Skyland Care Center

Nursing Home · Sylva, NC

CMS overall rating 4/5 For profit - Corporation

CMS certification number345400

Contact & location

193 Asheville Highway
Sylva, NC 28779
Jackson County
Phone
(828) 586-8935
ZIP code
28779 – all care providers

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Facility details

Certified beds
94
Residents per day
90.4 (96% occupied)
Ownership
For profit - Corporation
Legal name
BT2, INC.
Medicare certified since
September 3, 1991
Participates in
Medicare and Medicaid
Council
Both council

CMS star ratings

Overall★★★★★ 4/5
State avg 2.9
Health inspections★★★★★ 4/5
State avg 2.9
Staffing★★★★★ 3/5
State avg 2.7
Quality measures★★★★★ 3/5
State avg 3.3
Long-stay quality★★★★★ 1/5
Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.51 (state 3.83 · U.S. 3.86)
Registered nurses (RN)
0.56 (state 0.61 · U.S. 0.69)
Licensed practical nurses
0.75 (state 0.89 · U.S. 0.86)
Nurse aides
2.20 (state 2.34 · U.S. 2.32)
Weekend total
2.96 (state 3.40 · U.S. 3.42)
Nursing staff turnover
46.0 (state 49.0 · U.S. 45.8)%
RN turnover
31.3 (state 45.7 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
January 23, 2026
Health deficiencies (last cycle)
0.0 (state 4.8 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
10 health · 8 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2024-11-21 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2024-12-06
2024-11-21 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-31
2024-11-21 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-04
2023-06-30 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
J
Immediate jeopardy to resident health or safety
Corrected 2023-07-18
2023-06-30 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
J
Immediate jeopardy to resident health or safety
Corrected 2023-07-18
2023-06-30 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-07-18
2023-06-30 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-07-18
2023-06-30 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-07-18
2023-06-30 Ensure 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.
F0808 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-07-18
2023-06-30 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-07-18

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Cooley, Mistie (individual)5%+ Direct Ownership Interest · 49%
Gatewood, Thomas (individual)5%+ Direct Ownership Interest · 51%
Dills, Melissa (individual)Administrator · NOT APPLICABLE
Vargas, Carlos (individual)Administrator · NOT APPLICABLE
Cooley, Mistie (individual)Corporate Officer · NOT APPLICABLE
Gatewood, Thomas (individual)Corporate Officer · NOT APPLICABLE
Cooley, Mistie (individual)Managing Control - Governing Body · NOT APPLICABLE
Gatewood, Thomas (individual)Managing Control - Governing Body · NOT APPLICABLE
Cooley, Mistie (individual)Operational/managerial Control · NOT APPLICABLE
Dills, Melissa (individual)Operational/managerial Control · NOT APPLICABLE
Vargas, Carlos (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Skyland Care Center?

Skyland Care Center has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in North Carolina.

How many beds does Skyland Care Center have?

It has 94 certified beds and cares for about 90 residents per day.

Has Skyland Care Center been fined?

CMS lists no federal fines or payment denials in the last three years.

What is the phone number of Skyland Care Center?

(828) 586-8935. The facility is located at 193 Asheville Highway, Sylva, NC 28779.

Other nursing homes in Sylva

Compare all nursing homes in Sylva, NC →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.