D

Skyland Care Center

193 Asheville Highway, Sylva, NC 28779
Score: 40 / 100

CMS data shows Skyland Care Center earning a D grade with a score of 40/100, placing it below most facilities in North Carolina. Prospective residents and families should carefully review the specific areas of concern detailed below.

Staffing at Skyland Care Center is near the national average, with 3.57 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 10 deficiencies at Skyland Care Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: provide and implement an infection prevention and control program..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.57 3.8 Average
Registered Nurses (RN) 0.60 0.7 Below Average
Licensed Practical Nurses (LPN) 0.78 0.7 Above Average
Certified Nursing Assistants (CNA) 2.19 2.4 Average
Weekend Total Nursing 3.03 3.8 Below Average
Weekend RN Hours 0.64 0.7 Average

🔍 Inspection & Deficiency History

10
Total Deficiencies
Nov 20, 2024
Most Recent Inspection
🟠 8 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0880 Severity F
    Provide and implement an infection prevention and control program.
    Nov 20, 2024 · Infection Control Deficiencies
  • Tag 0602 Severity D
    Protect each resident from the wrongful use of the resident's belongings or money.
    Nov 20, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0644 Severity D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    Nov 20, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0684 Severity J
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Jun 29, 2023 · Quality of Life and Care Deficiencies
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jun 29, 2023 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 6.8% 4.5% Worse
Falls with major injury 5.4% 3.0% Worse
On antipsychotic medication 13.9% 14.5% Average
Urinary tract infections 5.5% 2.5% Worse
ADL decline (daily activities) 24.7% 14.0% Worse
Excessive weight loss 8.0% 7.5% Average
New/worsened incontinence 28.4% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $15,593

How This Grade Was Calculated

This facility's grade of D is based on a score of 40 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -1 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
94
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Jan 22, 2026
Deficiencies (Cycle 1)
0