Skyland Care Center
193 Asheville Highway, Sylva, NC 28779
Sylva, North Carolina · CMS verdict
Skyland Care Center holds a 2 of 5 CMS overall star rating - below the North Carolina state average of 2.9, reflecting below-average quality on the federal five-star scale.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Skyland Care Center in Sylva, North Carolina holds a CMS overall rating of 2 of 5 stars and a PlainElderCare Quality & Compliance Index of 56 of 100 (grade F). The 94-bed facility operates where a semi-private nursing-home room in North Carolina runs a median of $9,733 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 2 of 5 stars. How this is calculated.
How the 56 is built
Each segment is a dimension's weighted points toward the score, summing to 56.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) puts Skyland Care Center's overall quality rating at 2 out of 5 stars, a composite of three sub-ratings: health inspection (2/5), staffing (4/5), and quality measures (3/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Sylva, North Carolina, this facility operates 94 certified beds with an average daily census of roughly 88 residents - an occupancy rate of about 94%. The facility is classified under for profit - corporation ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At about 94% occupancy, this facility's bed usage looks steady and consistent with a stabilized operation.
Same-ownership peers
Within North Carolina, Skyland Care Center is one of 177 for profit - corporation nursing homes CMS rates. Its 2-star overall rating sits below the for profit - corporation-segment average of 2.7 stars, ahead of roughly 22% of same-ownership peers in the state. Same-segment comparisons like this one strip out the business-model factor, leaving a cleaner read on facility-level performance than a raw state average would give.
Inspection record
On the regulatory side, federal and state surveyors have documented a moderate number of deficiencies at this facility (10 total). CMS has levied 2 enforcement penalties - civil money penalties or denials of payment, during the same window. This volume of findings is worth reading past the count: CMS's F-tag scale separates isolated, low-harm citations from widespread or immediate-jeopardy ones, and only the full report shows which this facility has.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Skyland Care Center compares to North Carolina
CMS five-star sub-ratings (0–5) for this facility against the North Carolina facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = North Carolina state average. Higher is better on all four CMS measures.
Where Skyland Care Center ranks in North Carolina
Among the 417 CMS-rated nursing homes in North Carolina, Skyland Care Center’s 2-star overall rating is higher than 22% of them. The bars show how all North Carolina homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
92 North Carolina homes share this 2-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 94 |
| Residents | 88 |
| Ownership | For profit - Corporation |
| County | Jackson |
| Penalties | 2 |
| Deficiencies | 10 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Skyland Care Center? ▾
Skyland Care Center has an overall CMS quality rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 4/5, and quality measures rating of 3/5.
How much does a nursing home cost per month in North Carolina? ▾
The median cost for a semi-private nursing home room in North Carolina is $9,733 per month ($116,800 annually). A private room averages $10,798 per month. Costs are from the CareScout 2025 survey.
What services does Skyland Care Center offer? ▾
Skyland Care Center operates as a skilled nursing facility (94 beds with approximately 88 current residents) under for profit - corporation ownership. CMS inspections have recorded 10 deficiencies and 2 penalties there.
Does Skyland Care Center have any deficiencies or penalties? ▾
Skyland Care Center has multiple deficiencies (10 total) and 2 penalties recorded by CMS. A count in this range makes it worth asking staff or the facility directly which findings were minor paperwork versus resident-care issues.
What are the alternatives to a nursing home in North Carolina? ▾
In North Carolina, alternatives include assisted living ($6,496/mo), home health aides ($5,720/mo), and adult day care ($1,831/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the North Carolina elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 345400.
Read our methodology - how this data is sourced, computed, and verified.