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Nursing homesNorth Carolina › Skyland Terrace and Rehabilitation

Skyland Terrace and Rehabilitation

516 Wall Street, Waynesville, NC 28786 · 8284523154 · 90 certified beds

Overall★★★★☆ 4/5
Health inspections★★★★☆ 4/5
Staffing★★★☆☆ 3/5
Quality measures★★★☆☆ 3/5

Ownership

CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Corporation.

Staffing (hours per resident per day)

Total nurse staffing: 3.39 (North Carolina median: 3.53). RN hours: 0.65. Weekend total: 3.00. Nursing staff turnover: 53%.

Inspection deficiencies

All-time on record: 13 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-02-19Honor 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. DHealthcorrected 2026-03-04
2026-02-19Provide appropriate treatment and care according to orders, resident’s preferences and goals. DHealthcorrected 2026-03-04
2026-02-19Develop and implement policies and procedures for flu and pneumonia vaccinations. DHealthcorrected 2026-03-04
2025-04-30Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Dcomplaintcorrected 2025-05-17
2024-12-06Provide medically-related social services to help each resident achieve the highest possible quality of life. GHealthcorrected 2024-12-19
2024-12-06Protect each resident from the wrongful use of the resident's belongings or money. Dcomplaintcorrected 2024-12-20
2024-12-06Provide appropriate pressure ulcer care and prevent new ulcers from developing. Dcomplaintcorrected 2024-12-11
2024-12-06Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. DHealthcorrected 2024-12-11
2023-07-14Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. EHealthcorrected 2023-07-31
2023-07-14Ensure that residents are free from significant medication errors. EHealthcorrected 2023-07-31
2023-07-14Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. EHealthcorrected 2023-07-31
2023-07-14Ensure each resident receives an accurate assessment. DHealthcorrected 2023-07-31
2023-07-14Ensure each resident’s drug regimen must be free from unnecessary drugs. DHealthcorrected 2023-07-31

Federal penalties

DateTypeAmount
2024-12-06Fine$8,512

Ownership & control records (CMS filings)

NameRoleType%Since
COOLEY, MISTIE5% Or Greater Direct Ownership InterestIndividual49%since 10/01/2022
GATEWOOD, THOMAS5% Or Greater Direct Ownership InterestIndividual51%since 10/01/2022
COOLEY, MISTIEManaging Control - Governing BodyIndividualNOT APPLICABLEsince 10/01/2022
COOLEY, MISTIECorporate OfficerIndividualNOT APPLICABLEsince 10/01/2022
GATEWOOD, THOMASCorporate OfficerIndividualNOT APPLICABLEsince 10/01/2022
COOLEY, MISTIEOperational/Managerial ControlIndividualNOT APPLICABLEsince 01/19/2025
GATEWOOD, THOMASOperational/Managerial ControlIndividualNOT APPLICABLEsince 01/19/2025

Compare nearby (Haywood County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 345411. Corrections: data@carerecords.org.