Quick answers
- Where is Skyland Care Center?
- 193 Asheville Highway, Sylva, NC 28779, in Jackson County, North Carolina.
- What is the phone number of Skyland Care Center?
- (828) 586-8935, as listed by Medicare (CMS).
- What is the Medicare star rating of Skyland Care Center?
- Medicare overall rating: 4 out of 5 stars (CMS data updated 2026-10-01).
- Has Skyland Care Center been fined?
- Medicare lists no fines for Skyland Care Center.
- What did inspectors find at Skyland Care Center?
- In its last three inspection cycles (June 30, 2023 to January 23, 2026), Medicare lists 10 health citations; the most serious was level J. 2 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (June 30, 2023 to January 23, 2026), Skyland Care Center had 10 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 2 of them were level G or higher (actual harm or immediate jeopardy). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 3.62 hours per resident per day; the North Carolina average is 3.87 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: January 23, 2026 — no health citations
Inspections in this cycle: January 23, 2026 (standard health inspection).
Previous cycle: November 21, 2024 — 3 health citations
Inspections in this cycle: November 21, 2024 (complaint investigation); November 21, 2024 (standard health inspection).
Show 3 citations (levels A to F, no actual harm)
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0602 Level D
“Protect each resident from the wrongful use of the resident's belongings or money.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
Earlier cycle: June 30, 2023 — 7 health citations
Inspections in this cycle: June 30, 2023 (standard health inspection); October 4, 2023 (infection control inspection).
F0684 Level J
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
F0689 Level J
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 5 less serious citations (levels A to F)
F0554 Level D
“Allow residents to self-administer drugs if determined clinically appropriate.”
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0808 Level D
“Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.”
F0867 Level D
“Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (8)
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0324 Level D
“Provide properly protected cooking facilities.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0372 Level D
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0352 Level D
“Properly install and monitor supervisory attachments on automatic sprinkler systems.”
K0351 Level D
“Install an approved automatic sprinkler system.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0372 Level D
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | North Carolina | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.57 | 0.62 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.73 | 0.88 | 0.86 |
| Nurse aide hours per resident per day | 2.31 | 2.37 | 2.35 |
| Total nurse staff hours per resident per day | 3.62 | 3.87 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.23 | 3.40 | 3.43 |
| RN hours per resident per day on the weekend | 0.36 | 0.41 | 0.48 |
| Nursing staff turnover (per year) | 41.3% | 48.7% | 45.3% |
| RN turnover (per year) | 14.3% | 45.7% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.6 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Legal business name: BT2, Inc..
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| Cooley, Mistie | Direct owner | 49% | October 1, 2013 |
| Gatewood, Thomas | Direct owner | 51% | October 1, 2016 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 94 |
| Average residents per day | 90.3 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Legal business name | BT2, Inc. |
| First approved by Medicare/Medicaid | 1991-09-03 |
| Resident and family councils | Resident and family councils |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 193 Asheville Highway, Sylva, NC 28779 |
| County | Jackson County |
| State | North Carolina |
| Phone | (828) 586‑8935 |
| CMS Certification Number | 345400 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Vero Health & Rehab of Sylva0.1 mi · Sylva, NC · 1 of 5 stars
- Tsali Care Center9.9 mi · Cherokee, NC · 1 of 5 stars
- Maggie Valley Health and Rehabilitation Center12 mi · Maggie Valley, NC · 2 of 5 stars
- Autumn Care of Waynesville13 mi · Waynesville, NC · 1 of 5 stars
- Mountain View of Bryson City15 mi · Bryson City, NC · 1 of 5 stars
Nearest hospital emergency rooms
- Harris Regional Hospital0.8 mi · Sylva, NC · Acute Care Hospital
- DLP Swain County Hospital LLC14 mi · Bryson City, NC · Critical Access Hospital
- Haywood Regional Medical Center18 mi · Clyde, NC · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13