Vero Health & Rehab of Sylva
417 Cloverdale Road, Sylva, NC 28779 · (828) 631-1600
For profit - Limited Liability company · 106 certified beds
Special Focus Facility candidate Medicare's data lists this home as a candidate for its Special Focus Facility program, which is for homes with a persistent record of serious problems.
Vero Health & Rehab of Sylva has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in August 2025, found 7 citations (the North Carolina average is 4.7). It was fined 4 times in the last three years, $359,818 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on August 14, 2025 found 7 citations. What an inspection citation means
- Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.August 14, 2025 · F0851 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Reasonably accommodate the needs and preferences of each resident.August 14, 2025 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.August 14, 2025 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures for flu and pneumonia vaccinations.August 14, 2025 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.August 14, 2025 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Assure the security of all personal funds of residents deposited with the facility.August 14, 2025 · F0570 · Level of harm: Potential for minimal harm · Residents affected: Many
- Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.August 14, 2025 · F0577 · Level of harm: Potential for minimal harm · Residents affected: Many
Complaint inspections, last three years
Inspections after complaints found 43 citations.
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.July 30, 2024 · F0550 · Level of harm: Actual harm · Residents affected: Few
- Allow resident to participate in the development and implementation of his or her person-centered plan of care.July 30, 2024 · F0553 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Reasonably accommodate the needs and preferences of each resident.July 30, 2024 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.July 30, 2024 · F0561 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.July 30, 2024 · F0568 · Level of harm: Potential for minimal harm · Residents affected: Many
- 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.July 30, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.July 30, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.July 30, 2024 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.July 30, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.July 30, 2024 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 30, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.July 30, 2024 · F0690 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Provide safe and appropriate respiratory care for a resident when needed.July 30, 2024 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.July 30, 2024 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.July 30, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.July 30, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Develop and implement policies and procedures for flu and pneumonia vaccinations.July 30, 2024 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.May 22, 2024 · F0563 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.May 22, 2024 · F0580 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- 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.May 22, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.May 22, 2024 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.May 22, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 22, 2024 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 22, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- 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.May 22, 2024 · F0726 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.May 22, 2024 · F0755 · Level of harm: Actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.May 22, 2024 · F0760 · Level of harm: Actual harm · Residents affected: Few
- Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.May 22, 2024 · F0841 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.May 22, 2024 · F0867 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.November 30, 2023 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 30, 2023 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.November 30, 2023 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.November 30, 2023 · F0867 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.November 30, 2023 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 21, 2023 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide safe, appropriate pain management for a resident who requires such services.November 21, 2023 · F0697 · Level of harm: Actual harm · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.October 18, 2023 · F0550 · Level of harm: Actual harm · Residents affected: Few
- Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.October 18, 2023 · F0636 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.October 18, 2023 · F0640 · Level of harm: Potential for minimal harm · Residents affected: Some
- Ensure medication error rates are not 5 percent or greater.October 18, 2023 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that residents are free from significant medication errors.October 18, 2023 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.October 18, 2023 · F0867 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.October 18, 2023 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $325,563May 22, 2024
- Fine of $7,901October 18, 2023
- Fine of $10,065October 18, 2023
- Fine of $16,289October 18, 2023
- Medicare payment denial for 67 daysStarting June 14, 2024
- Medicare payment denial for 1 daysStarting January 4, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | North Carolina average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.74 | 3.85 | 3.86 |
| Registered nurses (RN) | 0.93 | 0.62 | 0.69 |
| Licensed practical nurses (LPN) | 0.55 | 0.89 | 0.86 |
| Nurse aides | 2.27 | 2.34 | 2.32 |
| Total nursing staff turnover | Not available | 49% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 106 |
| Average residents per day | 91 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Skyland Care Center Sylva · ★★★★★ 4 out of 5 stars
- Biltmore Haven Nursing and Rehabilitation Arden · ★★★★★ 1 out of 5 stars
- Black Mountain Neuro-Medical Treatment Center Black Mountain · ★★★★★ 5 out of 5 stars
- Highland Farms Black Mountain · ★★★★★ 5 out of 5 stars
- NC State Veterans Home - Black Mountain Black Mountain · ★★★★★ 5 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Vero Health & Rehab of Sylva on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.