Nursing home
Skyland Care Center
193 Asheville Highway, Sylva, NC 28779 · Map
For profit - Corporation · 94 certified beds
Skyland Care Center is a Medicare-certified nursing home in Sylva, North Carolina. CMS rates it 2 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.57 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on Jan 23, 2026 cited 0 deficiencies.
- 2 fines totaling $15,593In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Skyland Care Center compares
This facility vs. the North Carolina and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Carolina avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.57 | 3.78 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.60 | 0.59 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.19 | 2.33 | 2.34 | below avg |
| Nursing staff turnover | 48.5% | 50.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 0.0 | 5.6 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- No health deficiencies cited at the last standard inspection (January 2026)
Penalties in CMS records: 2 fines totaling $15,593, 2 total penalties.
What inspectors found at Skyland Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Nov 21, 2024 · Full report (PDF) - Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Nov 21, 2024 · Full report (PDF) - Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Nov 21, 2024 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jun 30, 2023 - Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Jun 30, 2023
Show all 10 deficiencies
- Potential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Jun 30, 2023 - Potential for harm
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.
Nutrition and Dietary Deficiencies · Jun 30, 2023 - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Jun 30, 2023 - Potential for harm
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 · Jun 30, 2023 - Potential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Jun 30, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 193 Asheville Highway
Sylva, NC 28779 - CMS certification #
- 345400
- Ownership
- For profit - Corporation
- Certified beds
- 94
- Avg residents/day
- 88.1
- Provider type
- Medicare and Medicaid
- First certified
- 1991-09-03
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Skyland Care Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Harris Regional Hospital, Sylva. 0.8 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Vero Health & Rehab of Sylva, Sylva. 0.1 miles away, straight line.
- Nearest home health agency office
- Harris Home Health, Sylva. 1.0 mile away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 28779 as rural (rural area).
- Dialysis within 15 miles
- Davita Sylva Dialysis Center, Sylva, 0.5 miles away, straight line (CMS rating 4 of 5 stars)
- Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 28779.
Carepartners Home Care & Hospice, office in Franklin, 16.4 miles away, straight line
Haywood Hospice And Palliative Care, office in Waynesville, 17.6 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Golnosh Sharafsaleh, MD, Asheville. 39.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively low, inland flooding very high, wildfire very low, tornado relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Skyland Care Center a good nursing home?
CMS gives Skyland Care Center an overall rating of 2 out of 5 stars, including 4/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Skyland Care Center staffed?
Skyland Care Center reports 3.57 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Skyland Care Center had inspection problems?
Its most recent CMS inspection cited 0 deficiencies.
How many beds does Skyland Care Center have?
Skyland Care Center is certified for 94 beds.