Willow Valley Center for Nursing and Rehabilitatio
1900 W 1st Street · Winston-Salem, NC · 27104 · 3367242821
230 certified beds For profit - Corporation Chain: Alliance Health Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $27,037 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
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.
RN staffing in the bottom 10% nationally
0.26 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
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: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.37 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.26 | 0.55–0.75 |
| Weekend hours / resident-day | 3.20 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | 5 · $275,518 |
Inspection citations (51 in the current record)
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Potential for harm · D February 20, 2026 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected March 4, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 20, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 4, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 20, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 4, 2026 · Resident Assessment and Care Planning
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Immediate jeopardy · J August 29, 2025
Provide and implement an infection prevention and control program.
Corrected September 24, 2025 · Infection Control
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Potential for harm · D August 29, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected September 24, 2025 · Resident Rights
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Potential for harm · D August 29, 2025
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected September 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · F August 29, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 23, 2025 · Nutrition and Dietary
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Potential for harm · F August 29, 2025
Dispose of garbage and refuse properly.
Corrected September 23, 2025 · Nutrition and Dietary
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Potential for harm · D August 29, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 24, 2025 · Quality of Life and Care
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No harm found · B August 29, 2025 · found via complaint
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 September 23, 2025 · Resident Rights
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Potential for harm · E June 25, 2025 · found via complaint
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.
Corrected July 17, 2025 · Resident Rights
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Potential for harm · D June 25, 2025 · 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 July 17, 2025 · Quality of Life and Care
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Actual harm · G November 22, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 2, 2024 · Quality of Life and Care
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Actual harm · G July 2, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 17, 2024 · Resident Rights
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Actual harm · G July 2, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 17, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 2, 2024
Keep residents' personal and medical records private and confidential.
Corrected July 17, 2024 · Resident Rights
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Potential for harm · D July 2, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected July 17, 2024 · Resident Rights
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Potential for harm · D July 2, 2024
Ensure each resident receives an accurate assessment.
Corrected July 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 2, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected July 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 2, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 17, 2024 · Quality of Life and Care
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Potential for harm · E July 2, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected July 17, 2024 · Pharmacy Service
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Potential for harm · D July 2, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected July 17, 2024 · Pharmacy Service
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Potential for harm · E July 2, 2024
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 July 17, 2024 · Pharmacy Service
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Potential for harm · F July 2, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 17, 2024 · Nutrition and Dietary
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Potential for harm · D July 2, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected July 17, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 25, 2025 | Fine | $14,508 |
| November 22, 2024 | Fine | $12,529 |
| July 2, 2024 | Fine | $8,018 |
| July 2, 2024 | Fine | $8,783 |
| August 7, 2023 | Fine | $231,680 |
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.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345092 · certified since July 1, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.