Home / North Carolina / Sylva
417 Cloverdale Road, Sylva, NC 28779 · Jackson County · (828) 631-1600
106 certified beds, about 91 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1989
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345302 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on August 14, 2025, inspectors cited 7 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
Of 53 health citations since January 2023, 13 were rated as actual harm or immediate jeopardy to residents (7 immediate jeopardy).
CMS lists 4 fines totaling $359,818 in the last three years; the largest was $325,563, and the latest is dated May 22, 2024.
Nurses and nurse aides worked 3.74 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.93 of those hours.
CMS links it to Regional Health Properties, an affiliated group of 5 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 53 health citations on file.
Inspectors wroteBased on record review and staff interviews, the facility failed to submit accurate payroll data on the Payroll Based Journal (PBJ) report to the Centers for Medicare and Medicaid Services (CMS) related to Registered Nurse (RN) and licensed nursing coverage 24 hours per day for 1 of 1 Federal Fiscal Year quarter reviewed for sufficient nurse staffing (Quarter 2: January 1 - March 31, 2025).
Inspectors wroteBased on observations, record review and interviews with staff and residents, the facility failed to keep a pull cord for the light above the bed within reach for 2 of 2 residents reviewed for accommodation of needs (Residents #92 and #41).a. Resident #92 was originally admitted to the facility on [DATE]. The quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #92 had moderate cognitive impairment and had no impairment of her upper extremities. On 8/11/25 at 10:10 AM an observation and interview were conducted with Resident #92. It was observed in her room that her bed was moved towards the center of the room with the headboard up against the wall and the pull cord for the light above her bed hung against the wall on her right side. The pull cord was approximately 15 inches long and was not within reach of Resident #92 when she was in the bed. [...]
Inspectors wroteBased on record review and staff interviews, the facility failed to ensure code status information was accurate throughout the medical record for 1 of 1 resident reviewed for advance directives (Resident #12).
Inspectors wroteBased on record review, resident and staff interviews, the facility failed to offer, administer, or document the Pneumococcal vaccine for 1 of 5 residents reviewed for immunizations (Resident #15). The facility policy for Pneumococcal Vaccine revised October 2019 read prior to upon admission, residents will be assessed for eligibility to receive the pneumococcal vaccine series, and when indicated, will be offered the vaccine series within 30 days of admission to the facility unless medically contraindicated or the resident has already been vaccinated. Resident #15 was admitted to the facility on [DATE]. The 5-day Minimum Data Set, dated [DATE] indicated he was cognitively intact. The pneumococcal vaccine section was coded as offered and declined. [...]
Inspectors wroteBased on record review and staff interviews, the facility failed to determine the status of Resident #15's Covid-19 vaccination to determine if Resident #15 was eligible to receive a dose of the Covid-19 vaccine for 1 of 5 residents reviewed for immunizations (Resident #15). Resident #15 was admitted to the facility on [DATE]. The 5-day Minimum Data Set assessment dated [DATE] indicated Resident #15 was cognitively intact. The Covid-19 vaccine section was coded as the resident was not up to date. Review of Resident #15's electronic health record revealed no signed informed consent, record of administration, or documentation of refusal for the Covid-19 vaccine. The medical record also contained no evidence of past Covid-19 vaccinations that had been administered. [...]
Inspectors wroteBased on record review and staff interviews, the facility failed to provide a surety bond that covered the total account balance for 55 of 55 residents with funds deposited in the resident trust fund account.
Inspectors wroteBased on observations, staff and resident interviews the facility failed to post survey results in a location accessible to all residents. This deficient practice occurred for 3 out of 4 days of the recertification survey.
