Skyland Terrace and Rehabilitation

    516 Wall St, Waynesville, NC 28786
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Compassionate staff, excellent therapy, immaculate

    My family and I were very pleased - the staff truly care and go above and beyond (nurses, CNAs, Tammy and Joe in rehab, plus director Ted and nurse Logan). The building is immaculate with no nursing-home odors, pleasant smells, great meals, quick laundry and a lively activities program (Leo the therapy dog was a hit). Therapy was excellent - it helped my father walk again - and my mother was comfortable and well cared for; I'd recommend this facility for short- or long-term care.

    Loved one of resident
    Jul 2026

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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

    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

    4.08·(38)

    Overall rating

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

      4.2
    • Staff

      4.0
    • Meals

      5.0
    • Amenities

      5.0
    • Value

      2.0

    Pros

    • Attentive, qualified nursing and CNA staff
    • Strong, effective rehabilitation and therapy program
    • Caring, compassionate treatment that promotes resident dignity
    • Clean facility with reports of no nursing-home odor
    • Nutritious, appealing meals (good smell, look, taste)
    • Active and lively activities program with an engaged activities director
    • Good coordination with hospice and discharge planning
    • Responsive maintenance and quick laundry service
    • Supportive business office, social work, and financial staff
    • Frequent and proactive family communication (reported by many)
    • Individual staff recognized for going above and beyond (e.g., Tammy, Joe, Logan)
    • Therapy dog presence (Leo) and personal touches in therapy
    • Access to meals and drinks on demand
    • Effective pain management reported by families
    • Welcoming, family-like atmosphere and positive resident-staff relationships
    • Improvements attributed to proactive leadership and management turnaround
    • Medicaid accepted (accessibility for some families)
    • Highly recommended by multiple reviewers for short-term rehab

    Cons

    • Perceived understaffing and staffing inconsistency
    • Rising costs and concerns about value for money
    • Inconsistent cleanliness and hygiene; some reports of severe hygiene lapses
    • Delayed responses to call buttons and poor responsiveness at times
    • Medication errors and delays in wound/bandage care reported
    • Variable staff behavior: reports of rude or lazy CNAs and nurses
    • Front-desk and phone communication problems, long hold times
    • Some room cleanliness and housekeeping issues reported
    • Visitors restricted due to COVID-19 (contextual limitation)
    • Mixed and contradictory reviews indicate inconsistent quality of care

    Summary of reviews

    Overall sentiment across the reviews is mixed but leans positive for rehabilitation services and many aspects of daily care. The most consistent strengths described are a strong therapy department and dedicated rehab staff who help residents make measurable progress toward independence. Reviewers frequently singled out individual employees (e.g., Tammy, Joe, Logan) and teams (Team Haywood) as going above and beyond, and multiple accounts praised therapy specifics such as thorough therapy plans, a therapy dog (Leo), and successful discharge planning. Several reviewers explicitly called Skyland Terrace a top choice for short-term rehabilitation and praised the facility for getting residents home and improving mobility.

    Care quality and staff attitude receive many positive comments: numerous reviewers described CNAs and nurses as attentive, compassionate, and respectful, treating residents with dignity and warmth. Families reported proactive care measures (fall prevention), effective pain management, and good coordination with hospice when needed. Many reviewers also highlighted a family-like atmosphere, welcoming staff, and a lively, engaging activities program. Dining and housekeeping are often praised — reviewers mentioned appealing, nutritious meals (good smell, appearance, and taste), quick laundry service, attractive decorations in common areas, and an overall lack of nursing-home odor. Support functions such as the business office, social work, and financial teams were also described as competent and helpful.

    However, there are significant and recurring concerns that create a picture of inconsistency. Several reviewers reported understaffing and variability in staff performance: while many staff members were described as excellent, other accounts cited rude or lazy CNAs and nurses. Some reviews raised serious hygiene and care issues, including extreme allegations of residents being left soaked in urine and feces, missing personal items, infrequent bandage changes, and medication errors. These negative reports contrast sharply with the numerous accounts of an immaculately clean facility, indicating that experiences may vary widely between units, shifts, or over time.

