Federal inspection record · CMS data as of October 1, 2026
Vero Health & Rehab of Sylva
417 Cloverdale Road, Sylva, NC · (828) 631-1600
- Special Focus Facility
- Certified beds
- 106
- Residents per day
- 89
- Ownership
- For-Profit
- Chain
- Regional Health Properties
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 10, 1989
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Vero Health & Rehab of Sylva carries 229.25 inspection points. That is fewer than 1% of North Carolina's 415 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–4 pts
- 4★ 4–15 pts
- 3★ 15–35 pts
- 2★ 35–73.5 pts
- 1★ over 73.5 pts
Bars show every rated home in North Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
53 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (13)
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K
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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G
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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J
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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J
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
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G
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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G
Ensure that residents are free from significant medication errors.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Provide safe, appropriate pain management for a resident who requires such services.
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G
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Everything else, by area of care
Resident Rights12F
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- C
Assure the security of all personal funds of residents deposited with the facility.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- F
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- C
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- F
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Infection Control6F
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- F
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Administration5F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Quality of Life and Care5D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning3D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- B
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Pharmacy Service3E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation2E
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nursing and Physician Services2E
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- E
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Inspection history
2025-08-14
7 health deficiencies · 9 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2024-07-30
17 health deficiencies · 8 fire-safety deficiencies
Top issue: Resident Rights (6 deficiencies)
2023-01-20
29 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 47 min of nursing staff time a day, 46 min of it from a registered nurse.
This home
3 h 47 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$359,818 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-05-22 | Fine | $325,563 |
| 2024-05-22 | Payment Denial · 67 day denial | $0 |
| 2023-10-18 | Fine | $7,901 |
| 2023-10-18 | Fine | $10,065 |
| 2023-10-18 | Fine | $16,289 |
| 2023-10-18 | Payment Denial · 1 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts better | 1.1 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 1.3 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.8 pts better | 94.2% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.9 pts better | 96.6% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts worse | 4.8% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.7 pts better | 2.1% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.1 pts better | 5.0% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication12.6 pts worse | 33.7% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.6 pts worse | 18.5% | 13.9% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.8 pts worse | 22.4% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.1 pts worse | 16.1% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 0.5% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts worse | 3.0% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.9 pts worse | 21.8% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1 pts better | 4.4% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine43.2 pts worse | 38.3% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1 pts worse | 13.7% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better | 0.9% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine48.7 pts worse | 32.4% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.2 pts worse | 24.4% | 22.2% | 23.4% |
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Who owns and runs it
9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Mcabee, Bradley | Adp Of The SNF · Individual | 0% | 1 facilities |
| Morrison, Brent | Direct Ownership Interest · Individual | 0% | 5 facilities |
| Morrison, Brent | Corporate Officer · Individual | 0% | 5 facilities |
| Morrison, Brent | Adp Of The SNF · Individual | 0% | 5 facilities |
| Regional Health Properties Inc | Adp Of The SNF · Organization | 0% | 5 facilities |
| Simmons, Teddie | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Simmons, Teddie | Adp Of The SNF · Individual | 0% | 2 facilities |
| Taylor, Ken | Corporate Director · Individual | 0% | 4 facilities |
| Tenwick, David | Corporate Director · Individual | 0% | 4 facilities |
·
Fire safety
18 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- D
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems5D
- D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- D
Have generator or other power source capable of supplying service within 10 seconds.
Services3F
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Have properly installed electrical wiring and gas equipment.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Egress2D
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D
Have properly located and lighted "Exit" signs.
Construction1D
- D
Use approved construction type or materials.
Miscellaneous1D
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Emergency Preparedness1F
- F
Develop and maintain an Emergency Preparedness Program (EP).
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Other homes nearby
-
Skyland Care Center
Sylva, NC
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 37 min
- Fines
- $0
-
Tsali Care Center
Cherokee, NC · Special Focus
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 51 min
- Fines
- $157,555
-
Maggie Valley Health and Rehabilitation Center
Maggie Valley, NC
★★★★★- Worst citation, 3 yrs
- L
- Nursing / resident / day
- 3 h 20 min
- Fines
- $51,012