Nursing HomeInspections

Skyland Care Center

Nursing home in Sylva, NC

Medicare & Medicaid certified4★ overall (CMS)

Call (828) 586-8935Send a messageMap ↗

Public-record details

Address
193 Asheville Highway, Sylva, NC 28779
Phone
(828) 586-8935
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
345400
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
94
Average residents per day
90
Ownership
For-profit, corporation
Legal business name
Bt2, INC.
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Sep 3, 1991
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 345400. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jan 23, 2026. CMS lists 10 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 30, 2023 to Nov 21, 2024): 3 from complaint inspections, 2 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Nov 21, 2024Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 21, 2024Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 21, 2024Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		F
Potential for more than minimal harm, widespread
Jun 30, 2023Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights		D
Potential for more than minimal harm, isolated
Jun 30, 2023Create 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		D
Potential for more than minimal harm, isolated
Jun 30, 2023Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jun 30, 2023Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Jun 30, 2023Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration		D
Potential for more than minimal harm, isolated
Jun 30, 2023Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		J
Immediate jeopardy, isolated
Jun 30, 2023Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		J
Immediate jeopardy, isolated

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.51 hours
Registered nurse (RN) time per resident per day
0.56 hours
Nurse aide time per resident per day
2.20 hours
Total nurse staffing on weekends
2.96 hours
Nursing staff turnover (yearly)
46%
RN turnover (yearly)
31%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Sylva

Vero Health & Rehab of Sylva417 Cloverdale Road · Sylva, NC 28779 · (828) 631-1600 · For-profit53 health citations in 3 inspection cycles · last standard inspection Aug 14, 2025 · $359,818 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 2 in Sylva →