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    Nursing home · Waynesville, NC

    Skyland Terrace and Rehabilitation

    516 Wall Street, Waynesville, NC 28786

    CMS certification number: 345411 · Updated October 1, 2026

    Request care assistance8284523154Directions

    At a glance

    Official CMS profile

    CMS overall rating

    4 / 5

    Certified beds

    90

    Residents / day

    81.1

    Ownership

    For profit - Corporation

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Corporation
    County
    Haywood
    Certified beds
    90
    Average residents per day
    81.1
    First certified
    January 24, 1992

    CMS quality ratings

    Overall
    4 / 5
    Health inspections
    4 / 5
    Staffing
    3 / 5
    Quality measures
    3 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Haywood, North Carolina. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    4.00
    County peers
    2.25
    n=4
    State peers
    3.01

    Nurse hours / resident / day

    This home
    3.27
    County peers
    3.54
    n=4
    State peers
    3.87
    n=404

    Weekend nurse hours / resident / day

    This home
    2.85
    County peers
    3.11
    n=4
    State peers
    3.40
    n=404

    Nursing staff turnover (%)

    This home
    61.50
    County peers
    58.45
    n=4
    State peers
    48.65
    n=394

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 13.0% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 61.5% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    6
    Health citations
    13
    Resident measures
    17
    Ownership records
    7
    Penalties
    1
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    3.27252
    Reported RN Staffing Hours per Resident per Day
    0.80215
    Reported LPN Staffing Hours per Resident per Day
    0.58468
    Reported Nurse Aide Staffing Hours per Resident per Day
    1.88570
    Total number of nurse staff hours per resident per day on the weekend
    2.84869
    Registered Nurse hours per resident per day on the weekend
    0.43207
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.06867
    Total nursing staff turnover
    61.5
    Registered Nurse turnover
    30.0
    Number of administrators who have left the nursing home
    0
    Chain Name
    Not reported
    Number of Facilities in Chain
    Not reported
    Chain Average Overall 5-star Rating
    Not reported
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    NC
    Urban
    N
    Chain ID
    Not reported
    Latitude
    35.4936
    Location
    516 Wall Street,Waynesville,NC,28786
    ZIP Code
    28786
    City/Town
    Waynesville
    Longitude
    -82.982
    QM Rating
    3
    Abuse Icon
    N
    Chain Name
    Not reported
    County/Parish
    Haywood
    Provider Name
    Skyland Terrace and Rehabilitation
    Provider Type
    Medicare and Medicaid
    Overall Rating
    4
    Ownership Type
    For profit - Corporation
    Number of Fines
    1
    Processing Date
    2026-10-01
    Staffing Rating
    3
    Provider Address
    516 Wall Street
    Telephone Number
    8284523154
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    COOLGATE INC
    Long-Stay QM Rating
    2
    High Performing Icon
    N
    Short-Stay QM Rating
    4
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.29310
    Chain Average QM Rating
    Not reported
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    4
    Number of Certified Beds
    90
    Provider SSA County Code
    430
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    0
    Registered Nurse turnover
    30.0
    Total Number of Penalties
    1
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    0.91693
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    61.5
    Chain Average Staffing Rating
    Not reported
    Number of Facilities in Chain
    Not reported
    Short-Stay QM Rating Footnote
    Not reported
    CMS Certification Number (CCN)
    345411
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    8512.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    12
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    18.000
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    81.1
    Chain Average Overall 5-star Rating
    Not reported
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    36
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    Not reported
    Rating Cycle 1 Health Deficiency Score
    12
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    36
    Rating Cycle 1 Standard Survey Health Date
    2026-02-19
    Rating Cycle 2 Standard Health Survey Date
    2024-12-06
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.86795
    Case-Mix RN Staffing Hours per Resident per Day
    0.63418
    Reported RN Staffing Hours per Resident per Day
    0.80215
    Adjusted LPN Staffing Hours per Resident per Day
    0.63264
    Case-Mix LPN Staffing Hours per Resident per Day
    0.79027
    Reported LPN Staffing Hours per Resident per Day
    0.58468
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    3
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    5
    Rating Cycle 1 Number of Standard Health Deficiencies
    3
    Rating Cycle 2 Number of Standard Health Deficiencies
    4
    Reported Licensed Staffing Hours per Resident per Day
    1.38683
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    0
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    2.04040
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    2.15236
    Number of administrators who have left the nursing home
    0
    Reported Nurse Aide Staffing Hours per Resident per Day
    1.88570
    Adjusted Total Nurse Staffing Hours per Resident per Day
    3.54099
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    3.57681
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    3
    Reported Total Nurse Staffing Hours per Resident per Day
    3.27252
    Registered Nurse hours per resident per day on the weekend
    0.43207
    Date First Approved to Provide Medicare and Medicaid Services
    1992-01-24
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.06867
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    3.08239
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    3.14785
    Total number of nurse staff hours per resident per day on the weekend
    2.84869

    COMMUNITY EXPERIENCE

    Reviews of Skyland Terrace and Rehabilitation

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026