The Hermitage

Q: Is The Hermitage in a walkable area?

The Hermitage has a walk score of 55. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

Q: What is the license number of The Hermitage?

According to NC state health department records, The Hermitage's license number is HAL-050-017.

Q: What is the overall rating for The Hermitage?

The Hermitage received a 4-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.

Q: Are there photos of The Hermitage?

Yes — there are 13 photos of The Hermitage in the photo gallery on this page.

Q: What is the address of The Hermitage?

The Hermitage is located at 185 Brick Farm Road Sylva, NC 28779.

Q: What county is The Hermitage located in?

The Hermitage is in Jackson County.

Overview of The Hermitage

The Hermitage is a senior living facility located in Sylva, North Carolina. It offers assisted living, memory care, and respite care services. The community is designed to provide a supportive lifestyle that simplifies daily life for seniors.

(888) 927-9409

90-bed community

A larger shared setting that may offer more common spaces and organized community services.

Walk Score: 55 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

71%

Lower than the North Carolina average: 76.4%

Occupied beds

64 / 90

Average residents per home in North Carolina 85 per day

StatusActive

CountyJackson

License NumberHAL-050-017

Secured Perimeter

Emergency SystemsEmergency Alert System

Safety FeaturesAdditional Security Features

Accept Medicaid

Respite Care

24-Hour Staffing

Food DescriptionHealthy, balanced meals prepared to meet dietary needs while offering flavor, variety, and an enjoyable dining experience.

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Ratings

Overall Rating

4 / 5

Based on the North Carolina Department of Health and Human Services, Division of Health Service Regulation surveys measuring health inspections, staffing, and quality measures.

Ranked 9th (tied) of 138 homes in North Carolina

Results

18 with citations

0 without citations

North Carolina average: 19 inspections with citations

Show Inspection Reports

Latest inspection

Date February 12, 2025

Annual Inspection

31 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

North Carolina average: 46 deficiencies

Inspection Report Summary for The Hermitage

The most recent inspection on February 12, 2025, found one deficiency related to the facility failing to serve a prescribed therapeutic diet to a resident. Earlier inspections showed a pattern of deficiencies involving resident care issues such as follow-up on medical needs, medication administration, and personal care, as well as facility maintenance problems including ventilation and fire safety code compliance. Complaint investigations were mostly substantiated, particularly those concerning health care follow-up and infection control practices during the COVID-19 pandemic. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history indicates ongoing challenges with both care and environmental standards, with no clear trend of consistent improvement or worsening over time.

Community Alternatives Program for Disabled Adults

NC Medicaid CAP/DA

Age 65+ or disabled

General North Carolina resident, Medicaid- eligible, nursing home-level care need.

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $2,000 (individual), $3,000 (couple).

High demand; waitlists common in urban areas.

Benefits

Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($60/day) Home modifications ($1,500 avg.)

North Carolina Senior Care Options

NC SCO (via NFCSP)

Age Caregiver of someone 60+ (or with dementia)

General North Carolina resident.

Income Limits No strict limit; prioritizes low-income.

Asset Limits Not applicable.

Limited slots; rural/urban balance.

Benefits

In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Program of All-Inclusive Care for the Elderly (PACE)

North Carolina PACE (e.g., PACE of the Triad)

Age 55+

General NC resident (specific counties), NFLOC, safe with PACE support.

Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.

Asset Limits $2,000 (individual), $3,000 (couple) for Medicaid enrollees.

Available in 10+ counties (e.g., Guilford, Wake); multiple providers (e.g., PACE of the Southern Piedmont).

Benefits

Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

In-Home Aide Services

North Carolina In-Home Aide Services

Age 60+

General NC resident, unable to perform 1+ ADL, at risk of nursing home placement.

Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year

Asset Limits Not assessed; need-based.

Family can be aides; varies by county funding.

Benefits

Personal care (5-20 hours/week) Meal prep Respite (~5 days/year) Errands

Medicare Savings Program (MSP)

North Carolina Medicare Savings Program

Age 65+ or disabled

General NC resident, Medicare Part A/B.

Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

Asset Limits $9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits

Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Low-Income Energy Assistance Program (LIHEAP)

North Carolina LIHEAP

Age 60+ prioritized

General NC resident, low-income household.

Income Limits (2025) ~$3,970/month individual, 185% FPL

Asset Limits Not assessed; income-focused.

Covers oil, gas, electric; emergency aid via Crisis Intervention Program (CIP).

Benefits

Heating/cooling aid ($300-$1,000/season) Emergency fuel ($600 max via CIP)

Senior Community Service Employment Program (SCSEP)

North Carolina SCSEP

Age 55+

General unemployed, low-income, NC resident.

Income Limits (2025) ~$1,983/month 125% FPL

Asset Limits Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

Benefits

Paid training (~20 hours/week at ~$7.25/hour) Job placement

VA Aid and Attendance (A&A) and Housebound Benefits

North Carolina VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse

General NC resident, wartime service, need for ADL help (A&A) or homebound.

Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits ~$155,356 net worth limit

High veteran demand in rural/urban areas.

Benefits

Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Urgent Repair Program (URP)

North Carolina Urgent Repair Program

Age 60+ prioritized

General NC resident, homeowner, low-income.

Income Limits (2025) ~$30,258/year 50% AMI, varies by county

Asset Limits Not strictly assessed; home value considered.

Forgivable at $2,000/year; statewide via local partners.

Benefits

Repairs (~$8,000-$12,000 avg.) for safety (e.g., roofs, heating, accessibility)

State/County Special Assistance (SA)

North Carolina Special Assistance

Age 65+ (or disabled)

General NC resident, in licensed adult care home, low-income.

Income Limits (2025) ~$1,255/month (individual, 100% FPL); varies by facility rate.

Asset Limits $2,000 individual

Covers assisted living; counties supplement state funds.

Benefits

Cash (~$1,200-$1,500/month) for room/board; Medicaid covers care services

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Compare Nursing Home around North Carolina

5 facilities compared · CMS & NC Dept. of Health data · Updated May 2026

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The Hermitage		NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.	Sylva	90	90.4%	+18%	3.49				-	-12%	1	-	-	-	91	55	Next Step Healthcare Llc	$14.7M	$4.1M	28%	225009
Ahoskie House	-	NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.	Ahoskie	60	-	-	-	-	-	-	-	-	0	-	-	-	-	61	-	-	-	-	-
Alpha Care One Assisted Living	-	NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.	Greenville	120	-	-	-	-	-	-	-	-	0	-	-	-	-	88	-	-	-	-	-
Brekenridge Retirement Center	-	NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.	Rocky Mount	64	-	-	-	-	-	-	-	-	0	-	-	-	-	1	-	-	-	-	-
Brockford Inn	-	NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.	Granite Falls	67	-	-	-	-	-	-	-	-	0	-	-	-	-	45	-	-	-	-	-

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Is The Hermitage in a walkable area?

The Hermitage has a walk score of 55. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of The Hermitage?

According to NC state health department records, The Hermitage's license number is HAL-050-017.

What is the overall rating for The Hermitage?

The Hermitage received a 4-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.

How many beds does The Hermitage have?

The Hermitage has 90 beds.

Are there photos of The Hermitage?

Yes — there are 13 photos of The Hermitage in the photo gallery on this page.

What is the address of The Hermitage?

The Hermitage is located at 185 Brick Farm Road Sylva, NC 28779.

What county is The Hermitage located in?

The Hermitage is in Jackson County.

Nursing Home in North Carolina