Pricing ranges from
    $4,606 – 5,987/month

    The Hermitage

    185 Brick Farm Rd, Sylva, NC 28779
    • Independent Living
    • Assisted Living
    • Memory Care

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    2.50·(26)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.9
    • Staff

      3.2
    • Meals

      2.7
    • Amenities

      3.2
    • Value

      1.3

    Pros

    • Compassionate and attentive caregiving staff
    • Coordinated hospice and medical care
    • Varied recreational activities and outings
    • Three daily meals with on-site cafeteria service
    • Laundry and housekeeping services
    • Well-maintained grounds and scenic hilltop views
    • Spacious newer private rooms
    • Smooth and organized move-in support

    Cons

    • Inconsistent medication-management controls
    • Weak personal-property and financial accountability
    • Variable cleanliness and pest-control standards
    • Insufficient staffing coverage during nights and weekends
    • Inconsistent personal-care routines (bathing, linen changes, feeding assistance)
    • Gaps in dementia/memory-care programming and engagement
    • Poor incident reporting and family communication
    • Inconsistent management responsiveness and complaint resolution
    • Safety supervision gaps for residents with exit-seeking behavior
    • Allegations of theft and missing controlled medications

    Summary of reviews

    Reviews present a polarized picture of care at the facility: many families and residents describe compassionate frontline caregivers, effective coordination with hospice and medical providers, and an orderly move-in experience, while others report substantive operational weaknesses that affected clinical safety, personal property, and family communication.

    Care quality is mixed. Positive accounts emphasize attentive caregiving, reliable medication and meal delivery in some cases, and good collaboration with hospice and outside medical teams. However, there are repeated concerns about medication-management processes (including documentation, pharmacy/cart handling, and missing controlled medications), inconsistent assistance with feeding and bathing, and irregular linen-change practices. These operational gaps create clinical risk and undermine confidence for families seeking consistent daily-care routines.

    Staff performance and management oversight also vary. Numerous reviewers praise individual staff members as hardworking, friendly, and caring; several accounts describe constant caregiver availability and strong one-on-one attention. At the same time, others describe inconsistent staff conduct, breakdowns in supervision, and a communication tone that families found unhelpful. Management responsiveness appears uneven—some families experienced straightforward billing and prompt communication, whereas others encountered delays in refunds, slow complaint resolution, and difficulty obtaining follow-up from regional leadership.

    Dining, activities, and facilities show similar variability. The facility offers three meals daily, a staffed cafeteria, laundry service, and a broad activities program (cards, exercise classes, movies, outings, trivia). For many residents these programs are meaningful, but memory-care programming is described as under-stimulating by some families. The campus and newer rooms receive positive remarks for appearance, courtyard access, and scenic views; concurrently, reviewers raised sanitation concerns in certain common areas, carpeting and door grime issues, and pest-control concerns that warrant attention.

    Taken together, the reviews suggest a facility with significant strengths in interpersonal caregiving, medical coordination, and campus amenities, but with recurring operational weaknesses in medication controls, property accountability, staffing consistency (especially nights/weekends), dementia programming, and complaint-handling. Prospective residents and families should inquire specifically about current medication-administration protocols, property-loss procedures and documentation, staffing ratios for off-hours, dementia-specific engagement plans, and the facility’s formal complaint and incident-reporting processes before making a placement decision.

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    Location

    The Hermitage is located at 185 Brick Farm Rd, Sylva, NC, 28779.

    About The Hermitage

    The Hermitage is a senior living community nestled in the scenic beauty of western North Carolina, specifically in Sylva. Surrounded by mountains and tranquil landscapes, The Hermitage strives to offer a superior lifestyle for seniors who seek both comfort and expert care. The community has established a reputation for setting the highest standards in assisted living and memory care, carefully combining all the familiar comforts of home with attentive health and personal care services. These elements work together to create an environment where residents can relax and enjoy life, knowing their well-being is always a top priority.

    At the heart of The Hermitage is a dedicated team, often described as heroes, who work diligently around the clock to guarantee that every resident is cared for, respected, and cherished. This staff is committed to creating a warm, supportive atmosphere where individuals are empowered to embrace daily life and maintain as much independence as possible. Personal dignity, fulfillment, and peace are at the forefront of daily life at The Hermitage. The team is always present, responding to each resident’s needs with compassion and professionalism to foster a sense of security and belonging.

    A holistic approach to care is central to the philosophy at The Hermitage. Nutrition and wellness are considered of vital importance, with the role of diet and physical health woven into the daily routine. The community emphasizes the impact of a well-balanced diet on overall well-being, ensuring that every resident has access to nutritious meals and support that nurtures both body and mind. Beyond daily care, The Hermitage also hosts educational presentations that guide residents and their families through available public and private programs for assistance with long-term care costs, including topics like Special Assistance, Medicaid, Long-Term Care Insurance, and Veterans Benefits.

