Vero Health & Rehab of Sylva

417 Cloverdale Road · Sylva, NC · 28779 · 8286311600

106 certified beds For profit - Limited Liability company Chain: Regional Health Properties

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • 6 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

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Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

7 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 21
Serious harm & abuse 20% 40
Staffing 20% 65
Federal penalties 15% 0
Trend 10% 92
Context 5% 10

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.403.48 min · 4.1 strong
RN hours / resident-day0.600.55–0.75
Weekend hours / resident-day3.03≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)4 · $359,818

Inspection citations (67 in the current record)

  • Potential for harm · D August 14, 2025

    Reasonably accommodate the needs and preferences of each resident.

    Corrected September 4, 2025 · Resident Rights

  • Potential for harm · D August 14, 2025

    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 September 4, 2025 · Resident Rights

  • Potential for harm · F August 14, 2025

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Corrected September 4, 2025 · Administration

  • Potential for harm · D August 14, 2025

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

    Corrected September 4, 2025 · Infection Control

  • Potential for harm · D August 14, 2025

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Corrected September 4, 2025 · Infection Control

  • No harm found · C August 14, 2025

    Assure the security of all personal funds of residents deposited with the facility.

    Corrected September 4, 2025 · Resident Rights

  • No harm found · C August 14, 2025

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Corrected September 4, 2025 · Resident Rights

  • Immediate jeopardy · K July 30, 2024 · found via complaint

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected August 20, 2024 · Quality of Life and Care

  • Actual harm · G July 30, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected August 20, 2024 · Resident Rights

  • Potential for harm · D July 30, 2024 · found via complaint

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected August 20, 2024 · Resident Rights

  • Potential for harm · D July 30, 2024 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected August 20, 2024 · Resident Rights

  • Potential for harm · D July 30, 2024 · found via complaint

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected August 20, 2024 · Resident Rights

  • Potential for harm · F July 30, 2024 · found via complaint

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected August 20, 2024 · Resident Rights

  • Potential for harm · D July 30, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected August 20, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 30, 2024 · found via complaint

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected August 20, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 30, 2024 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected August 20, 2024 · Quality of Life and Care

  • Potential for harm · D July 30, 2024 · found via complaint

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected August 20, 2024 · Quality of Life and Care

  • Potential for harm · D July 30, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected August 20, 2024 · Quality of Life and Care

  • Potential for harm · D July 30, 2024 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected August 20, 2024 · Quality of Life and Care

  • Potential for harm · D July 30, 2024 · found via complaint

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected August 20, 2024 · Nursing and Physician Services

  • Potential for harm · E July 30, 2024 · found via complaint

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

    Corrected August 20, 2024 · Nutrition and Dietary

  • Potential for harm · F July 30, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected August 20, 2024 · Infection Control

  • Potential for harm · D July 30, 2024 · found via complaint

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

    Corrected August 20, 2024 · Infection Control

  • No harm found · C July 30, 2024 · found via complaint

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    Corrected August 20, 2024 · Resident Rights

  • Immediate jeopardy · J May 22, 2024 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected July 30, 2024 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
May 22, 2024Fine$325,563
May 22, 2024Payment Denial67 days
October 18, 2023Fine$7,901
October 18, 2023Fine$10,065
October 18, 2023Fine$16,289
October 18, 2023Payment Denial1 days

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 345302 · certified since May 10, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.