65 Church St, Waynesville, NC 28786
Independent LivingActive Adult Living
Affordable senior housingIndependent livingAge 62+ community
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Medicare-certifiedSkilled Nursing
Skyland Terrace and Rehabilitation
Waynesville, North CarolinaMedicare inspection record
About Skyland Terrace and Rehabilitation
Skyland Terrace and Rehabilitation brings skilled nursing and rehabilitation care to Waynesville, North Carolina with a focus on recovery and dignity. Our team provides personalized treatment plans designed to help residents regain independence and return home whenever possible.
Community at a glance
Capacity
90 residents
Location
Waynesville, NC
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
516 Wall Street, Waynesville, North Carolina 28786
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on February 19, 2026, state inspectors cited 3 health deficiencies (the North Carolina average is 4.7).
Nurses and nurse aides spend 3 hours 24 minutes with each resident a day, below the North Carolina average of 3 hours 51 minutes.
Medicare fined Skyland Terrace and Rehabilitation once in the last three years, $8,512 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 24 minutesBelow the North Carolina average |
| Registered nurse time per resident, per day | 39 minutes |
| Nursing staff who left in the past year | 53%Above the North Carolina average |
Inspections
8 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
February 19, 2026 · Standard inspection · 3 citations
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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Mar 4, 2026Develop and implement policies and procedures for flu and pneumonia vaccinations.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Mar 4, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 4, 2026
April 30, 2025 · Complaint investigation · 1 citation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 17, 2025
December 6, 2024 · Standard inspection · 4 citations+
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Dec 19, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Dec 11, 2024Protect each resident from the wrongful use of the resident's belongings or money.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Dec 20, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Dec 11, 2024
Fines and payment denials
1 fine totaling $8,512 in the last three years.
- December 6, 2024Fine: $8,512
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- Coolgate Inc
- Medicare-certified beds
- 90
- Average residents per day
- 83
- Accepts
- Medicare and Medicaid
- First certified
- January 24, 1992
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 345411
Location
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516 Wall StreetWaynesville, NC 28786
12 other communities within 10 miles
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Questions about Skyland Terrace and Rehabilitation
How did Skyland Terrace and Rehabilitation do on its last inspection?+
State inspectors visited on February 19, 2026 and cited 3 health deficiencies. The North Carolina average is 4.7.
How much nursing care does each resident get at Skyland Terrace and Rehabilitation?+
Nurses and aides spend 3 hours 24 minutes with each resident per day, including 39 minutes from registered nurses. 53% of nursing staff left over the past year.
Has Skyland Terrace and Rehabilitation been fined by Medicare?+
Yes. Medicare fined Skyland Terrace and Rehabilitation once in the last three years, totaling $8,512.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.