Sylva, North Carolina · CCN 345302 · Phone: 8286311600 · 106 beds · Ownership: For Profit - Limited Liability Company
Vero Health & Rehab Of Sylva is a Medicare-certified skilled nursing facility (CCN 345302) in Sylva, North Carolina. It holds a CMS overall Five-Star rating of 1 of 5 stars on CMS Care Compare. FileFlo scores its CMS survey-readiness at 13/100 (High Risk).
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Vero Health & Rehab Of Sylva is a Medicare- and Medicaid-certified skilled nursing facility in Sylva, North Carolina, operating under CMS Certification Number (CCN) 345302. 106-bed facility. For Profit - Limited Liability Company. Part of the Regional Health Properties chain. The facility is required to comply with the Requirements for Long-Term Care Facilities at 42 CFR Part 483.
Vero Health & Rehab Of Sylva has held its Medicare/Medicaid certification for approximately 37 years (certification date on file: 1989-05-10). Long-tenured facilities (15+ years) often have established F-tag remediation playbooks and a deeper standard-survey trail; newly-certified facilities (under 3 years) are subject to a different initial survey cadence under 42 CFR 488.308.
Local market context (Jackson County): Vero Health & Rehab Of Sylva is the only Medicare-certified skilled nursing facility in the same-county sample for North Carolina. Sole-provider counties concentrate post-acute placement decisions into a single facility, which can either be operational leverage or a regulatory-visibility risk depending on quality trajectory.
CMS publishes Five-Star ratings for nursing homes monthly, drawn from the most recent three years of standard surveys, complaint surveys, and Minimum Data Set (MDS) submissions.
Long-Stay Quality Measure rating: ★☆☆☆☆ (1 of 5). Long-stay measures cover residents in the facility 100+ days and include indicators like residents experiencing one or more falls with major injury, residents whose ability to move independently worsened, and residents with a urinary tract infection.
Short-Stay Quality Measure rating: ★★☆☆☆ (2 of 5). Short-stay measures cover post-acute residents discharged within 100 days and include rehospitalization within 30 days, successful return to community, and improvement in function.
Differentiating long-stay from short-stay QMs matters for placement decisions — a facility with strong short-stay QMs may still underperform on long-stay metrics, and vice versa.
Special Focus Facility status: Vero Health & Rehab Of Sylva appears on the CMS Special Focus Facility list (status: SFF Candidate). SFF designation is reserved for facilities with a persistent pattern of substandard quality of care — typically high deficiency counts across consecutive surveys. CMS conducts a standard survey approximately every six months on SFF facilities (vs. up to fifteen months for non-SFF) and tracks two consecutive improved surveys as the exit criterion. Facilities that fail to improve over 18-24 months on the SFF list face termination of their Medicare provider agreement under 42 CFR 488.456.
Recent health deficiencies cited at last standard survey: 7. National average for facilities of this size is approximately 8 deficiencies per cycle. In its most recent reporting cycle, Vero Health & Rehab Of Sylva received 4 CMS fines totaling $359,818. Last documented standard health survey: 2025-08-14. CMS conducts standard surveys at most every 15 months for SNFs, with substandard-quality findings triggering more frequent revisits.
Vero Health & Rehab Of Sylva has 19 infection-control citations in the most recent CMS survey window (F-tags F880, F881, F882, F883, F884, F886). The COVID-era enforcement actions tied infection control deficiencies directly to immediate jeopardy designations more frequently than any other tag category.
CMS health survey weighted score: 247.25. The weighted score multiplies deficiency severity (A-L) by scope (isolated, pattern, widespread); higher weighted scores translate directly into the Health Inspection star rating tier breakpoints CMS publishes monthly.
Payment denials for new admissions in the most recent CMS reporting window: 2. Denial-of-payment-for-new-admissions (DPNA) is one of the enforcement remedies CMS uses under 42 CFR 488.417. It is typically imposed when a facility has been cited at scope and severity levels of F or higher and fails to substantially comply by the date specified in the certification notice.
Total enforcement penalties assessed in the most recent reporting window: $6. This figure aggregates Civil Money Penalties (CMPs), DPNA-equivalent revenue impacts, and other monetary remedies under 42 CFR Part 488 Subpart F.
