Westwood Hills Nursing and Rehabilitation Center
1016 Fletcher Street · Wilkesboro, NC · 28697 · 3366679261
176 certified beds For profit - Limited Liability company Chain: Principle Long Term Care
- 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
2 abuse-related citations 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
2.99 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: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.99 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.71 | 0.55–0.75 |
| Weekend hours / resident-day | 2.44 | ≈ weekday level |
| Nursing turnover / year | 35% | median 45% |
| Fines (3-yr window) | 1 · $8,648 |
Inspection citations (11 in the current record)
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Potential for harm · D November 19, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 10, 2025 · Nutrition and Dietary
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Potential for harm · D November 19, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected September 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 21, 2024
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.
Corrected September 18, 2024 · Resident Rights
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Potential for harm · F August 21, 2024
Provide and implement an infection prevention and control program.
Corrected September 18, 2024 · Infection Control
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Potential for harm · D August 21, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected September 18, 2024 · Quality of Life and Care
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Actual harm · G July 25, 2023 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected August 22, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G July 25, 2023 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected August 22, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 25, 2023
Ensure each resident receives an accurate assessment.
Corrected August 22, 2023 · Resident Assessment and Care Planning
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Potential for harm · D July 25, 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 August 22, 2023 · Pharmacy Service
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Potential for harm · D July 25, 2023
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected August 22, 2023 · Administration
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Potential for harm · D July 25, 2023
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected August 22, 2023 · Administration
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 25, 2023 | Fine | $8,648 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345205 · certified since July 30, 1981. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.