GoodStanding

Nursing home report

Skyland Care Center

Sylva, NC · Medicare-certified · 94 beds

In good standing
For-profit
Data as of July 1, 2026
4 of 5 overall

Skyland Care Center has a 4 out of 5 star overall rating, with 4 stars for health inspections and 3 stars for staffing and quality measures. It reports 3.51 nurse staffing hours per resident per day, below the federal benchmark of 4.1, and has had no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.5138 hrs/resident/day

Quality measures

Last inspection: January 23, 2026Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5138.

Staffing detail

Registered nurses
0.56
Licensed practical nurses
0.75
Nurse aides
2.20
Weekend nursing
2.96

Hours per resident per day.

Total staff turnover: 46%
Registered nurse turnover: 31%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

15.9%7.8%Improving

Residents with a fall causing major injury

7.5%4%Improving

Residents with pressure ulcers (bedsores)

8.4%1.5%Improving

Residents with a urinary tract infection

5.1%4%Improving

Residents who lost too much weight

8.3%13%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

21.4%14.3%Improving

Residents whose ability to walk got worse

33.9%16%Improving

Long-stay residents on antianxiety or sleep medication

16.2%14.5%Improving

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

1.2%0%Improving

Residents with new or worsening incontinence

31.5%16.5%Improving

Residents with depressive symptoms

0%0%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

97.6%

Long-stay residents given the pneumonia vaccine

100%81.3%Worsening

Short-stay residents given the seasonal flu vaccine

82.6%

Short-stay residents given the pneumonia vaccine

84%27.4%Worsening

What the inspectors found

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: J

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: F

The home failed to protect residents from the wrongful use of their belongings or money. Cited November 2024 — isolated incident, potential for harm.

View the original federal record

F-Tag 602 — 42 CFR §483.12 — S/S: D

The nursing home failed to coordinate resident assessments with required screening and make needed service referrals. Cited November 2024 — isolated incident, potential for harm.

View the original federal record

F-Tag 644 — 42 CFR §483.20 — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found

Operator & ownership

Ownership
For profit - Corporation
Occupancy
90.4 residents on an average day (96% of 94 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 34 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.