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Nursing Home · Waynesville, NC
516 Wall Street, Waynesville, NC 28786
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: 90 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.
Ask about these reported findings and check the latest official record.
Your next step
You don't need to know everything. Start with these questions.
Skyland Terrace and Rehabilitation has a strong overall Medicare rating. Medicare reports an average of 0.65 registered-nurse hours per resident per day. Ask how coverage varies across shifts. Public Google reviews average 4.1 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 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.
AI summaries of public opinions. These describe review sentiment, not verified care quality.
Reviews are sharply divided between staff being described as 'dream team' members and others being called 'rude and lazy'.
Multiple reviewers cited difficulty reaching staff or poor communication regarding patient care.
While some praise the facility for being clean and odor-free, others describe it as 'disgusting' and 'nasty'.
Recent reviews specifically mention that meals look, smell, and taste great.
One reviewer reported medication errors, while another praised the staff for quickly resolving a prescription delay.
A family member of a dementia patient reported severe neglect and poor treatment.
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 · 37 analyzed
This facility responds to some reviews.
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.”
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
7
measures
6
measures
4
measures
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 the flu
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
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
Detailed Medicare record · up to 3-year lookback
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.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
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.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
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.
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.
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.
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
Skyland Terrace and Rehabilitation
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
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. 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.
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