Home›Browse›North Carolina›Waynesville›Skyland Terrace and Rehabilitation

Nursing homeFAID #9151

Skyland Terrace and Rehabilitation

516 WALL STREET, WAYNESVILLE, NC, 28786

(828) 452-3154

90 licensed beds

★★★★★4/5CMS Five-Star overall4/5 health inspections3/5 staffing3/5 quality measuresSource: CMS Care Compare

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Address

516 Wall Street

Waynesville, NC 28786

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

345411

Care type

Nursing home

County

Haywood

Facility name

Skyland Terrace and Rehabilitation

Street address

516 WALL STREET

City / state / ZIP

Waynesville, NC 28786

Phone

(828) 452-3154

About this facility — Skyland Terrace and Rehabilitation

Skyland Terrace and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Waynesville, North Carolina. It is licensed for 90 beds — close to the median for skilled nursing facilities in North Carolina (102 beds).

It is one of 19 senior care facilities in Waynesville 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 Terrace and Rehabilitation 19 times across 8 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $8,512 in fines. 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 · Officer · Operational control — 51% stake — since 2022

Cooley, Mistie

Direct owner · Governing body · Officer · Operational control — 49% stake — since 2022

Regulatory standing

Licensed / certified since

1992-01-24

CMS overall rating

4 of 5 stars

Health deficiencies

3 at the last standard inspection

Federal fines

$8,512 total

Last standard inspection

2026-02-19

Nurse staffing

3.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$371 per day (≈ $11,280/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

76% Medicaid · 13% Medicare · 11% private/other

Occupancy

72% (fiscal year 2023)

Vs. state median

1% below the NC median of $373/day — full state cost breakdown

Services & coverage

Licensed beds

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 2 food-safety citations on its three-year record — flagged below among the inspections.

2026-02-19Health inspection3 citations

F-0578

D · No harm found

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.

Corrected 2026-03-04

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-03-04

F-0883

D · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2026-03-04

2025-04-30Health inspectionComplaint-triggered1 citation

F-0600

D · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-05-17

4 earlier / fire-safety inspections (15 citations)

2024-12-06Health inspectionComplaint-triggered4 citations

F-0602

D · No harm foundFrom a complaint

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-12-20

F-0686

D · No harm foundFrom a complaint

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-12-11

F-0745

G · Actual harm

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2024-12-19

F-0812

D · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-12-11

2023-07-14Health inspection5 citations

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2023-07-31

F-0756

E · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-07-31

F-0757

D · No harm found

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-07-31

F-0760

E · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2023-07-31

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-07-31

2026-02-19Fire-safety inspection4 citations

K-0291

D · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2026-05-13

K-0345

D · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2026-05-21

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2026-05-11

K-0521

F · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2026-06-21

2023-07-14Fire-safety inspection2 citations

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-10-06

K-0521

F · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-10-06

Federal penalties

2024-12-06Fine$8,512

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 345411.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 19 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