted incomplete food trays and missing menu items.
A reviewer reported dangerous lapses in blood sugar monitoring and equipment availability.
Scores range from 0 (negative) to 10 (positive). They are model interpretations of reviews and are not clinical, safety, or inspection ratings. Unmentioned topics are omitted.
Strengths
Concerns
Rating Trends
Tap a year to see what changed
Distribution · 19 analyzed
Key Review Excerpts
“Everyone from the doctors, nurses, CNAs, physical, occupational and speech therapist, as well as the care coordination staff have been absolutely wonderful! The facility is always very clean and well maintained with a home like feel.”
“Goodluck getting a nurse to or CNA to help if you need one you will lay there for over an hour waiting…. If you need ice or water good luck… very poor experience”
“we were told good things about it but we're severely disappointed they won't check on patients for 5-6 hours they told us they had a c pap for her when they didn't so she had to go without it until the next day”
Reported nursing hours are daily averages per resident. They do not describe a specific shift or guarantee one-to-one care.
Per resident, per day
Nurses and aides combined
Reported by Medicare
Registered nurses
Ask during your visit: Who will help my family member during the day and overnight? How do you plan staffing when residents need more support?
EveryPlace uses reference points of 0.75 registered-nurse hours and 4.1 total nursing hours per resident per day. These are comparison targets, not current federal minimum requirements or a determination that a facility meets a resident's needs.
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
8
measures
1
measures
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents who lost too much weight
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Families have filed multiple complaints triggering two-thirds of the deficiencies, indicating ongoing concerns about care quality at this facility. The most frequent issues involve care planning and assessment, fire safety systems, and treatment according to resident preferences. While the facility has corrected most deficiencies, complaints continue into 2024 with recent issues in infection control and resident protection, suggesting persistent quality challenges that warrant careful evaluation during any visit.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Smoke Deficiencies
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Nutrition and Dietary Deficiencies
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.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Skyland Care Center
for profit
Owners
Cooley, Mistie
Owner
Gatewood, Thomas
Owner
Key personnel
Contact the provider directly when you feel ready. Have your questions handy and ask for answers in writing.
Confirm current status with NC Division of Health Service Regulation. A direct record link is not available in this catalog.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
19 reviews from families & visitors
Official Website
Visit skylandcarecenternc.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
Nearby places may offer different services. Check care type and availability as you compare.
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