Skyland Terrace And Rehabilitation
516 Wall Street, Waynesville, NC, 28786
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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
- 90 · avg 83 residents/day
- Total nursing staff turnover
- 52.8% — near the North Carolina averageNorth Carolina avg: 49.6% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 41.7% — 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)
- 1 fine · $8,512 total
Medicare certification
- CMS Certification Number
- 345411
- Certified beds
- 90 beds · avg 83 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Coolgate Inc
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Disclosed owners (10 on record)
- Mistie Cooley
Operational/managerial Control · since 2025
- Thomas Elijah Gatewood
Operational/managerial Control · 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
+ 4 additional owners on the federal record.
Recent change of ownership
October 2022 (3 years ago) · acquired from Haywood Nursing And Rehabilitation Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Change of Ownership, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 13)
- D0883·Feb 19, 2026
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D0684·Feb 19, 2026
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0578·Feb 19, 2026
Resident Rights Deficiencies
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.
- D0600·Apr 30, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0686·Dec 6, 2024Complaint
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D0602·Dec 6, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
- D0812·Dec 6, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- G0745·Dec 6, 2024
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Federal penalties
By year
- 20241 fine · $8,512
Most recent events
- Dec 6, 2024Fine · $8,512
Fire-safety citations
2 Life-Safety-Code citations on file. Most recent: Jul 14, 2023. 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 Terrace And Rehabilitationinto 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.