Walnut Cove Health and Rehabilitation
511 Windmill Street · Walnut Cove, NC · 27052 · 3365914353
90 certified beds For profit - Limited Liability company Chain: Avardis Health
Why this verdict
- Federal penalties on record: $25,628 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Total nurse staffing below 3.0 hours per resident-day
2.75 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.75 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.38 | 0.55–0.75 |
| Weekend hours / resident-day | 2.29 | ≈ weekday level |
| Nursing turnover / year | 52% | median 45% |
| Fines (3-yr window) | 3 · $40,149 |
Inspection citations (23 in the current record)
-
Potential for harm · D August 21, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 18, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D August 21, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 18, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D August 21, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected September 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
No harm found · B August 21, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected September 18, 2025 · Resident Assessment and Care Planning
-
Immediate jeopardy · J December 18, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 29, 2024 · Quality of Life and Care
-
Immediate jeopardy · J July 15, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 29, 2024 · Quality of Life and Care
-
Potential for harm · D July 15, 2024
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected July 29, 2024 · Resident Rights
-
Potential for harm · D July 15, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected July 29, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D July 15, 2024
Ensure each resident receives an accurate assessment.
Corrected July 29, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D July 15, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected July 29, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D July 15, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 29, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D July 15, 2024
Provide or obtain dental services for each resident.
Corrected July 29, 2024 · Quality of Life and Care
-
Potential for harm · F July 15, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 29, 2024 · Nutrition and Dietary
-
Potential for harm · D July 15, 2024
Keep all essential equipment working safely.
Corrected July 29, 2024 · Environmental
-
Potential for harm · D July 15, 2024 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected July 29, 2024 · Resident Rights
-
Potential for harm · D July 15, 2024 · found via complaint
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected July 29, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D July 15, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 29, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J December 14, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 7, 2023 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D December 14, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 30, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 26, 2023 · Resident Rights
-
Potential for harm · D March 30, 2023
Ensure each resident receives an accurate assessment.
Corrected April 26, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D March 30, 2023
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected April 26, 2023 · Pharmacy Service
-
Potential for harm · D March 30, 2023
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected April 26, 2023 · Administration
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 18, 2024 | Fine | $16,801 |
| July 15, 2024 | Fine | $8,827 |
| December 14, 2023 | Fine | $14,521 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345089 · certified since May 1, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.