See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Investigative

Skyland Care Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

193 Asheville Highway, Sylva, NC 2877994 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 19 Google reviews

5
4
3
2
1
Skyland Care Center Nursing Home in Sylva, NC — Street View
Street View

Watch Skyland Care Center

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

2/ 10
low Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)

Below average in NC · Below recommended RN staffing · $15,593 in fines · Zero deficiencies (last inspection)

Source: Medicare data

What this means for your family

While the facility is praised for its cleanliness and rehabilitation therapy, there are recurring reports of significant delays in staff responsiveness and lapses in medical oversight. Families should conduct a thorough tour and ask specific questions about how the facility ensures timely responses to call buttons and maintains consistent medical monitoring for patients with chronic conditions.

Google Reviews

Google Reviews

19 reviews on Google
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.

Quality Themes

Tap a score for details
Food2.0Staff5.0Clean9.0ActivitiesN/AMeds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Clean, well-maintained facility
  • Effective rehabilitation therapy team
  • Compassionate individual staff members

Concerns

  • Slow or non-existent staff response times (mentioned by 2 reviewers)
  • Inconsistent medical care and oversight (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02017(1)3.02018(4)3.32020(4)3.02021(2)3.52024(2)4.02025(4)5.02026(2)

Distribution · 19 analyzed

5
10
4
2
3
1
2
2
1
4

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the high staffing rating, how do you ensure that staff are consistently available to respond to call lights and resident requests in a timely manner?
  • 2I noticed some feedback regarding medication management; could you walk me through your current process for ensuring accuracy and oversight for residents' daily prescriptions?
  • 3How does your leadership team facilitate communication with families to ensure we stay updated on our loved one's health status and care plan changes?
  • 4The facility is consistently praised for its rehabilitation services; how do you integrate that same level of dedicated focus into the daily dining and nutrition experience for residents?
  • 5Since medical oversight is a top priority for our family, what specific protocols do you have in place to ensure consistent physician involvement and monitoring for residents?
  • 6What types of daily social activities or community engagement programs are available to help residents feel connected and active within the facility?

Personalized based on this facility's data


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.

Memory care family member · 2024★★★★★

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

Long-term resident's family · 2025☆☆☆☆

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

Long-term resident's family · 2024★★☆☆☆
Source: 19 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.55hrs
73%
Registered nurses for medical care
Total Nursing
3.48hrs
85%
All nurses + aides combined
Staff Turnover
52%
Lower is better (< 30% = good)
RN Turnover
42%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

7

measures

Worse Than Avg

9

measures

Mixed Results

1

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility35.2%
Worse than Avg
Here
35.2%
US
14.4%
NC
16.4%
Jackson
16.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
NC
5.4%
Jackson
17.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility27.5%
Worse than Avg
Here
27.5%
US
15.3%
NC
20.2%
Jackson
16.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility14.8%
Better than Avg
Here
14.8%
US
19.5%
NC
21.5%
Jackson
24.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility26.7%
Worse than Avg
Here
26.7%
US
19.4%
NC
21.0%
Jackson
20.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility13.0%
Better than Avg
Here
13.0%
US
15.5%
NC
14.1%
Jackson
19.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility82.6%
Better than Avg
Here
82.6%
US
79.8%
NC
78.1%
Jackson
79.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility77.9%
Worse than Avg
Here
77.9%
US
81.8%
NC
80.1%
Jackson
78.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
NC
1.5%
Jackson
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

0deficiencies
2penalties
Well below state avg (5.6)
10 complaint-triggered
$15,593 in fines
Clean record — no deficiencies

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.

Nov 21, 2024Complaint
3
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0602Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Nov 21, 2024Routine
1
0352Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Jun 30, 2023Complaint
7
0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0655Potential for harm · IsolatedCorrected

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

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0808Potential for harm · IsolatedCorrected

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.

0867Potential for harm · IsolatedCorrected

Administration Deficiencies

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

Jun 30, 2023Routine
3
0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Aug 26, 2021Routine
1
0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Federal Penalties

Fine

Jun 30, 2023

$7,796

Fine

Jun 30, 2023

$7,797

Ownership & Operations

Who Operates This Facility

Owner / Operator

Skyland Care Center

Organization Type

for profit

Ownership & Management

Owners

Cooley, Mistie

Owner

49%

Gatewood, Thomas

Owner

51%

Key personnel

Cooley, MistieManaging Control - Governing BodyGatewood, ThomasManaging Control - Governing BodyCooley, MistieOfficer / DirectorGatewood, ThomasOfficer / DirectorCooley, MistieManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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. 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.

Safer Alternatives Nearby

Based on current clinical data, we identified 5 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

Call