Staffing
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.93 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
Also known publicly as Sylva Valley Health and Rehab
Sylva, NC
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.93 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Aug 14, 2025 cited 7 deficiencies.
View inspection evidenceCMS-published records list 23 ownership or control parties.
CMS records show an ownership change effective November 2024.
View ownership evidenceCMS groups this facility with a chain covering 5 facilities across 3 states or territories.
View chain evidenceCMS records show a $325,563 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
5 currently connected nursing homes share this CMS organization identity with REGIONAL HEALTH PROPERTIES INC.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 14, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 17, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 17, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 14, 2024
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Nov 14, 2024
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Nov 14, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 14, 2024
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 14, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 14, 2024
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 99%
Association date reported to CMS: Nov 14, 2024
CMS classifications: Parent company
Other facilities connected through this exact CMS organization identity: 4 across GA, NC, SC.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 15, 2025
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 7, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 15, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 14, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 17, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 17, 2025
Other facilities connected through this exact CMS organization identity: 4 across GA, NC, SC.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 14, 2024
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Nov 14, 2024
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Nov 14, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 14, 2024
Individual · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 1%
Association date reported to CMS: Nov 14, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 14, 2024
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across NC.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 856 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 5 | 1.4 | 1.8 |
| Mon Jun | 5 | 1.2 | 1.2 |
| Fri May | 5 | 1.2 | 1.2 |
| Wed Apr | 5 | 1.2 | 1.2 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Reasonably accommodate the needs and preferences of each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 4, 2025)
Assure the security of all personal funds of residents deposited with the facility.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Sep 4, 2025)
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Sep 4, 2025)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 4, 2025)
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 4, 2025)
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 4, 2025)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 4, 2025)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 30, 2024)
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jul 30, 2024)
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.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 20, 2024)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jul 30, 2024)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 20, 2024)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jul 30, 2024)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Aug 20, 2024)
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.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Aug 20, 2024)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 30, 2024)
Ensure that residents are free from significant medication errors.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 30, 2024)
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 30, 2024)
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 30, 2024)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Dec 7, 2023)
Provide safe, appropriate pain management for a resident who requires such services.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 30, 2023)
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 7, 2023)
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 30, 2023)
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has plan of correction (Nov 11, 2023)
Ensure medication error rates are not 5 percent or greater.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 30, 2023)
Ensure that residents are free from significant medication errors.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 30, 2023)
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 7, 2023)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 7, 2023)
No health-deficiency rows were deterministically linked to this inspection.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 17, 2023)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 17, 2023)
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 17, 2023)
No health-deficiency rows were deterministically linked to this inspection.
Penalties & enforcement
Published fine amount: $325,563.00
Payment denial length: 67 days
Payment denial length: 1 days
Published fine amount: $7,901.00
Published fine amount: $16,289.00
Published fine amount: $10,065.00
Questions to ask
Facility history
20 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
RN staffing increased from 0.60 to 0.93 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
0.60 → 0.93
CMS · Reported in a source release · View related evidence
Total nurse staffing increased from 3.40 to 3.74 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
3.40 → 3.74
CMS · Reported in a source release · View related evidence
Total nurse staffing decreased from 3.75 to 3.40 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
3.75 → 3.40
CMS · Reported in a source release · View related evidence
7 deficiencies were recorded.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: SYLVA OPERATIONS LLC.
VERO HEALTH X LLC → SYLVA OPERATIONS LLC
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
CMS recorded a Medicare payment denial lasting 67 days.
CMS · Recorded event date · View related evidence
12 deficiencies were recorded. That includes 7 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
CMS recorded a $325,563 civil monetary penalty.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 2 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.88 | 3.397 |
| RN categories | 1.063 | 0.59 |
Contract staff accounted for 20.1% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.327 higher than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q3 | 3.751 | 0.649 | 0.585 | 1.575 | 0% | 92 |
| 2025Q4 | 3.397 | 0.599 | 0.512 | 1.464 | 8.3% | 92 |
| 2026Q1 | 3.741 | 0.927 | 0.548 | 1.641 | 20.1% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
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