C80

Skyland Terrace and Rehabilitation

Grade C 80/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
3/5
Health Insp.
3/5
Quality
3/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

90

Ownership

For profit - Corporation

Total Fines

$8,512

Last Survey

N/A

516 Wall Street, Waynesville, NC 28786
8284523154

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.60h
LPN
0.88h
CNA
2.65h
Total
4.12h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

COOLEY, MISTIE

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Oct 2022

49%

GATEWOOD, THOMAS

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Oct 2022

51%

COOLEY, MISTIE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

GATEWOOD, THOMAS

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

COOLEY, MISTIE

IndividualCORPORATE OFFICERSince Oct 2022

GATEWOOD, THOMAS

IndividualCORPORATE OFFICERSince Oct 2022

Penalties & Fines (1)

$8,512total fines
DateTypeDescriptionAmount
Dec 6, 2024Fine$8,512

Health Inspection Deficiencies (16)

April 30, 2025Health1 deficiency
0600DMinimal harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected May 17, 2025
December 6, 2024Health4 deficiencies1 severe
0745GActual harm, Isolated

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Quality of Life and Care Deficiencies

Corrected Dec 19, 2024
0812DMinimal harm, Isolated

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Dec 11, 2024
0602DMinimal harm, Isolated

Protect each resident from the wrongful use of the resident's belongings or money.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Dec 20, 2024
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Dec 11, 2024
July 14, 2023Health5 deficiencies
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Jul 31, 2023
0756EMinimal harm, Pattern

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Jul 31, 2023
0757DMinimal harm, Isolated

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Jul 31, 2023
0760EMinimal harm, Pattern

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Jul 31, 2023
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jul 31, 2023
December 16, 2021Health6 deficiencies1 severe
0655DMinimal harm, Isolated

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected Jan 28, 2022
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jan 28, 2022
0726DMinimal harm, Isolated

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Nursing and Physician Services Deficiencies

Corrected Jan 28, 2022
0761EMinimal harm, Pattern

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies

Corrected Jan 28, 2022
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jan 28, 2022
0887EMinimal harm, Pattern

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Infection Control Deficiencies

Corrected Jan 28, 2022

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Frequently Asked Questions

What is the CareGrader rating for Skyland Terrace and Rehabilitation?

Skyland Terrace and Rehabilitation in Waynesville, North Carolina has a CareGrader grade of C (Average), with a composite score of 79.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Skyland Terrace and Rehabilitation?

Skyland Terrace and Rehabilitation has an overall CMS star rating of 3 out of 5, a health inspection rating of 3/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Skyland Terrace and Rehabilitation have?

Skyland Terrace and Rehabilitation has 16 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has Skyland Terrace and Rehabilitation been fined?

Yes. Skyland Terrace and Rehabilitation has $8,512 in total fines from CMS enforcement actions across 1 penalty.

How many beds does Skyland Terrace and Rehabilitation have?

Skyland Terrace and Rehabilitation has 90 certified beds with approximately 82 current residents (91% occupancy). The facility is located at 516 Wall Street, Waynesville, North Carolina 28786. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.