    Communication and operational consistency are other mixed themes. Some families praised frequent and proactive communication from staff and leadership, while others reported poor front-desk telephone handling, dropped calls, long hold times, and overall poor responsiveness. Management and leadership were specifically noted as improving the facility in several reviews — reviewers credit a proactive turnaround and named leaders for positive changes — yet the coexistence of both glowing and severe negative accounts suggests that improvements may be recent or unevenly implemented.

    Additional practical and contextual points from the reviews: the facility accepts Medicaid, which increases accessibility for some families; visitors have been restricted in the context of COVID-19 (mentioned by one reviewer); and cost/value concerns were raised by several families who felt rising costs were not always matched by consistent quality. Finally, housekeeping/room-level cleanliness and responsiveness to call bells were singled out as specific operational issues in some reviews.

    In sum, Skyland Terrace and Rehabilitation appears to excel at short-term rehabilitation and has many devoted, effective staff members and therapy services that produce strong outcomes for residents. Simultaneously, there are notable reports of inconsistent care quality, staffing shortages at times, communication problems, and isolated but severe hygiene and responsiveness failures. Prospective residents and families should weigh the strong rehab reputation and many positive staff-related reports against the variability described by multiple reviewers: an in-person visit, direct questions about staffing levels, infection-control practices, call response times, wound-care protocols, and a review of recent regulatory/inspection records would help clarify whether the facility’s positive attributes are consistently applied to a particular unit or type of stay (short-term rehab vs. long-term care).

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    Medicare Ratings

    4·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Skyland Terrace and Rehabilitation

    Skyland Terrace and Rehabilitation is located at 516 Wall St, Waynesville, NC, 28786.

    About Skyland Terrace and Rehabilitation

    Skyland Terrace & Rehabilitation sits at 516 Wall St in Waynesville, North Carolina, right in a part of town that folks can find easily, and you'll notice it stays open around the clock every day of the week, which is helpful for families who need flexible hours. The building has 90 skilled nursing beds, making it possible for them to help quite a few people at one time, and you'll find their team includes many healthcare professionals who provide care day and night. If someone needs help with things like physical, occupational, or speech therapy after being in the hospital, or after an illness or injury, Skyland Terrace does focus strongly on rehabilitation, intending to help individuals get back their independence and mobility through those core services.

    Residents get 24/7 skilled nursing care, with staff ready to handle complex needs like medication management and monitoring, as well as chronic disease support, so people living with long-term conditions are looked after without missing doses or appointments. They also cover memory care for people living with Alzheimer's or other types of dementia, which means there are special programs and support tailored for safety and mental engagement. Social activities and ongoing wellness programs mean people have something to do each day, whether it's group events or smaller gatherings, so no one feels alone or bored, and staff work to foster a sense of community and comfort. Skyland Terrace also provides assisted living and personalized help with daily living tasks for folks who want to keep their independence but need some backup. There are amenities designed to fit the needs of both independent and assisted living, like spaces for gatherings and areas where people can relax or participate in hobbies.

    For those needing palliative or hospice care, staff give supportive services focused on comfort when someone faces more serious or life-limiting illness. Folks get their care tailored for each unique need, which might mean check-ins from nurses, ongoing therapy, help with bathing and dressing, or programs that support physical and emotional health. Usually, families appreciate the warm, supportive atmosphere that shows up in the way staff treat residents and their visitors, and the administration, led by Sophia Brown, keeps to high standards. Skyland Terrace & Rehabilitation is a privately owned facility, and it works with groups like the Haywood County Chamber of Commerce and the North Carolina Health Care Facilities Association, so they keep up with standards for long-term care in the state. People can read more about their rehabilitation services by visiting their website at skylandterrace.net, which shares more of what's offered, but you'll find the basics here, and overall, it's a place where the staff put focus on safety, dignity, and the well-being of everyone who lives there.

    People often ask...

    Skyland Terrace and Rehabilitation offers assisted living, memory care, and skilled nursing.

    There are 7 photos of Skyland Terrace and Rehabilitation on Mirador.

    The full address for this community is 516 Wall St, Waynesville, NC 28786.

    No, Skyland Terrace and Rehabilitation 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.

    Disclaimer

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

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