Skyland Terrace and Rehabilitation

Nursing Home · Waynesville, NC

CMS overall rating 4/5 For profit - Corporation

CMS certification number345411

Contact & location

516 Wall Street
Waynesville, NC 28786
Haywood County
Phone
(828) 452-3154
ZIP code
28786 – all care providers

Open in Google Maps

Facility details

Certified beds
90
Residents per day
83.4 (93% occupied)
Ownership
For profit - Corporation
Legal name
Coolgate INC
Medicare certified since
January 24, 1992
Participates in
Medicare and Medicaid
Council
Resident 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★★★★★ 3/5
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
3.39 (state 3.83 · U.S. 3.86)
Registered nurses (RN)
0.65 (state 0.61 · U.S. 0.69)
Licensed practical nurses
0.77 (state 0.89 · U.S. 0.86)
Nurse aides
1.98 (state 2.34 · U.S. 2.32)
Weekend total
3.00 (state 3.40 · U.S. 3.42)
Nursing staff turnover
53.3 (state 49.0 · U.S. 45.8)%
RN turnover
40.0 (state 45.7 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
February 19, 2026
Health deficiencies (last cycle)
3.0 (state 4.8 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
13 health · 6 fire safety · includes actual harm
DateCitationSeverityStatus
2026-02-19 Honor 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 directive.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-04
2026-02-19 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-04
2026-02-19 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-04
2025-04-30 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-17
2024-12-06 Provide medically-related social services to help each resident achieve the highest possible quality of life.
F0745 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2024-12-19
2024-12-06 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 2024-12-20
2024-12-06 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-11
2024-12-06 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-11
2023-07-14 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-07-31
2023-07-14 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-07-31
2023-07-14 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-07-31
2023-07-14 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-31
2023-07-14 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-31

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

1 penalty in the last three years, including $8,512 in fines.

DateTypeAmount
2024-12-06Fine$8,512

Ownership & management

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

Frequently asked questions

What is the rating of Skyland Terrace and Rehabilitation?

Skyland Terrace and Rehabilitation 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 Terrace and Rehabilitation have?

It has 90 certified beds and cares for about 83 residents per day.

Has Skyland Terrace and Rehabilitation been fined?

Yes. CMS lists 1 penalty totaling $8,512 in the last three years.

What is the phone number of Skyland Terrace and Rehabilitation?

(828) 452-3154. The facility is located at 516 Wall Street, Waynesville, NC 28786.

Other nursing homes in Waynesville

Compare all nursing homes in Waynesville, NC →

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