Inspectors wroteBased on record review, observations, and interviews with staff, Nurse Practitioner, Medical Director, and urology office staff the facility failed to follow up with the Urologist for Resident #49 who was hospitalized for obstructing ureteral stones (kidney stones that get stuck in tubes composed of smooth muscle that transport the urine from the kidneys to the bladder) with hydronephrosis (swelling of one or both kidneys due to urine build up), urinary tract infection (UTI), pyelonephritis (an infection of the kidneys) and (a serious condition in which the body responds improperly to an infection). The Resident had a stent (a small tube placed in the ureter that allows the urine to drain) placed for renal stone obstruction on 4/23/24 and returned to the facility on 4/26/24 with a urinary catheter. [...]
Inspectors wroteBased on record reviews, observations, and interviews with residents and staff, the facility failed to treat residents in a dignified manner when staff did not allow Resident #51, Resident # 77 and Resident # 8 to leave their rooms due to the facility running out of oxygen tanks for 3 days. Resident # 51 stated she was very upset because she was unable to leave her room to go to church or do any of her daily routine and it made her feel very depressed. She stated that she felt like a caged animal having to stay in her room and felt anxiety over it. Resident #77 stated he had to stay in his room for all those days and was very bored and upset and did not feel it was right for the facility to not have portable tanks so he could do his daily business. [...]
Inspectors wroteBased on observations, record review, and interviews with resident and staff the facility failed to maintain the wall and ceiling in sanitary condition at 1 of 2 nursing stations (nursing station #1). The facility failed to manage outside water drainage to prevent outside storm water from flooding into 1 of 4 hallways (Hallway #2), 1 of 1 dining room, and 2 of 2 resident rooms (room [ROOM NUMBER] and room [ROOM NUMBER]). Furthermore, the facility failed to clean ceiling air vents located over the food prep and food service area that had a large amount of dark black substance visible on the outside of 3 of 6 vents. The facility also failed to maintain a footboard in good repair for 1 of 1 bed (Resident #37's bed) and failed to maintain a wheelchair in good repair for 1 of 1 resident (Resident #6) reviewed for a safe, clean, comfortable and homelike environment. [...]
Inspectors wroteBased on observations, record review, and interviews with staff the facility failed to establish an infection control policy for or implement Enhanced Barrier Precaution (EBP) precautions when Nurse #4 was observed providing care to a resident with a feeding tube (Resident #43) and nursing assistant (NA) #1 failed to wear a gown while performing urinary catheter care and failed to change gloves or perform hand hygiene following catheter care and prior to replacing and touching clean bedding (Resident #80). The facility also failed to implement their hand hygiene policy when they did not provide hand hygiene for a resident who was dependent on staff for hand hygiene prior to eating (Resident #45). This deficient practice occurred for 3 of 3 residents reviewed for infection control.
Inspectors wroteBased on observations and staff interviews, the facility failed to ensure ready-for-use metal pans and cooking pots were clean and not stacked wet. This occurred for 1 of 2 kitchen observations. They failed to discard opened food items ready for use within 7 days of opening and failed to discard spoiled produce with white growth in 1 of 1 walk in refrigerators in the kitchen. They also failed to discard 2 loaves of bread with green growth in 1 of 1 dry storage rooms. These practices had the potential to affect food served to residents.
Inspectors wroteBased on record review, and interviews with resident and staff, the facility failed to invite residents and/or their resident representative to participate and provide input in care planning for 2 of 4 residents reviewed for care planning (Resident #27 and Resident #37).
Inspectors wroteBased on observation, record review, and interviews with resident and staff, the facility failed to ensure a dependent resident could access a light switch located behind her bed for 1 of 1 resident reviewed for accommodation of needs (Resident #60). Resident #60 was admitted to the facility on [DATE]. Review of Resident #60's medical records revealed she had moved to her current room on 08/07/23. The annual Minimum Data Set (MDS) dated [DATE] coded Resident #60 with intact cognition. The MDS indicated Resident #60 with impairment for both sides of her lower extremities and walking between locations inside the room for more than 10 feet did not occur during the assessment period. [...]
