Nursing home
Skyland Terrace and Rehabilitation
516 Wall Street, Waynesville, NC 28786 · Map
For profit - Corporation · 90 certified beds
Skyland Terrace and Rehabilitation is a Medicare-certified nursing home in Waynesville, North Carolina. CMS rates it 3 out of 5 stars overall (4/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.68 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on Dec 6, 2024 cited 5 deficiencies.
- 1 fine totaling $8,512In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Skyland Terrace and Rehabilitation 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) | 3.68 | 3.78 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.53 | 0.59 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.36 | 2.33 | 2.34 | above avg |
| Nursing staff turnover | 56.7% | 50.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 5.0 | 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.
- Every deficiency from the February 19, 2026 inspection was corrected by March 4, 2026
Penalties in CMS records: 1 fine totaling $8,512, 1 total penalty.
What inspectors found at Skyland Terrace and Rehabilitation
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
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Feb 19, 2026 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Feb 19, 2026 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Feb 19, 2026 · Full report (PDF) - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Apr 30, 2025 · Full report (PDF) - Actual harm
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care Deficiencies · Dec 6, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Dec 6, 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 · Dec 6, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Dec 6, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jul 14, 2023 - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Jul 14, 2023 - Potential for harm
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 · Jul 14, 2023 - Potential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Jul 14, 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
- 516 Wall Street
Waynesville, NC 28786 - CMS certification #
- 345411
- Ownership
- For profit - Corporation
- Certified beds
- 90
- Avg residents/day
- 82.9
- Provider type
- Medicare and Medicaid
- First certified
- 1992-01-24
- 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 Terrace and Rehabilitation using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Haywood Regional Medical Center, Clyde. 3.1 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Autumn Care of Waynesville, Waynesville. 2.9 miles away, straight line.
- Nearest home health agency office
- Home Care Services Of Haywood Regional Medical Center, Waynesville. 2.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 15.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 28786 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Davita Waynesville Dialysis Center, Clyde, 3.7 miles away, straight line (CMS rating 5 of 5 stars)
Davita Sylva Dialysis Center, Sylva, 14.8 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 28786.
Haywood Hospice And Palliative Care, office in Waynesville, 2.6 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Golnosh Sharafsaleh, MD, Asheville. 25.6 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 moderate. By hazard: hurricane relatively low, inland flooding relatively high, wildfire relatively 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 relatively 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 |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Skyland Terrace and Rehabilitation a good nursing home?
CMS gives Skyland Terrace and Rehabilitation an overall rating of 3 out of 5 stars, including 4/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Skyland Terrace and Rehabilitation staffed?
Skyland Terrace and Rehabilitation reports 3.68 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Skyland Terrace and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does Skyland Terrace and Rehabilitation have?
Skyland Terrace and Rehabilitation is certified for 90 beds.