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Nursing home report

Sylva Valley Health and Rehab

Registered name: Vero Health & Rehab of Sylva

Sylva, NC · Medicare-certified · 106 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

Sylva Valley Health and Rehab in Sylva, NC has a 1 out of 5 overall rating, with a 1-star health inspection rating and a lowest-overall-rating flag. Staffing is 2 stars, reported nurse staffing is 3.74 hours per resident per day versus the 4.1-hour federal benchmark, and there were $0 fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.7406 hrs/resident/day

Quality measures

Last inspection: August 14, 2025Penalties, last 24 months: $0lowest overall rating

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7406.

Staffing detail

Registered nurses
0.93
Licensed practical nurses
0.55
Nurse aides
2.27
Weekend nursing
3.40

Hours per resident per day.

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

8.9%21.7%Worsening

Residents with a fall causing major injury

4.2%3.6%Improving

Residents with pressure ulcers (bedsores)

3.9%5.2%Worsening

Residents with a urinary tract infection

8.3%1.2%Improving

Residents who lost too much weight

8.7%6.1%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

35.9%16.5%Improving

Residents whose ability to walk got worse

46.1%26%Improving

Long-stay residents on antianxiety or sleep medication

30.4%34.9%Worsening

Short-stay residents newly given an antipsychotic

4.3%3.1%Improving

Residents with a long-term catheter

2.9%0.9%Improving

Residents with new or worsening incontinence

31.6%18.8%Improving

Residents with depressive symptoms

5.8%0%Improving

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

98.6%98.8%No change

Short-stay residents given the seasonal flu vaccine

73.9%

Short-stay residents given the pneumonia vaccine

83.3%31.9%Worsening

What the inspectors found

The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited July 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 690 — 42 CFR §483.25(e) — S/S: K

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

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

The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited May 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 726 — 42 CFR §483.35 — S/S: J

The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited May 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J

The nursing home failed to protect residents from abuse and neglect by others. Cited May 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: J

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 7 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 17 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal payment denial was recorded.

  5. PENALTY

    A federal fine of $325,563 was recorded.

  6. INSPECTION

    Health inspection found 12 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 4 fines · $359,818 in total fines · 2 payment denials.

  • Medicare/Medicaid payment denial

    May 22, 2024

    67 days
  • Federal fine

    May 22, 2024

    $325,563
  • Medicare/Medicaid payment denial

    Oct 18, 2023

    1 days
  • Federal fine

    Oct 18, 2023

    $16,289
  • Federal fine

    Oct 18, 2023

    $10,065
  • Federal fine

    Oct 18, 2023

    $7,901

Operator & ownership

Recent ownership change · Nov 14, 2024

Now operated by Sylva Operations LLC, previously Vero Health X LLC.

Ownership
For profit - Limited Liability company
Chain
Part of REGIONAL HEALTH PROPERTIES · 5 homes · 1.4 stars avg
Occupancy
91 residents on an average day (86% of 106 beds)
Resident voice
Resident council
Medicare history
Certified for 37 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.