    Life at The Hermitage is not just about support, but also about creating meaningful experiences. Holidays and special occasions are celebrated thoughtfully, with curated ideas for gift-giving and activities to enhance the community spirit. Residents are empowered to thrive, enjoying independence and opportunities to participate in enriching activities. Every measure is taken to ensure that each resident can lead a peaceful, comfortable, and fulfilled life, making The Hermitage a place where seniors truly feel at home.

    About ALG Senior

    The Hermitage is managed by ALG Senior.

    ALG Senior, originally founded as Affinity Living Group in 1996 by Charles Trefzger, stands as one of the most significant senior living providers in the United States. Headquartered in Hickory, North Carolina, the company has grown from its humble beginnings to become the tenth largest provider of assisted living nationwide, the seventh largest provider of Alzheimer's and memory care services, and the largest senior housing operator in the southeastern United States. The company operates approximately 58-66 communities throughout the southeastern United States, with a primary geographic concentration in North Carolina, South Carolina, Virginia, Georgia, and Alabama.

    People often ask...

    The Hermitage offers competitive pricing, with rates starting at a cost of $4,606 per month.

    The Hermitage offers independent living, assisted living, and memory care.

    There are 10 photos of The Hermitage on Mirador.

    Yes, The Hermitage allows residents to age in place and adjust their level of care as needed.

    The full address for this community is 185 Brick Farm Rd, Sylva, NC 28779.

    No, The Hermitage does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In North Carolina, the Division of Health Service Regulation licenses adult care and assisted living facilities, posting annual, complaint, and follow-up inspection results.

    License number050758
    Facility typeAdult Care Home
    Capacity90 residents
    View the official license record

