Skyland Care Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1991-09-03. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (828) 586-8935 or your local Medicaid office to verify current eligibility.

Skyland Care Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (4★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 65.9/100, placing it #9972 of 14703 facilities nationally and #233 of 418 in North Carolina. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Skyland Care Center receives a reported average of 3 hours 34 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 36 minutes; Licensed Practical Nurse (LPN) — 47 minutes; Nurse Aide — 2 hours 11 minutes. On weekends, total nurse staffing is 3 hours 2 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 48.5%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 2 fine(s) totaling $15,593. 7 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 2 fine(s) totaling $15,593, and 0 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 48.5 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Skyland Care Center ranks 9972nd out of 14,703 facilities (composite score: 65.9/100), placing it in the below average nationwide. Within NC, it ranks 233rd out of 418 nursing homes. In Sylva, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #8,380 nationally and RN hours rank #6,595 nationally (#135 in NC). Our composite quality score of 65.9/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Sylva, visit: https://nursinghomesnearme.org/north_carolina/sylva/