Inspectors wroteBased on record reviews, resident, and staff interviews, the facility put a resident that had been assessed to be a safe smoker on a supervised smoking schedule for 1 of 2 residents (Resident #83) reviewed for choices.
Inspectors wroteBased on record review and staff interview, the facility failed to submit an Initial Allegation Report to the State Agency for 1 of 1 resident reviewed for neglect (Resident #238).
Inspectors wroteBased on record reviews and staff interviews, the facility failed to complete a Preadmission Screening and Resident Review (PASRR) application for a resident with a new psychiatric diagnosis for 1 of 3 residents (Resident #41) reviewed for PASRR.
Inspectors wroteBased on record review, observation, and staff interviews, the facility failed to provide nail care and meal assistance to a resident dependent on staff. This occurred for 1 of 3 residents (Resident #45) reviewed for activities of daily living (ADL) care.
Inspectors wroteBased on record review, observations, staff and Nurse Practitioner (NP) interviews the facility failed to apply a hand splint to a resident (Resident #43) for management of a contracture. This deficient practice occurred for 1of 3 residents reviewed for positioning and mobility.
Inspectors wroteBased on record review, observation, and staff interviews, the facility failed to safely transfer a resident from bed to wheelchair using a total mechanical lift when staff did not lock the wheels of the lift prior to lifting Resident #69 from bed and lowering to his wheelchair. This deficient practice had the potential to cause an injury during transfers using a total mechanical lift for 1 of 6 residents reviewed for accidents (Resident #69).
Inspectors wroteBased on observations, record review, resident, staff, and Nurse Practitioner interviews, the facility failed to obtain a physician's order for the use of supplemental oxygen for 1 of 2 residents reviewed with oxygen (Resident #68).
Inspectors wroteBased on record review, observation and staff interviews, the facility failed to ensure staff was trained on how to use a total mechanical lift for 1 of 1 resident observed for transfers (Resident #69). This was for 1 of 5 staff members (Nurse #1) reviewed for competency.
Inspectors wroteBased on record review and staff interviews, the facility failed to assess the resident for eligibility and ensure the resident was offered the pneumococcal vaccine for 1 of 5 residents reviewed for vaccines (Resident #5).
Inspectors wroteBased on record review, and interviews with residents, family member, and staff, the facility failed to provide quarterly statements for 4 of 4 residents reviewed for personal funds (Resident #27, Resident #60, Resident #20, and Resident #52).
Inspectors wroteBased on record reviews, and interviews with resident, staff and the Medical Director, the facility failed to notify a medical provider of significant changes in a resident's condition (Resident #8) who was observed to be unresponsive to painful stimuli, having low oxygen saturation level and pupil constriction. Nurse #14 suspected drug overdose and administered one dose of Naloxone, also known as Narcan (a medication used to rapidly reverse opioid overdose in an emergency situation) on [DATE] at 9:34 AM and an additional dose at 9:54 AM without notifying a medical provider. Resident #8 responded temporarily to the Narcan doses but at 3:50 PM, he was observed with no heart rate or respiratory rate and was pronounced dead. [...]
Inspectors wroteBased on record reviews, and interviews with staff and the Medical Director, the facility failed to protect a resident's right to be free from neglect when they failed to provide care and services to a resident experiencing a medical emergency. The facility failed to activate emergency response for Resident #8 who was observed to be unresponsive to painful stimuli, having low oxygen saturation level and pupil constriction. Nurse #14 administered two doses of Naloxone, also known as Narcan (a medication used to rapidly reverse opioid overdose in an emergency situation) on [DATE] at 9:34 AM and 9:54 AM, with positive response, for suspicion of drug overdose. At 3:50 PM, Resident #8 was observed with no heart rate or respiratory rate and was pronounced dead. [...]
