Skyland Care Center
193 Asheville Highway, Sylva NC 28779 · (828) 586-8935 · 95.1% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
With an address in Sylva, North Carolina, Skyland Care Center is one of just a couple facilities in this area. This nursing home proved to be a quality facility, with an overall grade of B. This nursing home truly has plenty working in its favor. This nursing home is stronger in some categories than others, but it didn't have any poor grades in any of our major categories. More information about these categories can be found below.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 94 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
On top of receiving a great overall score, this place also received first-rate government inspections in recent years. We awarded it one of our better grades in this category, with a grade of A+. Inspection grades take several factors into consideration, including deficiencies, substantiated complaints and federal fines. You can learn more about each of these issues by reviewing copies of nursing homes' inspection reports. This nursing home was hit with 2 deficiencies on its inspection report, but none of the deficiencies were considered to be severe deficiencies. This indicates that the government inspectors didn't consider any of these deficiencies to be an imminent risk to patient safety or health. We should point out that deficiency-free inspection reports are rare in the industry.
Short-term Care Quality
This nursing home really excelled in the category of short-term care, where we awarded it a grade of A-. Few facilities performed more favorably in this area. In computing our short-term care grades, we size up the facility's levels of skilled nursing, which includes registered nurses, physical therapists occupational therapists and other licensed professionals. This grade is more often than not a fair assessment of a facility's rehabilitation services. This nursing home provides more services with registered nurses and physical therapists than most nursing homes we looked at. Finally, we looked at the percentage of patients that ultimately were able to return home from this facility. We found that it performed better than most facilities in the country in this area with 55 percent of its residents returning home.
Nurse Quality
The next highest grade we gave this nursing home came in the category of nursing, where we gave it a grade of C. This wasn't quite as good as some of its other scores, but a grade in this range is not the end of the world. Our nursing rating weighs several datapoints. The most heavily weighted factor is the number of hours nurses spent with patients. This particular nursing home provided 3.8 hours of nursing care per resident per day. Finally, our nursing grades also factor in some quality-focused statistics. Specifically, we look at the percent of residents who sustained pressure ulcers and major falls. We view these metrics as good indicators of the quality of nursing care, since better care tends to reduce these problems.
Long-term Care Quality
Turning to our next area, this nursing home received a grade of C in long-term care, which we consider to be a respectable score. Long-term care grades are used to measure a nursing home's performance as a traditional nursing home, as opposed to focusing on the skilled nursing services provided by a rehabilitation facility. On top of assessing the amount of care provided by nurses and other staff, we also looked at the percentage of residents vaccinated for pneumonia. This facility vaccinated 99.33555 percent of its residents. Finally, this nursing home was also able to limit hospitalizations. In fact, it had only 0.96 hospitalizations per one thousand long-term resident days, which is an impressively low number.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Skyland Care Center Quality Metrics
Minimizes Pressure Ulcers
This is an indication of the percentage of long-term care residents who developed new or worsened pressure ulcers . We use this statistic in calculating our nursing grades.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This tells you the percentage of patients who suffered from a major fall. Falls resulting in major injuries are routinely associated with lower levels of patient supervision. More supervision limits the number of major falls sustained by residents in a nursing home.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This indicates the percentage of residents who suffered from a urinary tract infection. Urinary tract infections are often caused by lower quality nursing care. More frequent bathing can minimize the percentage of residents in a nursing home who suffer from UTI's. Note that this metric is affected by by the fact that facilities have incongruent reporting standards for infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This tells you the percentage of patients who were prescribed antipsychotic medications. While antipsychotic drugs may be vital to many patients, it is important to ensure these medications are being used only where medically required. In some cases, high levels of antipsychotic drug use may indicate that a facility is using these drugs to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This metric is a measure of the percentage of long-term residents taking antianxiety medications.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This datapoint is a measure of the percentage of long-term patients who are exhibiting signs of depression. Many in the industry argue that this is a measure of quality of care.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This is a measure of the percentage of long-term stay patients who were given the flu and pneumonia vaccines. Respiratory viruses can be deadly for nursing home residents, making these vaccines vital to patient care.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This metric measures the percentage of long-term care patients that required additional assistance with activities of daily living over time. Activities of daily living include activities such as dressing and continence. Some experts would argue that this is a reliable measure of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This tells you the percent of residents who retained mobility levels over time. Preserving mobility is usually a good sign for residents' well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This tells you the number of times residents are hospitalized per 1,000 days of care. There is typically a correlation between keeping patients out of the hospital and the quality of care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This metric is a measure of the number of rehospitalizations per 1,000 days of short-term patient care. Keeping residents out of the hospital during rehabilitation is critical to restoring the physical abilities of patients.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This is the number of emergency room visits per 1,000 days of short-term care. There is generally a correlation between reduced emergency room visits and the overall quality of care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This indicates the percent of short-term care residents who saw functional improvements, such as enhanced ability to perform activities of daily living. High levels of independence with ADL's often correlates with superior rehabilitation services.
Percentage of Resident
Higher is Better