    Inspection Reports

    18

    Reports

    17

    Type A Citations

    1

    Type B Citations

    4

    Complaints

    9

    Years

    13 Feb 2025Inspection
    Identified issues with how special diets were managed, including mislabeling and gaps in knowledge about residents' diet orders.
    • 10A NCAC 13F.0904(e)(4) Nutrition and Food ServiceNutrition and Food Service
    13 Feb 2025Inspection
    Found that a therapeutic diet order was not followed for a resident; the served meal did not align with the prescribed mechanical soft, ground meats diet and no added table salt, and diet information processes were inconsistently used.
    • 10A NCAC 13F .0904(e)(4)Nutrition and Food Service
    14 May 2024Construction
    Identified nonfunctional exhaust ventilation in two spaces; exhaust fans in Hall 400-Spa/Bath and Kitchen Hall-Laundry were not working.
    • Type A10A NCAC 13F .0311 (g)Exhaust Ventilation
    • Type B10A NCAC 13F .0311 (g)Exhaust Ventilation
    28 Sept 2022Follow-Up
    Investigated a resident-related issue and found deficient follow-through with care and rights, highlighted by a foul odor from a resident’s room and incomplete documentation.
    • A2G.S. 131D-21(2) Declaration of Residents' RightsDeclaration of Residents' Rights
    28 Sept 2022Follow-Up
    Investigated a health care concern and found failure to follow up with monthly catheter changes for a resident, risking infection and urethral complications. A deficiency in health care was cited.
    • Type A10A NCAC 13F .0902(b) Health CareHealth Care
    29 Mar 2022Complaint
    Investigation found toenail care was not provided for a resident. Follow-up for acute injuries from falls was not timely, and a resident's self-administration of medications was not properly managed.
    • 10A NCAC 13F .0901(a)Personal Care and Supervision
    • Type A10A NCAC 13F .0902(b)Health Care
    • 10A NCAC 13F .1005(a)Self-Administration Of Medications
    29 Mar 2022Complaint
    Investigated deficiencies found in personal care, health care delivery, and residents’ rights, including inadequate nail care, delayed medical attention after a fall, medication management concerns, and violations of residents' rights.
    • Type A10A NCAC 13F .0901(a)Personal Care and Supervision
    • Type A10A NCAC 13F .0902(b)Health Care (Type A1 Violation)
    • Type A10A NCAC 13F .0902(b)Health Care (Type A1 Violation)
    • Type AG.S. 131D-21(2)Declaration of Residents' Rights
    15 Dec 2020Other
    Investigated infection prevention practices related to COVID-19; identified failures in PPE use, hand hygiene, gown reuse, and related practices, posing transmission risk.
    • 10A NCAC 13F .1801(a)(b) Infection Prevention and Control ProgramInfection Prevention and Control Program
    • G.S. 131D-21(2) Declaration of Residents' RightsDeclaration of Residents' Rights
    15 Dec 2020Other
    Investigated a COVID-19 infection-control matter and found multiple deficiencies in PPE use, hand hygiene, and isolation practices during the on-site review.
    • —Infection-control deficiencies (PPE/hand hygiene)
    • —PPE handling and isolation procedures
    • —Training and monitoring to ensure PPE use
    28 Nov 2018Construction
    Identified multiple deficiencies in physical plant, fire safety equipment, and housekeeping; several issues lacked proper maintenance and safety.
    • Type A10A NCAC 13F .0300/.0301Physical Plant Requirements
    • Type ANFPA 25; 10A NCAC 13F .0300Fire Sprinkler System – Inspection/Testing/Maintenance
    • Type A10A NCAC 13F .0300Physical Plant – Cleaning/Maintenance
    • Type A10A NCAC 13F .0300Building Equipment Maintained Safe, Operating
    28 Nov 2018Construction
    Investigated a complaint and identified multiple deficiencies related to the facility's physical plant, safety equipment, and housekeeping that required corrective actions.
    • Type A10A NCAC 13F .0301Physical Plant Requirements
    • Type ANFPA 25Fire Sprinkler System Maintenance
    • Type A10A NCAC 13F .0311Other Requirements
    • Type A10A NCAC 13F .0300Entrances/Exits - Wanderer Alarms
    • Type A10A NCAC 13F .0308Fire Extinguishers
    • Type A10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    28 Nov 2018Construction
    Identified multiple deficiencies in physical plant, safety systems, and housekeeping, indicating noncompliance with state rules.
    • 10A NCAC 13F .0301 (2)APPLICATION OF PHYSICAL PLANT REQUIREMENTS
    • 10A NCAC 13F .0302 (f)DESIGN AND CONSTRUCTION
    • 10A NCAC 13F .0302 (f)DESIGN AND CONSTRUCTION
    • 10A NCAC 13F .0305 (h)PHYSICAL ENVIRONMENT
    • 10A NCAC 13F .0306HOUSEKEEPING AND FURNISHINGS
    • 10A NCAC 13F .0306HOUSEKEEPING AND FURNISHINGS
    • 10A NCAC 13F .0306HOUSEKEEPING AND FURNISHINGS
    • 10A NCAC 13F .0308FIRE EXTINGUISHERS
    • 10A NCAC 13F .0311OTHER REQUIREMENTS
    13 Jul 2017Follow-Up
    Investigation found medication administration deficiencies involving incomplete MAR documentation, dosing records, and related procedures, including potassium chloride dosing and control of medication orders.
    • 10A NCAC 13F .1004(a)Medication Administration
    • 10A NCAC 13F .1004(a)Medication Administration
    13 Jul 2017Follow-Up
    Detected deficiencies in documenting and implementing physician orders, particularly around laboratory testing and potassium chloride administration, including misdocumentation in medication records.
    • 10A NCAC 13F .0902(c)(3-4)Health Care – Written procedures, treatments or orders
    • 10A NCAC 13F .1004(a)Medication Administration – Administration in accordance with orders
    • 10A NCAC 13F .1004(j)Medication Administration – MAR documentation
    15 Feb 2017Follow-Up
    Found deficiencies in safety and fire protection, including corridor hazards and unsealed fire-rated construction; further action required.
    • 10A NCAC 13F .0306Housekeeping and Furnishings
    • 10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    15 Feb 2017Follow-Up
    Identified fire-safety deficiencies, including unapproved methods sealing openings, doors that do not close or latch, and a magnet that kept a door open.
    • —Corridor doors not closing and latching; improper door hardware
    • —Door hardware modified with magnets to hold doors open
    • —Unapproved fire doors used to seal holes and openings
    11 Jan 2017Construction
    Identified multiple safety and fire-safety deficiencies, including improper storage of oxygen cylinders, damaged/obstructed doors, and missing fire drill rehearsals.
    • 10A NCAC 13F .0302Must Have Current Sanitation & Fire Safety Reports
    • 10A NCAC 13F .0306Housekeeping and Furnishings
    • 10A NCAC 13F .0309PLAN FOR EVACUATION
    • 10A NCAC 13F .0311OTHER REQUIREMENTS
    11 Jan 2017Construction
    Investigation found multiple safety and maintenance deficiencies, including improper storage of oxygen cylinders, fire safety hardware issues, and inadequate fire-drill rehearsals.
    • —Must Have Current Sanitation & Fire Safety Reports
    • —Oxygen Cylinder Storage
    • —Fire Drill Rehearsals
    • —Fire Safety Equipment/Barriers Deficiencies

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of The Hermitage. The information above has not been verified or approved by the owner or operator. For exact information, please contact The Hermitage directly. There is no cost for this service. We are compensated by the community you select.

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