Inspectors wroteBased on record reviews, and interviews with staff and the Medical Director, the facility failed to initiate emergency medical services for symptoms of a drug overdose. Resident #8 was slumped over, non-responsive with constricted pupils and impaired respirations. Resident #8 was observed by a facility staff member with no heart rate or respiratory rate and was pronounced dead on [DATE] at 3:50 PM. This deficient practice affected 1 of 3 residents reviewed for quality of care (Resident #8). Immediate jeopardy began on [DATE] when the facility failed to initiate emergency medical services. Immediate jeopardy was removed on [DATE] when the facility implemented a credible allegation of immediate jeopardy removal. [...]
Inspectors wrote2. Resident #1 was admitted to the facility on [DATE] with diagnoses that included dementia with agitation, bipolar disorder, anxiety disorder, insomnia, history of falling, difficulty walking, unsteadiness on feet, muscle weakness, panic disorder, schizoaffective disorder, and cognitive communication deficit. A review of the facility floor plan revealed Resident #1 resided on the 200 hall unit near the 100/200 hall nurses station and approximately 7 resident rooms from the 200 hall emergency exit door. An elopement risk assessment was completed on the following dates prior to her recent readmission: [DATE] and 11/26/23. Resident #1 was determined to be at risk for elopement on both assessments. A review of Resident #1's Admission/readmission Nursing assessment dated [DATE] revealed she had risk alerts for falls and may attempt to exit with wandering listed under mood and behaviors. [...]
Inspectors wroteBased on record reviews, and staff interviews, the facility failed to ensure nursing staff were trained and competent with responding to medical emergencies, activating emergency procedures with emergency medical services, and notifying medical providers for 1 of 4 residents (Resident #8) reviewed for neglect. Nursing staff failed to notify a medical provider of significant changes in a resident's condition who was observed to be unresponsive to painful stimuli, having low oxygen saturation level and pupil constriction, and failed to immediately initiate emergency procedures with 911. Resident #8 expired on [DATE]. This was for 2 of 2 staff members reviewed for competency (Nurse #20 and Nurse #14). Immediate jeopardy began on [DATE] when nursing staff did not demonstrate competency in responding to a medical emergency. [...]
Inspectors wroteBased on record reviews, staff, family, Pharmacist and Medical Director interviews the facility failed to obtain an antianxiety medication from the pharmacy which caused a resident to miss 3 doses of antianxiety medication for 1 of 5 residents (Resident #7) reviewed for medication errors. This failure resulted in Resident #7 experiencing feelings of panic, sweatiness, crying, shaking and asking for assistance from family to calm down.
Inspectors wroteBased on record review and staff, Medical Director, and family interviews the facility failed to ensure a resident was free of significant medication errors due to failing to administer three scheduled lorazepam (antianxiety medication) doses. The deficient practice was for 1 of 5 residents reviewed for medication errors (Resident #7). This failure resulted in Resident #7 experiencing feelings of panic, sweatiness, crying, shaking and asking for assistance from family to calm down.
Inspectors wroteBased on observations and staff interviews the facility failed to maintain clean and sanitary floors (bathroom of room [ROOM NUMBER], 208, 301 rooms 310, 301, 303, 211 ), maintain clean and sanitary privacy curtains (rooms [ROOM NUMBERS]), ensure a baseboard was clean and sanitary (room [ROOM NUMBER]), ensure the toilet was clean and in good repair (room [ROOM NUMBER]), ensure a bathroom was free of lingering odors (room [ROOM NUMBER]), and maintain baseboards in good repair (bathroom of 303 and 114) for 3 of 4 halls (100 hall, 200 hall, and 300 hall ) reviewed for safe, clean, and homelike environment.
Inspectors wroteBased on record reviews, and staff interviews, the facility failed to report suspicious white powder and a pill splitter (device used to cut a pill in half) found in Resident #8's room to local law enforcement after Resident #8 was suspected of drug overdose and was given two doses of Naloxone, also known as Narcan (a medication designed to rapidly reverse opioid overdose in an emergency situation) with positive response. The facility also failed to investigate and preserve potential evidence when they lost the white powder. In addition, the facility failed to submit a complete investigation report and notify Adult Protective Services after Resident #7 alleged abuse from a staff member. This deficient practice affected 2 of 4 residents reviewed for abuse and neglect (Resident #8 and Resident #7).
