The home failed to provide needed social services to help each resident reach the best possible quality of life. Cited December 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 745 — 42 CFR §483.40 — S/S: G
Nursing home report
Skyland Terrace and Rehabilitation
Waynesville, NC · Medicare-certified · 90 beds
Needs attention
For-profit
4 of 5 overall
Skyland Terrace and Rehabilitation in Waynesville, NC has an overall rating of 4 out of 5 stars, with 4-star health inspection and quality ratings and a 3-star staffing rating. Reported nurse staffing is 3.64 hours per resident per day versus the 4.1-hour federal benchmark, and the facility had $8,512 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.638 hrs/resident/day
Quality measures
Last inspection: February 19, 2026Penalties, last 24 months: $8,512recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.638.
Staffing detail
- Registered nurses
- 0.49
- Licensed practical nurses
- 0.89
- Nurse aides
- 2.25
- Weekend nursing
- 3.23
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 42%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
12.9%Improving
Residents with a fall causing major injury
3.8%Steady
Residents with pressure ulcers (bedsores)
5.3%Improving
Residents with a urinary tract infection
1.4%Improving
Residents who lost too much weight
9.3%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
22.9%Worsening
Residents whose ability to walk got worse
11.2%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
27.7%Steady
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
2.6%Improving
Residents with new or worsening incontinence
29.3%Improving
Residents with depressive symptoms
6.1%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
97.8%Worsening
Short-stay residents given the seasonal flu vaccine
66.7%Steady
Short-stay residents given the pneumonia vaccine
71.7%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited July 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 756 — 42 CFR §483.45(c) — S/S: E
The nursing home failed to ensure residents were free from significant medication errors. Cited July 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: E
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited February 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $8,512 was recorded.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,512 in total fines.
- $8,512
Federal fine
Dec 6, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 83 residents on an average day (92% of 90 beds)
- Resident voice
- Resident council
- 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.