Skyland Terrace and Rehabilitation
Strong Medicare quality ratings; families often praise highly effective physical therapy team. Still worth an in-person visit.
based on 36 Google reviews
Watch Skyland Terrace and Rehabilitation
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.
What this means for your family
This facility has a strong reputation for physical therapy and administrative support, which can be very helpful for rehab patients. However, because multiple families have reported serious concerns regarding hygiene and basic resident care, we strongly recommend unannounced visits at different times of the day to observe the quality of care firsthand.
Google Reviews
Google Reviews
36 reviews on Google“Skyland Terrace and Rehabilitation (formerly Brian Center Waynesville) receives highly polarized feedback, with many reviewers praising the dedicated therapy team and compassionate nursing staff, while others report severe neglect and hygiene issues. Families should be aware of a significant divide in experiences, as some report excellent, attentive care while others describe instances of residents being left in soiled conditions and experiencing poor communication.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical therapy team
- Attentive and compassionate nursing staff
- Helpful administrative support for insurance/Medicaid
- Clean, odor-free environment (noted by multiple reviewers)
Concerns
- Poor hygiene and lack of basic care (soiled linens/clothing) (mentioned by 3 reviewers)
- Rude or lazy staff interactions (mentioned by 3 reviewers)
- Poor communication between staff and family members (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 37 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1I noticed your physical therapy team receives great feedback; how do you integrate those services into the daily routine for residents who need rehabilitation?
- 2We want to ensure our loved one feels well-cared for throughout the day; what protocols do you have in place to ensure consistent hygiene and timely assistance with personal needs?
- 3Given that communication is so important to us, what is the best way for families to stay updated on their loved one's daily status and any changes in their care plan?
- 4I see your administrative team is very helpful with insurance and Medicaid; how do you handle the coordination of medication management to ensure accuracy and safety?
- 5Since you have a 4-star staffing rating, how do you foster a supportive environment for your team to ensure they remain attentive and compassionate during every shift?
- 6I appreciate that you actively engage with online feedback; how do you use family input to continuously improve the quality of life and activities for residents in your care?
Personalized based on this facility's data
Key Review Excerpts
“I Was a nurse for 40 years and I observed that the personnel were very attentive. The therapy department was excellent and nursing always addressed pain management.”
“Ive went in on several occasions and found her soaked in urine and feces and the nurses say there doing the best they can HA thats not the best you can sorry! Her things go missing all the time and the staff is super rude.”
“The nursing staff is attentive, friendly, and takes care of all the needs of the patients physically and mentally. The office staff is helpful when you are trying to fill out forms for Medicaid or understand different insurances.”
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
6
measures
4
measures
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
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
Skyland Terrace has faced recurring issues across multiple care areas, with families filing complaints about resident protection and pressure ulcer care in recent years. The facility shows repeated problems with medication management (cited four times), food safety (twice), and resident assessment practices, though all deficiencies have been corrected by the facility.
Feb 19, 2026Routine3
Resident Rights Deficiencies
Honor 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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Apr 30, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Dec 6, 2024Routine2
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Dec 6, 2024Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Jul 14, 2023Routine7
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Federal Penalties
Fine
Dec 6, 2024
$8,512
Ownership & Operations
Who Operates This Facility
Skyland Terrace and Rehabilitation
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
36 reviews from families & visitors
Official Website
Visit skylandterrace.net
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.
Nearby Alternatives
Chestnut Park Retirement Center
< 1 miAssisted Living · Waynesville, NC
Haywood Lodge and Retirement Center
< 1 miAssisted Living · Waynesville, NC
Mccracken Rest Home
< 1 miAssisted Living · Waynesville, NC
Autumn Care of Waynesville
2.7 miNursing Home · Waynesville, NC
Spicewood Cottages Elms
3.0 miAssisted Living · Clyde, NC
Spicewood Cottages Meadows
3.0 miAssisted Living · Clyde, NC