Inspectors wroteBased on record review, interviews with staff and the Medical Director (MD), the facility failed ensure the MD was aware of resident care policies related to the administration of Naloxone or Narcan (a medication designed to rapidly reverse opioid overdose in an emergency situation). This deficient practice had the potential to affect all residents with active orders for Narcan.
Inspectors wroteBased on observations, record reviews, an audio digital file, and interviews from resident, staff, visitor, family, Pharmacist, and Medical Director, the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitor interventions the committee put into place following the recertification surveys conducted on 4/29/21 and 1/20/23 and the complaint investigation surveys conducted on 9/29/21, 1/6/22, 6/7/23, 10/18/23, 11/21/23, 11/30/23, and 12/7/23. This was for seven repeat deficiencies that were cited in the areas of visitation rights, safe and comfortable environment, notification of changes, quality of care, accident hazards, pharmacy services and significant medication errors. [...]
Inspectors wroteBased on observation, record reviews, an audio digital file, and interviews from resident, staff, and visitor, the facility failed to allow unrestricted visitation by limiting visitation for 1 of 1 resident reviewed for visitation (Resident #3).
Inspectors wroteBased on record review, observation, and interviews with resident, staff, and the Medical Director, the facility failed to use a mechanical lift to transfer a non-ambulatory resident (Resident #1) for 1 of 3 residents reviewed for accidents. Resident #1 sustained a distal femoral periprosthetic (structure in close relation to an implant) fracture of the left knee after Nurse Aide #1 attempted to transfer her from bed to wheelchair by putting his hands on her and supporting her by holding the back of her pants after her knees buckled as soon as she stood up.
Inspectors wroteBased on record review, resident and staff interviews, the facility failed to treat a resident with dignity when Nurse Aide (NA) #1 adjusted Resident #8 down in the bed by his ankles when the resident asked to be moved down in the bed for 1 of 3 residents reviewed for dignity (Resident #8).
Inspectors wroteBased on record review, observation and interviews with staff, the Pharmacist and the Medical Director, the facility failed to obtain a controlled pain medication from the pharmacy for 1 of 5 residents (Resident #10) observed for medication administration.
Inspectors wroteBased on observations, record review and staff interview, the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitor interventions the committee put into place following the recertification surveys conducted on 4/29/21 and 1/20/23 and the complaint investigation surveys conducted on 6/7/23, 10/18/23 and 11/21/23. This was for four repeat deficiencies that were cited in the areas of resident rights, accident hazards, pharmacy services and infection control. Accident hazards was originally cited on 1/20/23 during the recertification survey, and subsequently recited during two complaint investigation surveys completed on 11/21/23 and 11/30/23. Pharmacy services was originally cited on 4/29/21 during the recertification survey, and subsequently recited during two complaint investigation surveys completed on 6/7/23 and 11/30/23. [...]
Inspectors wroteBased on observation, record review, and staff interviews, the facility failed to implement their infection control policy when Nurse #2 did not perform hand hygiene after removing a soiled dressing with drainage on it and before donning new gloves to cleanse the wound with wound cleanser-soaked gauze. Nurse #2 also failed to perform hand hygiene after cleaning scissors with alcohol, doffing gloves and before donning new gloves to continue with care for 1 of 1 resident (Resident #4) reviewed for wound care.
