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
Data as of July 1, 2026
4 of 5 overall
Skyland Terrace and Rehabilitation has an overall rating of 4 out of 5 stars, with 4-star health inspections and 3-star staffing and quality measures. It has recent federal penalties totaling $8,512, staffing below the federal benchmark (3.39 vs. 4.1 hours per resident per day), and recent inspection citations related to social services, food handling, and pharmacist drug review.
Facility ratings
Health inspections
Staffing
3.3925 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 3.3925.
Staffing detail
- Registered nurses
- 0.65
- Licensed practical nurses
- 0.77
- Nurse aides
- 1.98
- Weekend nursing
- 3.00
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 40%
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
11.5%15.4%Worsening
Residents with a fall causing major injury
4.9%2.5%Improving
Residents with pressure ulcers (bedsores)
5.8%4.4%Improving
Residents with a urinary tract infection
1.3%1.4%No change
Residents who lost too much weight
13.5%8.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
18.3%28.8%Worsening
Residents whose ability to walk got worse
10.4%28.2%Worsening
Long-stay residents on antianxiety or sleep medication
29.5%29.9%No change
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
1.9%0%Improving
Residents with new or worsening incontinence
34%33.4%Improving
Residents with depressive symptoms
8%11%Worsening
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
—100%—
Long-stay residents given the pneumonia vaccine
100%95.1%Worsening
Short-stay residents given the seasonal flu vaccine
—66.7%—
Short-stay residents given the pneumonia vaccine
61.9%72%Improving
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
Recent ownership change · Oct 1, 2022
Now operated by Skyland Terrace & Rehabilitation, previously Haywood Nursing and Rehabilitation Center.
- Ownership
- For profit - Corporation
- Occupancy
- 83.4 residents on an average day (93% 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.