Skyland Care Center: Staffing, Turnover, and Inspection Record
Skyland Care Center is a 94-bed for-profit nursing home in Sylva, North Carolina. In the CMS August 2026 release it reported 2.20 nurse aide hours per resident per day, 6% below the North Carolina average of 2.34, and 46.0% nursing staff turnover (North Carolina average 49.0%).
Skyland Care Center
193 Asheville HighwaySylva, NC 28779
Jackson County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Skyland Care Center, nurse aides logged 2.20 hours per resident per day, 6% below the North Carolina average. With about 90 residents a day, that works out to roughly 199 aide hours a day, or about 25 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 16% below the all-days figure.
| Hours per resident per day | This home | North Carolina avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.20 | 2.34 | 2.32 |
| Licensed practical nurses | 0.75 | 0.89 | 0.86 |
| Registered nurses | 0.56 | 0.61 | 0.69 |
| All nursing staff | 3.51 | 3.83 | 3.86 |
| All nursing staff, weekends | 2.96 | 3.40 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
46.0% of nursing staff at Skyland Care Center left over the year CMS measured, against a North Carolina average of 49.0% and a US average of 45.8%. Registered nurse turnover was 31.3%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jan 23, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 0 health deficiencies (North Carolina average 4.8). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Skyland Care Center holds 4 of 5 overall; the North Carolina average is 2.9.
About Skyland Care Center
- Ownership: For profit - Corporation
- Legal name: Bt2, Inc.
- Medicare and Medicaid certified since: Sep 3, 1991
- Councils: resident and family councils
- Area: rural
Nursing homes near Skyland Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Vero Health & Rehab of Sylva Sylva | 0.1 | 106 | 2.27 | 3.74 | — | 1 | $359,818 |
| Tsali Care Center Cherokee · SFF candidate | 9.9 | 100 | 4.23 | 6.14 | 47.2% | 2 | $157,555 |
| Maggie Valley Health and Rehabilitation Center Maggie Valley | 11.6 | 114 | 1.83 | 3.05 | 31.8% | 2 | $51,012 |
| Autumn Care of Waynesville Waynesville | 12.7 | 90 | 2.12 | 3.43 | 69.8% | 1 | $107,387 |
| Mountain View Manor Nursing Center Bryson City | 14.7 | 120 | 1.96 | 3.21 | — | 1 | $14,131 |
| Skyland Terrace and Rehabilitation Waynesville | 15.3 | 90 | 1.98 | 3.39 | 53.3% | 4 | $8,512 |
| Smoky Mountain Health and Rehabilitation Center Waynesville | 18.4 | 50 | 2.21 | 3.93 | 60.8% | 3 | None |
| Macon Valley Nursing and Rehabilitation Center Franklin · abuse citation | 19.1 | 200 | 2.62 | 3.78 | 76.5% | 2 | $5,689 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.