Inspectors wroteBased on observations, record review, staff, friend, Physician Assistant (PA), and Medical Director (MD) interviews, the facility failed to prevent a resident with severe cognitive impairment and a history of wandering and exit seeking behaviors, from exiting the facility unsupervised and without staff knowledge for 1 of 3 sampled residents (Resident #2). During the evening hours on 08/11/23, the Business Office Manager observed Resident #2 approximately 150 yards from the facility walking in the direction of a two-lane main road approximately 100 yards away. The Business Office Manager was able to intercept and escort Resident #2 back to the facility before he reached the two-lane main road which was located on a blind curve and directly across the two-lane road was a wooded area. [...]
Inspectors wroteBased on observations, record review, and staff and Physician Assistant (PA) #1 interviews the facility failed to administer pain medication to Resident #1 after he yelled out loudly in pain and grabbed his right hip. A mobile x-ray completed at the facility noted a right hip fracture. No pain medication was administered to Resident #1 until he was evaluated at the hospital emergency department for treatment of the right hip fracture later that day. This deficient practice occurred for 1 of 4 residents reviewed for supervision to prevent accidents (Resident #1).
Inspectors wroteBased on observation, record review, resident, and staff interviews, the facility failed to treat a resident in a respectful and dignified manner when the Social Worker completed a Brief Interview for Mental Status (BIMS) assessment on 1 of 3 residents (Resident #12) reviewed for dignity and respect. This occurred while he was in the therapy gym with other residents and therapists in the same area of the gym. Resident #12 stated it made him feel embarrassed, singled out, and targeted.
Inspectors wroteBased on record review, observations and interviews with staff and the Medical Director, the facility failed to maintain a medication error rate of less than 5% as evidenced by medication omissions and wrong dose given (6 medication errors out of 32 opportunities), resulting in a medication error rate of 18.8% for 2 of 3 residents (Resident #10 and Resident #9) observed during medication administration.
Inspectors wroteBased on record review and staff interviews, the facility failed to complete and transmit a comprehensive Minimum Data Set (MDS) assessments within the regulatory time frame as specified in the Resident Assessment Instrument (RAI) manual for 1 of 5 residents reviewed for resident assessments (Resident #6).
Inspectors wroteBased on record review, observations, and interviews with the resident, staff, Physician Assistant and Medical Director, the facility failed to administer a short-acting insulin as ordered by the physician for 1 of 3 residents (Resident #8) reviewed for medication administration.
Inspectors wroteBased on observations, record review and staff interview, the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitor interventions the committee put into place following a complaint investigation survey conducted on 6/7/23. This was for a repeat deficiency that was cited in the area of significant medication error that was originally cited on 6/7/23 during a complaint investigation survey, and subsequently recited during another complaint investigation survey completed on 10/18/23. The continued failure of the facility during two federal surveys of record shows a pattern of the facility's inability to sustain an effective QAA program.
Inspectors wroteBased on observation, record review, and staff interviews, the facility failed to implement their infection control policy when Nurse #2 did not perform hand hygiene after removing a soiled dressing with drainage on it and before donning new gloves to cleanse the wound with saline-soaked gauze for 1 of 3 residents (Resident #1) reviewed for wound care.
Inspectors wroteBased on record review and staff interviews, the facility failed to transmit an admission Minimal Data Set (MDS) within 14 days of the admission date for 1 of 5 sampled residents reviewed for accidents (Resident #4).
Inspectors wroteBased on observations and staff interviews the facility failed to maintain a clean walk-in refrigerator from an accumulation of a grayish matter and a sticky floor with black stained areas for 1 of 1 walk-in refrigerators. Additionally, the facility failed to date opened food in 1 of 1 walk-in refrigerators. This practice had the potential to affect food served to residents.
Inspectors wroteBased on observation and staff interviews the facility's Quality Assurance Activity (QAA) committee failed to maintain implemented procedures and monitor interventions that the committee had previously put into place following the facility's 04/29/21 recertification and complaint survey. The failure related to a deficiency that was originally cited during the 7/10/20 complaint survey then cited on the 04/29/21 recertification and complaint survey and was cited on the current recertification and complaint survey of 01/20/23. The recited deficiency was in the area of food safety requirements and store, prepare, distribute and serve food in accordance with professional standards for food service safety. The continued failure of the facility during two surveys of record in the same area showed a pattern of the facility's inability to sustain an effective Quality Assurance program.