At today's staffing levels, Vero Health & Rehab Of Sylva would not meet the cadre-specific minimums scheduled to take effect on the May 2029 timeline under 89 FR 40876: nurse-aide HPRD is 2.286 vs the 2.45 floor, a 0.16-hour gap. Closing this gap typically requires either net new hires at the specific cadre, shifted scheduling that reallocates existing FTEs to direct-care hours, or a hardship exemption application under 42 CFR 483.35.
Total nurse staffing: 3.397 hours per resident day (HPRD), which is 0.08 hours below the 3.48 total HPRD floor scheduled to take effect for rural-facility facilities by May 2029 (89 FR 40876, May 2024); facilities projected to remain below the floor at the effective date must either close the gap, qualify for a hardship exemption, or face citation under 42 CFR 483.35.
Staffing mix: RN 0.599 HPRD, LPN 0.512 HPRD, CNA 2.286 HPRD. The same CMS final rule also phases in cadre-specific minimums of 0.55 RN HPRD and 2.45 nurse aide HPRD on the 2029 timeline; RN-specific shortfalls have historically been the most common single-facility staffing deficiency at standard surveys.
Weekend RN staffing: 0.37 HPRD. Weekend RN coverage is a separately reported CMS measure; facilities with low weekend RN HPRD frequently see resident-acuity-driven adverse events spike on the weekend shift.
Vero Health & Rehab Of Sylva is operated as part of Regional Health Properties, a chain operating 5 Medicare-certified facilities (CMS chain identifier 856). Chain-operated facilities tend to share corporate compliance staff, standard operating procedures, and survey-prep resources — but also share enforcement exposure when CMS designates a chain-wide issue under the system-wide quality assurance framework.
Provider type designation: Medicare And Medicaid.
The facility is classified by CMS as rural (outside metropolitan statistical areas). Rural SNFs face different challenges — referral pipeline depth, RN availability, ambulance distance for transfers — and CMS applies certain modifiers to the staffing minimums under hardship exemption pathways for rural facilities.
Peer comparisons use a same-state cohort of 200 Medicare-certified SNFs, pulled live from CMS Provider Data. The cohort excludes terminated and surrendered certifications.
FileFlo's compliance indicator for Vero Health & Rehab Of Sylva is 13/100 (High Risk). The score is derived from publicly published health-deficiency counts, weighted survey scores, infection-control citations, fines, and staffing hours per resident day. It is not a CMS rating. The full survey-readiness audit (covering F-tags from the most recently cited deficiencies, infection control, staffing minimums, MDS accuracy) is at /tools/cms-survey-readiness-score.
FileFlo publishes a profile for every Medicare-certified nursing home so administrators, DONs, and family members can find the same publicly-published quality data without bouncing between Care Compare, the SFF list, and the CMS Provider Data Catalog. Field-level CFR citations are linked throughout. Dispute this record if any field is incorrect — we resync with CMS monthly and process correction requests within five business days.
Reviews from residents, family members, and facility staff help others making care decisions. All reviews are verified and PII-scrubbed before publishing.
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Vero Health & Rehab Of Sylva (CCN 345302) holds a CMS overall Five-Star rating of 1 of 5 stars on CMS Care Compare. CMS updates these ratings quarterly from the facility's submitted assessment and claims data.
Vero Health & Rehab Of Sylva is a Medicare-certified skilled nursing facility (CMS Certification Number 345302) in Sylva, North Carolina.
FileFlo scores Vero Health & Rehab Of Sylva's CMS survey-readiness at 13/100 (High Risk). This is a FileFlo indicator built from CMS-published data, not an official CMS rating.
As a Medicare-certified skilled nursing facility, Vero Health & Rehab Of Sylva is surveyed against the Conditions of Participation in 42 CFR Part 483 — covering patient/resident rights, assessment and care planning, quality (QAPI), infection control, and aide services. Each CoP section is linked on this page.
Run FileFlo's free CMS survey-readiness audit for Vero Health & Rehab Of Sylva — it grades the skilled nursing facility against every Condition of Participation in 42 CFR Part 483 in about three minutes, names each gap's F-Tag, and requires no signup.
The 42 CFR Part 483 CoP sections a CMS survey actually checks, in plain English:
Compliance terms: F-Tag · Joint Commission. See the Skilled Nursing Facility directory and the Healthcare compliance guide →
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Data sourced from CMS Care Compare (publish 2026-04-01). Information may not reflect the facility's current status. Resync occurs monthly. Dispute this record · Claim this profile