516 Wall Street, Waynesville, NC 28786 (opens Google Maps) · Haywood County · (828) 452-3154· 90 certified beds · avg 83 residents/day · certified since Jan 24, 1992 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
▲ Actual harm, isolated · Dec 6, 2024 · F-0745
The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life.
Why it matters: Without social services support, residents can struggle emotionally and miss out on help they're entitled to.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Dec 19, 2024 (Deficient, Provider has date of correction)
Showing the latest 3 of 13 inspection findings. Open the full record below to read every finding.
The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. F-0578
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. F-0684
The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. F-0883
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 19, 2026 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578 |
| Feb 19, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Feb 19, 2026 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Apr 30, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600 |
| Dec 6, 2024 | ▲ G · Actual harm, isolated | The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. · F-0745 |
| Dec 6, 2024 | D · Potential for more than minimal harm, isolated | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint · F-0602 |
| Dec 6, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686 |
| Dec 6, 2024 | D · Potential for more than minimal harm, isolated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Jul 14, 2023 | E · Potential for more than minimal harm, pattern | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756 |
| Jul 14, 2023 | E · Potential for more than minimal harm, pattern | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760 |
| Jul 14, 2023 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Jul 14, 2023 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Jul 14, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · F-0757 |
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 3).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | E |
| 2024 | 4 | 1 | G ▲ |
| 2025 | 1 | 0 | D |
| 2026 | 3 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
How to file a complaint about care →
1 fine totaling $8,512.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Dec 6, 2024 | Fine | $8,512 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.62 | 4.01 | 3.95 | bottom 46% in North Carolina; bottom 43% in the U.S. |
| Registered Nurse hours | 0.69 | 0.64 | 0.69 | top 27% in North Carolina; top 37% in the U.S. |
| Weekend total nurse staffing | 3.20 | 3.56 | 3.50 | bottom 46% in North Carolina; bottom 41% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.38 | 0.41 | 0.48 | top 39% in North Carolina; bottom 47% in the U.S. |
| Total nursing staff turnover (%) | 53.3 | 49.0 | 45.8 | bottom 38% in North Carolina; bottom 29% in the U.S. |
| RN turnover (%) | 40.0 | 45.7 | 42.9 | top 39% in North Carolina; top 46% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.39, RN 0.65, weekend 3.00.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.39 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 4/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Skyland Terrace and Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Cooley, Mistie | Individual | 5% or Greater Direct Ownership Interest | 49% | 10/01/2022 |
| Gatewood, Thomas | Individual | 5% or Greater Direct Ownership Interest | 51% | 10/01/2022 |
| Cooley, Mistie | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2022 |
| Cooley, Mistie | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2022 |
| Cooley, Mistie | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/19/2025 |
| Gatewood, Thomas | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2022 |
| Gatewood, Thomas | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/19/2025 |
All 7 owning or managing parties CMS has on file are shown — none excluded.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Autumn Care of Waynesville | 2.9 mi | Waynesville, NC | ★☆☆☆☆ | 1/5 | |
| Smoky Mountain Health and Rehabilitation Center | 3.6 mi | Waynesville, NC | ★★★☆☆ | 3/5 | |
| Silver Bluff | 5.8 mi | Canton, NC | ★★★☆☆ | 3/5 | |
| Maggie Valley Health and Rehabilitation Center | 6.8 mi | Maggie Valley, NC | ★★☆☆☆ | 2/5 | |
| Vero Health & Rehab of Sylva | 15.2 mi | Sylva, NC | ★☆☆☆☆ | 1/5 | |
| Skyland Care Center | 15.3 mi | Sylva, NC | ★★★★☆ | 4/5 | |
| Pisgah Manor Health Care Center | 18.1 mi | Candler, NC | ★★☆☆☆ | 2/5 |
Facility data as of CMS processing date 2026-08-01. CCN 345411.
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