Skyland Care Center
193 Asheville Highway, Sylva, NC, 28779
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation
- Certified beds
- 94 · avg 90 residents/day
- Total nursing staff turnover
- 51.9% — near the North Carolina averageNorth Carolina avg: 49.6% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 42.1% — near the North Carolina averageNorth Carolina avg: 46.6% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the North Carolina averageNorth Carolina avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $15,593 total
Medicare certification
- CMS Certification Number
- 345400
- Certified beds
- 94 beds · avg 90 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Bt2, Inc.
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Disclosed owners (14 on record)
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
+ 8 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 10)
- F0880·Nov 21, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0644·Nov 21, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D0602·Nov 21, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
- D0867·Jun 30, 2023Complaint
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- D0808·Jun 30, 2023Complaint
Nutrition and Dietary Deficiencies
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.
- J0689·Jun 30, 2023Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- J0684·Jun 30, 2023Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0658·Jun 30, 2023Complaint
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Federal penalties
By year
- 20232 fines · $16K
Most recent events
- Jun 30, 2023Fine · $7,797
- Jun 30, 2023Fine · $7,796
Largest single fine on record: $7,797.
Fire-safety citations
5 Life-Safety-Code citations on file. Most recent: Nov 21, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Skyland Care Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.