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

    The Hermitage

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

    Smooth move-in, exceptional caring staff

    I had a smooth move-in and feel blessed by friendly, hardworking staff who exceeded my expectations - outstanding communication, around-the-clock caregiver availability, and responsive management with excellent medical and hospice coordination put me at ease. The facility is very good: large rooms with a hilltop view, varied activities, three nutritious meals, laundry and hassle-free billing - I'm grateful for the caring, trained team.

    Current/former resident
    Jul 2026

    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

    2.29·(24)

    Overall rating

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

      2.8
    • Staff

      2.9
    • Meals

      2.7
    • Amenities

      3.2
    • Value

      1.3

    Pros

    • Compassionate and responsive caregiving staff
    • Collaborative hospice and clinical coordination
    • Engaging activity programming (cards, outings, exercise, trivia)
    • On-site dining with three meals daily and cafeteria service
    • Laundry service included
    • Spacious, updated rooms
    • Attractive grounds, hilltop views, and central courtyard
    • Accessible communal spaces and social opportunities
    • 24-hour caregiver availability in some units
    • Streamlined move-in and billing experience for some families

    Cons

    • Inconsistent medication administration and inventory controls
    • Gaps in incident documentation and family communication
    • Variable staffing levels and weekend/night coverage
    • Sanitation and pest-control concerns in some areas
    • Weak valuables-theft prevention and financial-accountability controls
    • Inconsistent dementia/memory-care programming and supervision
    • Irregular personal-care routines and hygiene scheduling
    • Management responsiveness and complaint-resolution shortfalls
    • Inconsistent staff conduct and communication tone

    Summary of reviews

    Reviews of The Hermitage present a mixed picture, with families describing both strong clinical and hospitality elements alongside recurring operational weaknesses. Positive comments emphasize a caregiving team that can be compassionate and attentive, coordinated hospice and medical support, and a range of social programs and amenities. Several families praised the activity calendar (cards, exercise classes, outings, movies, trivia), cafeteria-style dining with three meals a day, included laundry service, and attractive grounds and communal spaces. Some reviewers also noted spacious, updated rooms, a smooth move-in, and efficient billing in particular cases.

    Care quality shows divergence. On the positive side, some families described high-quality medical oversight, good coordination with hospice, and staff who were consistently helpful and available day and night. Conversely, a number of accounts raise serious operational concerns about medication management and inventory controls (examples include medication errors, med-cart irregularities, and missing controlled medications). These accounts suggest the need for review of pharmacy/medication workflows, secure narcotic handling, and audit procedures.

    Staff performance and supervision also vary by report. Many reviewers described friendly, hardworking aides and engaged activity staff; however, others described inconsistent conduct, communication tone issues, and instances where staff interactions with residents or aides were perceived as inappropriate. Staffing levels and coverage emerged as a recurring operational theme—families cited limited weekend and night staffing, delayed medication administration, and inconsistent personal-care routines (for example, infrequent showers or limited feeding assistance). These patterns indicate potential gaps in staffing allocation and training for complex care needs, particularly for residents with dementia.

    Memory- and dementia-care received mixed feedback. Some families appreciated accommodations and patience at move-in, but others noted limited cognitive-stimulation programming, supervision concerns near exits, and inconsistent behavior-management or individualized-care adjustments. For prospective residents with Alzheimer’s or advanced memory needs, reviewers suggest confirming individualized programming, supervision levels, and transition policies before admission.

    Facilities and housekeeping comments are split as well. Positive remarks highlight well-kept grounds, pleasant views, and clean communal areas, while other accounts raise sanitation and pest-control concerns in specific areas as well as maintenance promises that were not always completed. There are also multiple accounts of lost personal items, billing disputes, delayed refunds, and a perception of inadequate accountability for valuables; these point to weaknesses in valuables-handling, documentation, and financial-resolution processes.

    Management and communication are important recurring themes. Some families experienced responsive management and clear communication, but others reported difficulty getting timely responses to incidents, delayed or unsatisfactory complaint resolution, and inconsistent follow-through on promised actions. A small number of serious allegations—including concerns about injury and missing property—were described in individual accounts and underscore the importance of clear incident reporting, investigation, and family communication protocols.

    Bottom line: The Hermitage offers legitimate strengths in caregiving, hospice coordination, activities, and amenities that many families appreciate. At the same time, multiple reviews indicate operational gaps in medication safety, staffing consistency, incident documentation, valuables accountability, and certain aspects of memory-care programming. Prospective residents and families should seek detailed, up-to-date information on medication-management procedures, staffing ratios (including weekend/night coverage), dementia-care programming, pest-control and maintenance records, and the facility’s incident-reporting and resolution policies before making a placement decision.

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    Location

    Map showing location of The Hermitage

    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 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
    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
    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
    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
    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
    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
    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
    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
    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
    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

    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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