Inspectors wroteBased on record review, observation, and interviews with staff and Residents, the facility failed to conduct smoking assessment periodically for 2 of 2 residents assessed for smoking (Resident #43 and #28).
18 fire safety citations on file: 1 on July 29, 2025, 9 on July 30, 2024, 7 on January 20, 2023, 1 on April 29, 2021.
| Date | Penalty | Amount or length |
|---|---|---|
| May 22, 2024 | Fine | $325,563 |
| May 22, 2024 | Payment Denial | 67 days from June 14, 2024 |
| October 18, 2023 | Fine | $7,901 |
| October 18, 2023 | Fine | $10,065 |
| October 18, 2023 | Fine | $16,289 |
| October 18, 2023 | Payment Denial | 1 days from January 4, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.74 | 3.85 | 3.86 |
| Registered nurses | 0.93 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.40 | 3.42 | 3.42 |
| Nurse aides | 2.27 | ||
| Licensed practical nurses | 0.55 | ||
| Nursing staff turnover (share who left in a year) | not reported | 49.0% | 45.8% |
| Registered nurse turnover | not reported | 45.6% | 42.9% |
| Administrators who left | not reported |
CMS expects 4.01 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.88 on weekdays and 3.40 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 20.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.75 in July to September 2025 to 3.74 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.74 | 0.93 | 3.88 | 3.40 | 20.1% | 0 of 90 | 91 |
| Oct to Dec 2025 | 3.40 | 0.60 | 3.54 | 3.03 | 8.3% | 0 of 92 | 86 |
| Jul to Sep 2025 | 3.75 | 0.65 | 3.92 | 3.32 | 0.0% | 0 of 92 | 83 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| North Carolina, all employers | |||
| CNAs (nursing assistants) | $18.49 | $17.28 to $21.08 | 64,010 |
| LPNs and LVNs | $30.42 | $28.50 to $33.51 | 18,010 |
| Registered nurses | $40.56 | $37.87 to $49.06 | 111,120 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 21.6 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.9 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 5.0 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.7 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.8 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 31.9 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.0 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.1 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 17.6 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.9 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Vero Health & Rehab of Sylva's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (42.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
42.4% this home
No different from the national rate
US median of homes 51.5% · North Carolina: 93 better, 25 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 58 eligible stays.
10.7% this home
No different from the national rate
US median of homes 10.7% · North Carolina: 1 better, 4 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 61 eligible stays.
8.8% this home
No different from the national rate
US median of homes 7.1% · North Carolina: 1 better, 3 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 43 eligible stays.
36.0% this home
Median of homes: North Carolina54.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 25 residents counted.
2.6% this home
Median of homes: North Carolina0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 39 residents counted.
0.0% this home
Median of homes: North Carolina2.5% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 39 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: North Carolina97.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 18 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: SYLVA OPERATIONS LLC. CMS links this home to Regional Health Properties, a group of 5 nursing homes averaging 1.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Morrison, Brent | Direct ownership interest | Individual | 11/14/2024 | |
| Taylor, Ken | Corporate director | Individual | 11/14/2024 | |
| Tenwick, David | Corporate director | Individual | 11/14/2024 | |
| Morrison, Brent | Corporate officer | Individual | 11/14/2024 | |
| Simmons, Teddie | Operational/managerial control | Individual | 11/14/2024 | |
| Regional Health Properties Inc | Adp of the SNF | Organization | 01/17/2025 | |
| McAbee, Bradley | Adp of the SNF | Individual | 11/14/2024 | |
| Morrison, Brent | Adp of the SNF | Individual | 01/17/2025 | |
| Simmons, Teddie | Adp of the SNF | Individual | 11/14/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
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