Nursing HomeInspections

Skyland Terrace and Rehabilitation

Nursing home in Waynesville, NC

Medicare & Medicaid certified4★ overall (CMS)

Call (828) 452-3154Send a messageMap ↗

Public-record details

Address
516 Wall Street, Waynesville, NC 28786
Phone
(828) 452-3154
Listed under
For-profit, 4–5 star overall rating
Medicare CCN
345411
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
90
Average residents per day
83
Ownership
For-profit, corporation
Legal business name
Coolgate INC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 24, 1992
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 345411. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 19, 2026. CMS lists 13 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 14, 2023 to Feb 19, 2026): 3 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Feb 19, 2026Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance…
Resident Rights		D
Potential for more than minimal harm, isolated
Feb 19, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Feb 19, 2026Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control		D
Potential for more than minimal harm, isolated
Apr 30, 2025Protect 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 6, 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
Dec 6, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 6, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Dec 6, 2024Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care		G
Actual harm, isolated
Jul 14, 2023Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 14, 2023Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jul 14, 2023Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service		E
Potential for more than minimal harm, pattern
Jul 14, 2023Ensure that residents are free from significant medication errors.
Pharmacy Service		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 13. Full inspection reports are on Medicare Care Compare.

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 1 fine totalling $8,512 in the last three years.

Dec 6, 2024Fine: $8,512

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
3.39 hours
Registered nurse (RN) time per resident per day
0.65 hours
Nurse aide time per resident per day
1.98 hours
Total nurse staffing on weekends
3.00 hours
Nursing staff turnover (yearly)
53%
RN turnover (yearly)
40%
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 Waynesville

Smoky Mountain Health and Rehabilitation Center1349 Crabtree Road · Waynesville, NC 28785 · (828) 454-9260 · For-profit10 health citations in 3 inspection cycles · last standard inspection Mar 19, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)Autumn Care of Waynesville360 Old Balsam Road · Waynesville, NC 28786 · (828) 456-7381 · For-profit31 health citations in 3 inspection cycles · last standard inspection Jun 4, 2026 · $107,387 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

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