Skyland Terrace and Rehabilitation
516 Wall Street · Waynesville, NC · 28786 · 8284523154
90 certified beds For profit - Corporation
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.64 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.49 | 0.55–0.75 |
| Weekend hours / resident-day | 3.23 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 1 · $8,512 |
Inspection citations (13 in the current record)
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Potential for harm · D February 19, 2026
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 March 4, 2026 · Resident Rights
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Potential for harm · D February 19, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 4, 2026 · Quality of Life and Care
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Potential for harm · D February 19, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected March 4, 2026 · Infection Control
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Potential for harm · D April 30, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G December 6, 2024
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected December 19, 2024 · Quality of Life and Care
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Potential for harm · D December 6, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 11, 2024 · Nutrition and Dietary
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Potential for harm · D December 6, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected December 20, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 6, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 11, 2024 · Quality of Life and Care
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Potential for harm · D July 14, 2023
Ensure each resident receives an accurate assessment.
Corrected July 31, 2023 · Resident Assessment and Care Planning
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Potential for harm · E July 14, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected July 31, 2023 · Pharmacy Service
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Potential for harm · D July 14, 2023
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected July 31, 2023 · Pharmacy Service
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Potential for harm · E July 14, 2023
Ensure that residents are free from significant medication errors.
Corrected July 31, 2023 · Pharmacy Service
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Potential for harm · E July 14, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 31, 2023 · Nutrition and Dietary
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 6, 2024 | Fine | $8,512 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345411 · certified since January 24, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.