Skyland Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 19 Google reviews

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.
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)
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 detailsStrengths
- 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
Distribution · 19 analyzed
How They Respond to Reviews
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.”
“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”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
7
measures
9
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 whose bladder or bowel control got worse
Residents on antipsychotic medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2024Complaint3
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.
Nov 21, 2024Routine1
Smoke Deficiencies
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Jun 30, 2023Complaint7
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.
Jun 30, 2023Routine3
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.
Aug 26, 2021Routine1
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
Skyland Care Center
for profit
Ownership & Management
Owners
Cooley, Mistie
Owner
Gatewood, Thomas
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
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. 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.
The Hermitage
2.4 miAssisted Living · Sylva, NC
Morningstar Assisted Living
2.9 miAssisted Living · Sylva, NC
Vero Health & Rehab of Sylva
3.0 miNursing Home · Sylva, NC
Tsali Care Center
9.4 miNursing Home · Cherokee, NC
Maggie Valley Nursing and Rehabilitation
11.6 miNursing Home · Maggie Valley, NC