Nursing Homes in Waynesville, North Carolina
Waynesville has 3 Medicare-certified nursing homes with 230 beds. The city average CMS rating is 2.7 stars, which is at North Carolina's state average of 2.8 stars. 0 facilities earn a B grade or better and are recommended for family consideration.
Compare 3 nursing homes · data
Worth Considering
0
Facilities graded A or B that meet our quality standards
City Average
-0.13 vs state
Total Beds
230
across 3 facilities
High Risk Facilities
1
0 under CMS review
1 with abuse citations
Nurse Availability
37 min
RN time per resident daily
Below CMS recommendation
Well Staffed
1
exceed staffing threshold
33% of facilities
Zero Fines
passed all inspections
✓ Start your search here
Trend
0
improved vs last year
0 declined
Top Rated in Waynesville
Smoky Mountain Health And Rehabilitation Center
Explore Nearby Cities
Smoky Mountain Health And Rehabilitation Center
★★★★★ · 65/100 · 50 beds
Skyland Terrace And Rehabilitation
★★★★★ · 48/100 · 90 beds
Autumn Care Of Waynesville
★★★★★ · 0/100 · 90 beds
Showing 1–3 of 3 facilities
All 3 Nursing Homes in Waynesville
A-ZWant to learn more about nursing home care in Waynesville?
Fines · Deficiencies · Ownership Data · Quality Comparisons
About Nursing Home Care in Waynesville
The nursing home market in Waynesville, NC, offers limited options for families seeking care for their loved ones. The standout is Haywood Lodge and Retirement Center, which, while not without concerns, has a cleaner record with zero fines in the last three years. However, overall, this market is concerning due to the presence of facilities with serious issues that families should be aware of before making a decision.
In Waynesville, consider visiting Haywood Lodge and Retirement Center for its clean record and decent staff-to-resident ratio, which can positively impact care quality. Additionally, you might also want to check out Skyland Terrace and Rehabilitation, but proceed with caution due to its Grade D rating. If you're willing to look beyond Waynesville, consider exploring facilities in nearby cities like Asheville, which may offer better-rated options.
Families should be wary of Autumn Care of Waynesville, which has faced abuse citations and incurred $107K in fines. Additionally, Skyland Terrace and Rehabilitation has a troubling Grade D rating, which indicates significant quality concerns. When visiting any facility, always trust your instincts and observe the interactions between staff and residents—this often reveals the true quality of care being provided.
Waynesville at a Glance
Good News
- • 1 facility with clean records—no fines in 3 years
- • 1 facility has more nurses than required
Be Aware
- • 1 facility has serious problems—check before visiting
- • Some facilities have less nurse time than recommended
- • 1 facility with abuse citations
What's Changing
- → 3 facilities stayed the same
- ★ Overall: Waynesville is stable
Questions Waynesville Families Should Ask
Based on what we found in local inspection data
How many RN hours per resident do you provide daily?
CMS recommends 0.75 hrs; Waynesville avg is 0.62 hrs (37 min)
Have you received any fines in the past 3 years?
1 of 3 Waynesville facility has zero fines
What were your most recent inspection findings?
Ask for specifics—1 local facility has serious deficiencies
What is your staff-to-resident ratio on weekends?
Weekend staffing often differs from weekday levels
Finding Quality Nursing Home Care in Waynesville, North Carolina
Waynesville, North Carolina's Haywood County seat, has 3 Medicare-certified nursing homes with approximately 230 beds. Families have solid options to choose from.
Waynesville vs. North Carolina: Near State Average
Waynesville nursing homes perform near the state average on key quality metrics. The city's average CMS rating of 2.67 stars is close to North Carolina's statewide average of 2.80 stars.
0 of 3 facilities earn a B grade or better. Families should still research carefully, as 1 facility has significant concerns.
Understanding Our Trust Score System
The Trust Score is a 0-100 rating calculated from CMS's official nursing home database. The score combines five data categories:
- Health Inspection Results — Recent deficiencies, their severity, and patterns over time
- Staffing Levels — RN hours, total nursing hours, and weekend staffing
- Quality Measures — Clinical outcomes like falls, pressure ulcers, and rehospitalizations
- Penalties — Fines, payment denials, and enforcement actions
- Complaints — Substantiated complaints and their severity
In Waynesville, 0 facilities score a B grade or better, indicating they meet quality benchmarks across these categories. We recommend families prioritize these facilities and carefully research any facility rated C or below before visiting.
Staffing: A Significant Concern in Waynesville
Staffing levels are among the most important predictors of nursing home quality. Research consistently shows that facilities with more nursing staff—especially registered nurses—have better outcomes for residents.
Waynesville facilities average 0.62 RN hours per resident day, which falls below the CMS-recommended threshold of 0.75 hours. The typical Waynesville resident receives approximately 37 minutes of RN attention daily—compared to the 45 minutes experts recommend.
1 Waynesville facilities exceed CMS staffing recommendations. Families prioritizing staffing should look for facilities with the "Top Staffing" badge and ask specifically about RN hours during facility visits.
Ownership: An All For-Profit Market
Waynesville has no non-profit nursing homes—all 3 facilities with reported ownership data are for-profit operations. 2 of 3 facilities are chain-owned, meaning these facilities are part of larger corporate systems rather than independently operated.
Research suggests non-profit facilities often have higher staffing levels and fewer deficiencies on average. The absence of non-profit options in Waynesville may be worth noting. Families seeking non-profit care should consider facilities in surrounding areas.
Ownership type alone does not guarantee quality. Several for-profit facilities in Waynesville perform well. Families should evaluate each facility individually using inspection data, staffing levels, and recent deficiency reports rather than ownership type alone.
Nearby Alternatives Worth Considering
Families may also want to consider nearby North Carolina cities for additional options. The following North Carolina cities offer multiple nursing home options:
- Charlotte — 21 facilities
- Greensboro — 11 facilities
- Raleigh — 11 facilities
- Durham — 11 facilities
- Wilmington — 11 facilities
- Asheville — 10 facilities
Frequently Asked Questions
How many nursing homes are in Waynesville, North Carolina?
Waynesville has 3 Medicare-certified nursing homes with a total of 230 beds. The city average CMS rating is 2.7 stars, which is below North Carolina's state average of 2.8 stars.
What are the best nursing homes in Waynesville?
Based on our Trust Score analysis of CMS inspection data, the top-rated nursing homes in Waynesville include:
- • Smoky Mountain Health And Rehabilitation Center — Grade C+, 65/100 Trust Score
- • Skyland Terrace And Rehabilitation — Grade D, 48/100 Trust Score
- • Autumn Care Of Waynesville — Grade F, 0/100 Trust Score
These facilities have strong inspection records and staffing levels.
Which Waynesville nursing homes should I avoid?
We flag 1 facility in Waynesville as high-risk based on patterns of serious deficiencies, substantial fines, or placement on CMS's Special Focus Facility list. These facilities are marked with warning indicators in our listings above.
We recommend avoiding facilities with: Grade D or F, recent "Immediate Jeopardy" citations (indicating serious harm or risk to residents), or those on CMS's Special Focus Facility list.
The Bottom Line on Waynesville Nursing Homes
Waynesville offers typical nursing home options for the state. Focus your search on the 0 facilities graded A or B, particularly those with zero fines and strong staffing. Avoid the 1 high-risk facilities flagged in our analysis.