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Nursing homeFAID #9142

Skyland Care Center

193 ASHEVILLE HIGHWAY, SYLVA, NC, 28779
(828) 586-8935
94 licensed beds
★★★★★4/5CMS Five-Star overall4/5 health inspections3/5 staffing3/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
94
CMS facility ID
345400
Care type
Nursing home
County
Jackson
Facility name
Skyland Care Center
Street address
193 ASHEVILLE HIGHWAY
City / state / ZIP
Sylva, NC 28779
Phone
(828) 586-8935

About this facility — Skyland Care Center

Skyland Care Center is a Medicare/Medicaid-certified skilled nursing facility in Sylva, North Carolina. It is licensed for 94 beds — close to the median for skilled nursing facilities in North Carolina (102 beds).

It is one of 4 senior care facilities in Sylva and 420 skilled nursing facilities across North Carolina. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Skyland Care Center 18 times across 8 inspections in the last three years, including 1 food-safety citation; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type
For profit - Corporation

Registered owners & officers

Gatewood, Thomas
Direct owner · Governing body · Officer — 51% stake — since 2003
Cooley, Mistie
Direct owner · Governing body · Officer · Operational control — 49% stake — since 2013
Dills, Melissa
Operational control · Additional disclosable party — since 2022
Vargas, Carlos
Operational control · Additional disclosable party — since 2012

Regulatory standing

Licensed / certified since
1991-09-03
CMS overall rating
4 of 5 stars
Health deficiencies
0 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-01-23
Nurse staffing
3.5 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$378 per day (≈ $11,490/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
64% Medicaid · 17% Medicare · 19% private/other
Occupancy
93% (fiscal year 2023)
Vs. state median
1% above the NC median of $373/day — full state cost breakdown

Services & coverage

Licensed beds
94
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2024-11-21Health inspectionComplaint-triggered3 citations
F-0602
D · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-03-31
F-0644
D · No harm foundFrom a complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-12-04
F-0880
F · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-12-06
2023-06-30Health inspection7 citations
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-07-18
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-07-18
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-07-18
F-0684
J · Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-07-18
F-0689
J · Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-18
F-0808
D · No harm foundFood safety
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.
Corrected 2023-07-18
F-0867
D · No harm found
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-07-18
3 earlier / fire-safety inspections (8 citations)
2026-01-23Fire-safety inspection4 citations
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2026-04-08
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2026-04-08
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2026-04-08
K-0372
D · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-04-08
2024-11-21Fire-safety inspection1 citation
K-0352
D · No harm found
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2025-01-27
2023-06-30Fire-safety inspection3 citations
K-0351
D · No harm found
Install an approved automatic sprinkler system.
Corrected 2023-08-21
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-08-21
K-0372
D · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-08-21
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 345400.

Inside your report

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Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 18 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered