CCN 345411 · Haywood County, North Carolina
Skyland Terrace and Rehabilitation
516 Wall Street, Waynesville, NC 28786
Skyland Terrace and Rehabilitation is a 90-bed for-profit nursing home in Waynesville, North Carolina, first certified for Medicare or Medicaid in 1992. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 83.4 residents a day, about 93% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 90
- Average residents per day
- 83.4 (92.7% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Coolgate Inc
- Certified since
- Jan 24, 1992
- Chain or affiliated group
- None listed by CMS
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | North Carolina median | US median |
|---|---|---|---|
| Overall rating | 4 of 5 | State spread: 91 at 1, 83 at 2, 85 at 3, 75 at 4, 81 at 5 | |
| Health inspections | 4 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 3.39 | 3.53 | 3.68 |
| RN hours per resident per day | 0.65 | 0.51 | 0.58 |
| Weekend nurse hours per resident per day | 3.00 | ||
| Nursing staff turnover | 53.3% | 48.6% | 44.9% |
| Occupancy (residents / beds) | 92.7% | 87.4% | 85.7% |
| Fines reported by CMS | 1 totaling $8,512 | ||
| Health deficiencies, latest standard survey | 3 (Feb 19, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Skyland Terrace and Rehabilitation meets that part today: 4 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Cooley, MistieIndividual | Direct Ownership Interest | 49% | 10/01/2022 |
| Gatewood, ThomasIndividual | Direct Ownership Interest | 51% | 10/01/2022 |
| Cooley, MistieIndividual | Operational / Managerial Control | n/a | 01/19/2025 |
| Gatewood, ThomasIndividual | Operational / Managerial Control | n/a | 01/19/2025 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Oct 1, 2022 | Coolgate Inc | Ssc Waynesville Operating Company LLC |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.