Skyland Terrace and Rehabilitation: Staffing, Turnover, and Inspection Record
Skyland Terrace and Rehabilitation is a 90-bed for-profit nursing home in Waynesville, North Carolina. In the CMS August 2026 release it reported 1.98 nurse aide hours per resident per day, 16% below the North Carolina average of 2.34, and 53.3% nursing staff turnover (North Carolina average 49.0%).
Skyland Terrace and Rehabilitation
516 Wall StreetWaynesville, NC 28786
Haywood 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 Terrace and Rehabilitation, nurse aides logged 1.98 hours per resident per day, 16% below the North Carolina average. With about 83 residents a day, that works out to roughly 165 aide hours a day, or about 21 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | North Carolina avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.98 | 2.34 | 2.32 |
| Licensed practical nurses | 0.77 | 0.89 | 0.86 |
| Registered nurses | 0.65 | 0.61 | 0.69 |
| All nursing staff | 3.39 | 3.83 | 3.86 |
| All nursing staff, weekends | 3.00 | 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
53.3% of nursing staff at Skyland Terrace and Rehabilitation 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 40.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Feb 19, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 3 health deficiencies (North Carolina average 4.8). CMS lists 1 fine totaling $8,512 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Dec 6, 2024 | Fine | $8,512 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Skyland Terrace and Rehabilitation holds 4 of 5 overall; the North Carolina average is 2.9.
About Skyland Terrace and Rehabilitation
- Ownership: For profit - Corporation
- Legal name: Coolgate Inc
- Medicare and Medicaid certified since: Jan 24, 1992
- Councils: resident council
- Area: rural
Nursing homes near Skyland Terrace and Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Autumn Care of Waynesville Waynesville | 2.9 | 90 | 2.12 | 3.43 | 69.8% | 1 | $107,387 |
| Smoky Mountain Health and Rehabilitation Center Waynesville | 3.6 | 50 | 2.21 | 3.93 | 60.8% | 3 | None |
| Silver Bluff Canton | 5.8 | 131 | 2.31 | 3.25 | 51.4% | 3 | None |
| Maggie Valley Health and Rehabilitation Center Maggie Valley | 6.8 | 114 | 1.83 | 3.05 | 31.8% | 2 | $51,012 |
| Vero Health & Rehab of Sylva Sylva | 15.2 | 106 | 2.27 | 3.74 | — | 1 | $359,818 |
| Skyland Care Center Sylva | 15.3 | 94 | 2.20 | 3.51 | 46.0% | 4 | None |
| Pisgah Manor Health Care Center Candler | 18.1 | 118 | 1.65 | 2.86 | 59.1% | 2 | $59,391 |
| Tsali Care Center Cherokee · SFF candidate | 20.2 | 100 | 4.23 | 6.14 | 47.2% | 2 | $157,555 |
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.