Skyland Care Center
193 Asheville Highway, Sylva, NC 28779
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident & Family Councils Active
Active councils indicate resident empowerment and facility transparency.
Vetting This Facility? Get Answers They Don't Volunteer
Free guide: the exact questions to ask Skyland Care Center, how to pull the public records (ownership, inspections, penalties), and how to request the info that isn't online — like the medical director.
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Care Quality Indicators
Lower is better
Lower is better
Lower is better
Lower is better
How Skyland Care Center Compares
Skyland Care Center is a 94-bed for-profit nursing facility in Sylva, North Carolina. It holds an overall CMS rating of 4 out of 5 stars, above the North Carolina average of 2.9 stars. Its strongest area is health inspections, rated 4 stars. Its rate of falls resulting in major injury (6.8%) is above the North Carolina average of 3.5% — a measure worth asking the staff about. With 94 certified beds, it operates near capacity at roughly 96% occupied.
Among the 2 nursing facilities ElderVoice tracks in Sylva, the local average is 2.5 stars.
By the numbers vs. North Carolina average
- Long-stay antipsychotic medication use: 11.0% — better than the North Carolina average of 14.0%.
- Falls with major injury: 6.8% — worse than the North Carolina average of 3.5% (94% higher).
- High-risk pressure ulcers: 5.1% — better than the North Carolina average of 5.5%.
- Short-stay rehospitalization: 19.1% — better than the North Carolina average of 22.8%.
Comparisons use CMS Care Compare data (updated September 9, 2026) measured against North Carolina averages across 419 facilities tracked by ElderVoice.
Questions to Ask Skyland Care Center
Use these facility-specific questions when calling admissions, touring the building, or comparing Skyland Care Center with other nursing homes in Sylva.
What keeps Skyland Care Center's health inspections rating strong?
This category is rated 4 out of 5 stars. Ask for concrete staffing, training, or care-process examples behind the score.
What practices help Skyland Care Center keep long-stay antipsychotic medication use below the state average?
Long-stay antipsychotic medication use is 11.0% here versus 14.0% across North Carolina. Lower is generally better for this CMS measure.
What is Skyland Care Center doing to reduce falls with major injury?
Falls with major injury is 6.8% here versus 3.5% across North Carolina. Lower is generally better for this CMS measure.
How does Skyland Care Center maintain staffing when occupancy is high?
The facility reports roughly 96% occupancy across 94 certified beds, so ask how staffing is adjusted during full census periods.
How can a new family connect with existing councils at Skyland Care Center?
Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.
What explains Skyland Care Center's rating advantage in Sylva?
Its 4-star overall rating is above the local average of 2.5 stars across 2 facilities. Ask which practices families can observe during a tour.
The Senior Community Around Sylva
Sylva sits in Jackson County, where adults 65 and older make up about 19.9% of the population — a higher share of seniors than North Carolina as a whole (16.3% statewide). The area's median household income is lower than the state average, reflecting a more affordable area.
- Residents 65+
- 8,622 (19.9%)
- Median age
- 38.5 years
- Median household income
- $46,820
- Median home value
- $206,900
Demographics for Jackson County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Sylva.
Facility Details
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